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M.R. Grimaldi, A.M. Pacilli, S.G.A. Scirè, M. di Giannantonio, F.M. Ferro - Vol. 7, Settembre 2001, num.3

Testo Immagini Bibliografia Summary Riassunto Indice

La disfunzione erettile: aspetti diagnostici, esperienze cliniche e terapeutiche
Erectile Dysfunction: diagnostic aspects, clinical and therapeutic experiences

Current diagnostic criteria (DSM-IV, 1994) define "erectile dysfunction" as "a persistent or recurrent impossibility to obtain or to preserve an adequate erection until the end of sexual intercourse". This disorder may further be classified as primary or secondary, and generalized or situational, depending on psychological factors or on the influence of a combination between psychological factors and a medical condition. Despite the importance ascribed in the past to the role played by the organic and the biomedical factors in the etiology of erectile dysfunction, it is very interesting to study the influence exerted by the psychological, cognitive and interpersonal factors. Therefore, the management of erectile problems seems to produce a better outcome when carried on by multidisciplinary work units by means of a longitudinal approach. On account of that, we intend to consider a group of patients with impotence of the "functional" type, that is, of subjects in which the presence of an organic etiology of the disorder has been previously excluded.