A 58-year-old man cannot maintain an erection. He has no difficulty with orgasm/ejaculation. He is in a stable, monogamous relationship. He does not believe underlying psychogenic factors are at work.
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, pleaseA 58-year-old construction site foreman is unable to maintain an erection.
The patient is in a stable, monogamous relationship and has intercourse 2-4 times per month. He does not believe that any significant underlying psychogenic factors are at work. The erections do not improve with self-stimulation or in the morning.
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