Review

International Journal of Impotence Research (2008) 20, 370–377; doi:10.1038/ijir.2008.13; published online 8 May 2008

Assessment of endothelial function in the patient with erectile dysfunction: an opportunity for the urologist

R Tamler1 and N Bar-Chama1

1The Mount Sinai Men's Wellness Program, The Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY, USA

Correspondence: Dr R Tamler, The Mount Sinai Men's Wellness Program, The Mount Sinai School of Medicine, Mount Sinai Medical Center, 1 Gustave L Levy Pl, Box 1272, New York, NY 10029, USA. E-mail: ronald.tamler@mssm.edu; Dr N Bar-Chama, The Mount Sinai Men's Wellness Program, The Mount Sinai School of Medicine, Mount Sinai Medical Center, 1 Gustave L Levy Pl, Box 1272, New York, NY 10029, USA. E-mail: natan.bar-chama@mountsinai.org

Received 30 January 2008; Revised 2 April 2008; Accepted 2 April 2008; Published online 8 May 2008.

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Abstract

Although there is now ample evidence that men with manifest coronary, cerebral and peripheral vascular disease and their risk factors are at highest risk for suffering from erectile dysfunction, recent findings demonstrate a strong connection between erectile dysfunction and endothelial dysfunction. This review explores how urologists and other providers may utilize the link between these conditions in clinical practice, compares methods of assessing endothelial dysfunction and finally speculates on how this additional information might impact treatment plans.

Keywords:

diagnostic testing, cardiovascular risk factors, vascular physiology of genital arousal, erectile dysfunction, endothelial dysfunction, coronary artery disease

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