Sexual impotency: counseling of 388 private patients by urologist from 1954 to 1982.

Counseling toward restoration of sexual potency was provided in twenty-eight years to 388 impotent men by one urologist. Most were in the fifty to fifty-nine-year age group. Many had histories of serious trauma, major surgical procedures, vascular diseases, diabetes mellitus, and alcoholism. Clinical judgment rather than elaborate testing was the basic approach to differentiate psychogenic from organic etiology. Strict criteria were used to classify success and failure of response to counseling. The success rate was 75 per cent, generally within three sessions at weekly intervals. Age alone did not preclude restoration of sexual competence. The highest success rate was in the fifty to fifty-nine-year age range for all three groups (white, black, and Asian).