Analysis of 122 unselected impotent men subjected to multidisciplinary evaluation.

Erectile impotence is not a simple problem and it is important to recognize that the presence of a possible organic cause does not rule out emotional difficulties or sexual maladjustment. Behavioral therapy and surgery have an important role in treating this symptom. By careful pre-treatment evaluation the most appropriate therapy can be selected. It has been our general rule that when neither clear organic nor psychogenic problems lie at the root of the difficulty, a trial of behavioral therapy is the most appropriate procedure. If no success is achieved after an adequate trial of therapy re-evaluation and recommendation for a prosthetic implant can be made.