Prof. Dr.Mohamed Hamdy Abouel-Hassan

Introduction and Aim of the Work
and male erectile dysfunction were less common. The results indicated that
sexual dysfunction was an important public health concern, and emotional
problems likely contributed to the experience of these problems.
Patients with ED were 2.6 times more likely to report depressive symptoms
than men with BPH alone. Additionally, patients with depressive symptoms
reported lower libido than other patients. They concluded that ED was
associated with high incidence of depressive symptoms, regardless of age,
marital status, or comorbidities. Patients with ED have a decreased libido
compared with control subjects. In addition, patients with depressive
symptoms have a lower libido than patients without depressive symptoms.
Patients with ED and depressive symptoms are more likely to discontinue
treatment for ED than other patients with ED
It is estimated that at least 10 to 20 million American males suffer from
erectile dysfunction. The most recent and comprehensive epidemiological
report, the Massachusetts Male Aging Study (Feldman, Goldstein,
Hatzichristou et al, 1994), asked men between the ages of 40 to 70 years to
categorize their erectile function as either completely, moderately,
minimally or not impotent. Fifty-two percent of the sample reported some
dysfunction. This study demonstrated that erectile dysfunction is an age
dependent disorder; "between the ages of 40 -70 years the probability of
complete impotence tripled from 5.1% to 15%, moderate impotence doubled
from 17 to 34% while the probability of minimal impotence remained
constant at 17%." By age 70, only 32% portrayed themselves as free of
erectile dysfunction.