Vascular Abnormalities

Organic Impotence:

Patient Identification: REL

General Medical Hx
retired widower, 6 children
age: 61 med.dx : HTN, diagnosed 1975 spinal arthritis
surgeries: C5, C6 disk, 1967 C4, C5 disk, 1970
smoker: no
alcohol: 6 oz. wine/day x many years
meds: Hygroton, 25my. q. d.

 

Sexual Hx
• difficulty obtaining and maintaining erections since 1975

• complain of penile numbness

• gradual onset of sexual dysfunction

• occasional A.M. erections, denies nocturnal erections

• slight improvement of erection with masturbation and in supine position upon awakening

• penile curvature: denies

• last successful intercourse: 1979-1980

• ejaculation intact – masturbation

• premature ejaculation: denies

• libido: normal

• bladder symptoms: denies

• bowel symptoms: denies

• sleep disturbances: considers himself a restless sleeper ( arthritic pain awakens him 3-4 times/night)

 

Physical Exam
WNL except it. Kidney palpated
BP: 170/80

 

Test Results
Glucose, TST—WNL