Table 76.4Organic Causes of Impotence

Inflammatory:Urethritis, prostatitis, seminal vesiculitis, cystitis, urethral stricture, gonorrhea, tuberculosis
Mechanical:Congenital deformity, Peyronie's disease, marked obesity, hydrocele, phimosis
Postoperative:Prostate biopsy, prostatectomy (simple or radical), abdominoperineal resection, sphincterotomy, vascular surgery
Occlusive–vascular:Atherosclerosis, arteritis, priapism, thrombosis, embolism
Traumatic:Penectomy, urethral rupture
Endurance:Myocardial failure, angina pectoris, pulmonary insufficiency, anemia, leukemia, metabolic disease, other systemic illness
Neurologic:Dysautonomia, peripheral neuropathy, tumor or transection of the spinal cord, amyotrophic lateral sclerosis, multiple sclerosis, spina bifida, syringomyelia
Chemical:Drug abuse (alcohol, stimulants, narcotics), psychotropic agents (tranquilizers, antidepressants, antipsychotics), anticonvulsants, antiparkinsonian drugs, antihypertensives
Endocrine:Pituitary disease, adrenal disease, thyroid disease, hypogonadism, diabetes mellitus, chromosomal abnormalities (Klinefelter's or Turner's syndrome)

Adapted from: Smith AD. Causes and classification of impotence. Urologic Clinics of North America 1981;8:79–89.

From: Chapter 76, Clinical Evidence of Dysautonomia

Cover of Clinical Methods
Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition.
Walker HK, Hall WD, Hurst JW, editors.
Boston: Butterworths; 1990.
Copyright © 1990, Butterworth Publishers, a division of Reed Publishing.

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