Login to Access Video or Poster Abstract: MP84-16
Sources of Funding: none

Introduction

Young men presenting with a chief complaint of erectile dysfunction (ED) present a unique challenge to the practicing urologist. The aim of this study was to evaluate the baseline characteristics of a cohort of young men who presented with ED.

Methods

A list of 185 men from a single urology practice was generated by using a diagnosis code of erectile dysfunction and excluding all men over the age of 40 and men with Peyronie&[prime]s Disease. These men were asked to fill out a detailed survey about their erectile health and medical history, including an International Index of Erectile Function (IIEF) score, on their initial evaluation. 73 men completely filled out this survey.

Results

The mean age in this series was 32 years (range 18-40). 62/73 (85%) reported problems obtaining an erection while 72/73 (98%) reported problems maintaining an erection. 21/73 (29%) associated the onset of their ED with a specific event such as surgery, injury, relationship difficulties, or an illness in themselves or a family member. 47/73 (64%) men experienced morning erections. 26/73 (36%) reported diminished desire. 72/73 (98%) were able to ejaculate, but 20/73 (27%) complained of premature ejaculation. Overall, 52/73 (71%) were able to produce an erection firm enough for penetration under some circumstances. 46/73 (63%) were in a relationship, and 36/73 (49%) had previously been treated for ED prior to presentation. 3/73 (4%) men had vascular risk factors for ED and 4/73 (5%) men were diabetic. 46/73 (63%) had never smoked, 11/73 (15%) were former smokers, and 13/73 (18%) were current smokers. On average, IIEF scores were in the mild to moderate range for erectile function, orgasmic function, sexual desire, and intercourse satisfaction. Overall satisfaction, however, was in the moderate range. See Graph 1._x000D_

Conclusions

There is a limited amount of data on young men with ED. We have collected baseline data on a cohort of these men. Their presentations can vary, but the most common complaint is inability to maintain an erection. The vast majority of these men lack traditional risk factors for ED. An understanding of the baseline characteristics of these patients will be critical to evaluating the efficacy of treatment strategies in this population.

Funding

none