Chronic illness and the psychology of erectile dysfunction

The toll of chronic illness on the sexual functioning of the male patient can be devastating both physically and psychologically. The practitioner is encouraged to address the patient's sexual concerns early on in the course of treatment. The involvement of the patient's partner, if available, is strongly recommended to assist in their sexual adjustment and in their overall relationship. There is no uniform course in the deterioration in erectile function in the patient with chronic illness as is true of the illness, itself. This article presents a multistage progression of interventions by practitioner (and staff) that suggests a course of involvement for the practitioner, time, expertise, inclination, and reimbursement, allowing. It also encourages consultation with or referral to specialists, as appropriate. (C) 1999 by the National Kidney Foundation, Inc.