Intracavernous Papaverine Injections: Indications in Psychological Medicine

Abstract

As a basis for my work I conceptualize erectile dysfunctions as having multiple and interacting etiological causes. The current and widespread claim of the preponderance of somatic causes seems to me just as biased as earlier assertions of dominant psychogenetic factors. For effective therapy a precise specification of all mental as well as somatic causative factors and their interactions is essential. Until and unless it has been evidenced that a man with an erectile disorder exclusively requires either psychotherapy or somatotherapy, exploration of potential causes with their immediate therapeutic consequences should remain in one hand and be applied in cooperation with the patient.