Beutler L E, Gleason D M
J Urol. 1981 Sep;126(3):338-42. doi: 10.1016/s0022-5347(17)54515-2.
A program of screening and diagnostic assessment is outlined for making decisions about the disposition of patients with potency disturbances. Initial screening of the psychological status and nocturnal penile tumescence provides a basis for deciding the need for full scale sleep studies, medical diagnostic studies, intensive psychological and psychiatric evaluation and so forth. By basing decisions on the use of expensive diagnostic procedures upon reliable but cost-efficient assessment devices we believe that the patient's time and resources will be conserved without sacrificing good medical practice. Indeed, a "decision tree" method of evaluation and diagnosis probably will result in less inappropriate usage of psychological intervention and medical-surgical intervention among individuals complaining of an erectile dysfunction.
本文概述了一个用于对性功能障碍患者的处置做出决策的筛查和诊断评估程序。对心理状态和夜间阴茎勃起情况进行初步筛查，可为决定是否需要进行全面的睡眠研究、医学诊断研究、深入的心理和精神评估等提供依据。我们认为，通过基于可靠但成本效益高的评估手段来决定是否使用昂贵的诊断程序，患者的时间和资源将得到节省，同时又不会牺牲良好的医疗实践。事实上，一种“决策树”评估和诊断方法可能会减少在抱怨勃起功能障碍的个体中不适当使用心理干预和医疗 - 手术干预的情况。
