The evaluation and nonsurgical management of impotence.

The evaluation of patients with erectile dysfunction and the increasing number of nonsurgical options for its treatment have been reviewed. If nonsurgical options are unsuccessful or unsatisfactory to the patient, then a number of surgical alternatives are available including penile prostheses, and in a selected small number of patients, vascular reconstructive surgical procedures. Hopefully, in the future, a better understanding of erectile dysfunction will result in additional therapeutic options, both nonsurgical and surgical.