Hengeveld M W
Afd. Medische Seksuologie, Universitair Medisch Centrum Utrecht.
Ned Tijdschr Geneeskd. 1998 Oct 24;142(43):2333-6.
With the introduction of the erection-supporting oral drug sildenafil (Viagra) the development of somatic treatments of male sexual dysfunction has reached a temporary peak. The availability of a medicament that is easy to take will result in an increase of the incidence and possibly also the prevalence of erectile disorder. It may even lead to the myth that only a perfect erection is normal. The question is where to draw the line between a normal inconvenience of life and a serious disease. The erection pill will probably be preferred to all other treatments. Therefore, most patients will consult their family physician, who will refer only difficult cases to urologists or sexologists. Physicians should take 'the man behind the penis' into consideration before writing a prescription, otherwise a distressed man without an erection might become a distressed man with an erection. In the long run, psychosexual therapy is less expensive than taking sildenafil for many years.
随着勃起支持口服药物西地那非（伟哥）的引入，男性性功能障碍的躯体治疗发展达到了一个暂时的高峰。一种易于服用的药物的出现将导致勃起功能障碍发病率的增加，甚至可能导致其患病率上升。这甚至可能引发一种误解，即只有完美勃起才是正常的。问题在于如何区分生活中正常的不便与严重疾病之间的界限。勃起药物可能会比所有其他治疗方法更受青睐。因此，大多数患者会咨询他们的家庭医生，而家庭医生只会将疑难病例转诊给泌尿科医生或性学家。医生在开处方前应考虑“阴茎背后的人”，否则一个勃起功能障碍的苦恼男子可能会变成一个有勃起功能但仍苦恼的男子。从长远来看，性心理治疗比多年服用西地那非成本更低。
