Outcome evaluation

Successful therapy for ED results in an increase in erections suitable for intercourse, and most importantly in an improvement in the patient's quality of life. Ideally, the therapy chosen is free of significant adverse effects, discomfort, and inconvenience. Laboratory evaluation and a physical exam are not necessary for evaluation of effectiveness, but may be necessary to determine if adverse events are occurring.

Evaluate satisfaction and effectiveness after a 4-week trial unless the patient initiates follow-up sooner. Some therapies such as intracavernosal injections will require multiple visits over the long term to determine the correct dose and to detect adverse effects. If the initial therapy is not effective, the patient must be further evaluated to determine if the initial assessment of comorbid disease states, type of dysfunction, and patient goals were correct. After ensuring that patient goals are realistic and providing further counseling, providers will then increase the dose of drug if not at maximum, switch to another therapy, or add a therapy if indicated.

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