Additional investigations

Although the majority of patients need no further assessment other than a baseline evaluation, indications for advanced tests include—

• Patient request

• Medicolegal cases

• Absence of any obvious disorder (psychogenic or organic)

• Suspicion of endocrine disorder (e.g., hypogonadism, hyperprolactinemia)

• If surgical intervention is being considered in a patient with suspected vascular insufficiency

• In patients with structural/congenital penile deformities

• Patients with complex psychiatric or psychological illness

Types of advanced tests are summarized in Table 12.2.

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