PREVIOUS SURGERY

15

PREVIOUS SURGERY

Various forms of pelvic surgery, particularly radical prostatectomy,
cystoprostatectomy and abdominoperineal resection, are allstrongly
associated with subsequent erectile dysfunction.

DEPRESSION

Reactive or endogenous depression is strongly associated with erectile
dysfunction: nearly 90% of severely depressed menreport complete impotence.
Treatment with antidepressants may sometimes improve the situation, although
both monoamineoxidase inhibitors and tricyclic antidepressants may in
themselves cause erectile dysfunction. Selective serotonin
reuptakeinhibitors, such as fluoxetine (Prozac®) may not only cause erectile
dysfunction, but may also retard ejaculation.