Inspection process to detect DE performed by each physician through relatively simple steps. In obtaining a proper diagnosis, the patient only needs to pass through three stages of examination.
Specialist in diseases of the Department of Medicine Faculty of Medicine, University of Indonesia Hospital dr. Cipto Mangunkusumo dr. Em Yunir said, checking to detect ED carried out in three steps that fill out questionnaires, physical examination, and investigation. Here is an explanation of the three stages:
1. Questionnaires
Questionnaires are usually given when the patient first came. Questionnaires were given in the form of the International Index of Erectile Function (IIEF), which contains a series of questions tertingkat. The questionnaire can identify who suffered erectile problems.
Questions in it, among others, about the ability to perform an erection, erection quality, quantity erection, and the ability to maintain an erection. Answers to these questions are then given points and accumulated.
2. Physical examination
Physical examination is done by looking at the secondary sexual characteristics such as noise, such as hair-hair mustache, beard, armpit, to the pubis. If these characteristics are considered weak possibility of patients experiencing hormonal disorders, namely the lack of testosterone production.
Then do the palpability to the penis, testes, and other sexual organs to determine if there is an abnormality. Urologist at Urology Department Faculty of medicine / RSCM dr. Nur Rasyid said the disorder can be peruni that part which hardens the skin of the penis that cause curvature of the penis.
"Usually the doctor will do the injection to eliminate it, but if it is severe inoperable," said Nur.
3. Investigations
Investigations conducted to determine the patient's general state of health. Patients with risk factors such as diabetes mellitus, high cholesterol, kidney dysfunction, liver dysfunction, hypertension, stroke, heart disease, hormonal disorders, and others are more likely to suffer from ED. Thus, a laboratory investigation to uncover those risks.
ED is defined as the inability to achieve or maintain penile erection within the last 3 months for satisfactory sexual intercourse. DE is a fairly complex problem and can lower the quality of life of a man.
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