A male patient with type I diabetes mellitus and coronary artery disease is able to achieve an erection but cannot maintain it. What could be done to assist this patient?
1. Suggest an O ring.
2. Provide tadalafil (Cialis) teaching material.
3. Provide sildenafil (Viagra) teaching material.
4. Discuss penile implant surgery.
Correct Answer: 1
When managing an erectile dysfunction condition, the least invasive treatments should be employed first. The least invasive measure would be to provide or offer information about the O ring, which is a small band placed on the base of the penis that helps to maintain an erection. Since the patient has coronary artery disease, it is assumed that the patient might be prescribed nitroglycerin for transient chest pain. Erectile dysfunction medications would be contraindicated in this case. Penile implant surgery may not be an option due to this patient's physical health and is an invasive procedure. Other options should be considered first, before surgery is considered.
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