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Sexual Psychodynamics of Aging: Urologic Perspectives †

The urologist is often the first clinician to whom an impotent male patient is sent. To establish an accurate composite diagnosis, the urologist must be familiar with the many emotional and organic factors influencing sexual function. Research being carried on at various centers involves efforts toward better differentiation, or linkage, of psychogenic and organic impotence. The author has previously reported acceptable rates of successful therapy of psychogenic impotency in men. The technique consists essentially of attentive listening and emotional support. Treatment usually can be accomplished within three sessions at weekly intervals–a much shorter time than that involved in other current methods. Psychogenic impotency may be treated primarily by the urologist, or he may refer the patient to an appropriate consultant. Not all patients require or will respond to the same therapeutic approach.