PTU - Polskie Towarzystwo Urologiczne
list of articles:

Aging male and erectile dysfunction
Article published in Urologia Polska 2008/61/1.


Barbara Darewicz, Marta Skrodzka, Jacek Kudelski, Marcin Chlabicz, Eugeniusz Malczyk
Klinika Urologii Akademii Medycznej w Białymstoku


penis, erectile, dysfunction, andropause, diagnostics, treatment


The paper presents sexual dysfunction problem in the aging male population. Erectile dysfunction etiology and physiological functions
including sexual activity under the influence of hormonal milieu during andropause are delineated. Diagnostic algorithm and therapeutic
scheme of erectile dysfunction in the aging male group are depicted.


  1. Gomuła A: Świat się starzeje, Gomuła A, Kiedy mężczyzna się starzeje, Łomża, Instytut Andropauzy Fundacji MEDAN, 2007, str. 13-36.
  2. NIH Consensus Conference. Impotence. NIH Consensus Development Panel on Impotence. JAMA 1993 7, 270 (1), 83-90.
  3. Feldman HA, Goldstein I, Hatzichristou DG et al: Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994 151 (1), 54-61.
  4. Koskimaki J, Hakama M, Tammela TL: Prevalence of erectile dysfunction in Finland. Int J Impotence Res 2000,12, Suppl 5, 25-47.
  5. Rosen RC, Fisher WA, Eardley I, et al: Men’s Attitudes to Life Events and Sexuality (MALES) Study. The multinational Men’s Attitudes to Life Events and Sexuality (MALES) study: I. Prevalence of erectile dysfunction and related health concerns in the general population. Curr Med Res Opin. 2004,20 (5), 607-617.
  6. McKinlay JB: The worldwide prevalence and epidemiology of erectile dysfunction. Int J Impot Res 2000, 12 Suppl 4, 6-11.
  7. Ghanem H, Porst H: Etiology and Risk Factors of Erectile Dysfunction, in: Porst H, Buvat J and the Standards Committee of the ISSM. Standard Practice in Sexual Medicine. Blackwell Publishing, Germany 2005, pp. 49-58.
  8. Gomuła A: Deficyt androgenów a starzenie się mężczyzn. Urol Pol 2002, 4, 13-22.
  9. Łęcki A: Aspekty stosowania testosteronu u mężczyzny w podeszłym wieku. Urol Pol 2002, 4, 9-12.
  10. Nieschlag E, Swerdloff R, Behre HM et al: International Society of Andrology (ISA), International Society for the Study of the Aging Male(ISSAM), European Association of Urology (EAU). Investigation, treatment and monitoring of late-onset hypogonadism in males. ISA, ISSAM, and EAU recommendations. Eur Urol 2005, 48 (1), 1-4.
  11. Traish A, Kim N: The physiological role of androgens in penile erection: regulation of orpus cavernosum structure and function. J Sex Med. 2005, 2 (6), 759-770.
  12. Maggi M, Schulman C, Quinton R et al: The burden of testosterone deficiency syndrome in adult men: economic and quality-of-life impact. J Sex Med 2007, 4 (4Pt 1), 1056-1069.
  13. Guay A, Jacobson J: The relationship between testosterone levels, the metabolic syndrome (by two criteria), and insulin resistance in a population of men with organic erectile dysfunction. J Sex Med 2007, 4 (4 Pt 1), 1046-1055.
  14. Morley JE, Kaiser F, Raum WJ et al: Potentially predictive and manipulable blood serum correlates of aging in the healthy human male: progressive decreases in bioavailable testosterone, dehydroepiandrosterone sulfate, and the ratio of insulin-like growth factor 1 to growth hormone. Proc Natl Acad Sci USA 1997, 8, 94 (14), 7537-7542.
  15. Travison TG, Araujo AB, Kupelian V et al: The relative contributions of aging, health, and lifestyle factors to serum testosterone decline in men. J Clin Endocrinol Metab 2007 92 (2), 549-555.
  16. Ahn HS, Park CM, Lee SW: The clinical relevance of sex hormone levels and sexual activity in the ageing male. BJU Int 2002, 89 (6), 526-530.
  17. Barqawi A, Crawford ED: Testosterone replacement therapy and the risk of prostate cancer. Is there a link? Int J Impot Res 2006, 18 (4), 323-328.
  18. Morales A, Morley J, Heaton J: Androgen Deficiency in the Aging Male, Wien AJ (red), Campbell-Walsh Urology, Philadelphia, Elsevier Science Publisher, V. 2007 pp. 850-862.
  19. Carrier S, Brock G, Casey R et al: Treatment satisfaction with sildenafil in a canadian real-life setting. A 6-month prospective observational study of primary care practices. J Sex Med 2007, 4 (5), 1414-1421.
  20. Wespes E, Amar E, Hatzichristou D: Erectile Dysfunction. European Association of Urology Guidelines 2006 Edition, 6-10.


Barbara Darewicz
Klinika Urologii AM
ul. M. Skłodowskiej-Curie 24a
15-276 Białystok
tel. (085) 742 40 31