European Stars And Stripes (Newspaper) - August 18, 1986, Darmstadt, Hesse                                Or. William masters Aiwohi Swetta or Var Gotts Johnson fasten worn Pioneer tax Titera Plutt treating impotence few men Ever seek help by a Afifie Doyle untied press International Eorge Evans first noticed he is impotent when tie was 28. So he did what men wish his problem did in 1964. To Well into psychoanalysts. "1 suffered from periodic bouts of anxiety depression and impotency he remembers. I would get belter and then i would relapse gel better and then  Twenty two years later Evans was still in therapy and had become completely impotent. And Ihen doctors Loci him the reason he could l got an erection was not psychological at Alt. It was the blood vessel disease arteriosclerosis. It was a Groat Relief says Evans who has asked that this pseudonym be used. It mind a Burden to find out there was something physically wrong with me after believing All those years Sheie was something mentally wrong with  last november or. Terry Mason a urologist Al mercy Hospital in Chicago made an incision a Iho base of Evans Penis and inserted two inflatable cylinders into the spongy Lissue lha Hills Wilh blood during a Tumal erection. A pump and Reservoir bulb containing Saline solution were concealed in his Scot univ by pressing she pump Evans can now inhale the cylinders with the Saline solution creating an erection that is visually Indis Lingur  from a natural Ana. He can have sexual in Etc j Wilh his wife theoretically Page 16 the stars and stripes any time they feel like it. I ton l think about being impotent anymore he says. I feel that i m  Evans is hardly a medical curiosity. Some experts say there Are 10million men in lha United Stales who suffer from chronic impotence. Some say there Are far More feel Stively few of these men generous estimates say less than 5 percent Ever seek help. This is a shame says or. William Furrow a urologist from the Mayo clime in Rochester Minn and a leading expert in the treatment or impotence. If he has one message fur twi says it is this these people who suffer from this problem be their cause of Ganic or psychological they can be Les lored to sexual function. At there s a Long Way logo he admits. What troubles n in is there s ail this treatment out there and there Are a lot of people going untreated. There Are a lot of people who Don t know that there s treatment available end they Don t Nave to live he Way they re  Twenty years ago the Best the medical Community could offer an impotent Man was what Evans got largely ineffective psychoanalysis. The thinking was that unless their was an obvious physical injury the problem was in the patient s head. Since then More than 100 physical causes of impotence have been identified and it is believed Al least half and perhaps up to 80 percent of erectile dysfunction has an organic basis. Chief among these physical causes Are diabetes and vascular disease accounting for 2 million and 1.5 million cases respectively monday August 18,1986 alcoholism also has been identified As a major cause of impotence both psychological and physical and 30 of the ?00 most presented drugs have been associated with a sexual dysfunction. Often reducing drug dosages particularly for certain heart medicines will eliminate the problem. The More a learn about Tho physiology of the erection the More complicated it seems and the More we find that can physically go wrong with it Furrow says. There s been some profound changes in he Way we View this problem Tho proof is in Tho numbers. There Are now about 3,000 urologists in the United states who Are specially rained to treat impotence each somewhat biased to assume a physical cause unless obvious evidence indicates otherwise. Ii they re psychogenic Alty impotent we need to find that out Early on because they need to be treated in an entirely different Way says or. Robert Pearson an assistant professor of clinical urology at the University of Tennessee in Memphis. Before diagnosing psychological impotence Pearson says most urologists will attempt to Rule out the most common physic3 causes. We evaluate them primarily with tests to determine whether there is blood flow impairment to the Penis whether there is nerve impair ment to the Penis and whether there is any hormone problem he says. We re concerned with the men who Are just chronic by and progressively impotent because people who Nave physical impotence Don t become so Over the weekend. They have the problem first 10 percent of the Lime then 20 percent of the Lime and then Over a period of 10 of t5 years they lose it  the sudden Onset of impotence especially i following a traumatic event such As the loss of a spouse is often viewed As psychological in nature carion says impotence in Thijse cases often disappears by itself or with counselling. All men Are transiently i Nepolen at one tune or Anol Hai he says either for a Day of a week or a in Only whether it s related to Money concerns marital problems or whatever More deep rooted psychological impotence May be toss easy to Delec but frequently gives itself away White the Man is stoop. During an average night a Man will have three to five erections corresponding o his dream cycles. If a does not have these or it they Are impaired in any Way tie Likely has a physical problem. Physicians can test or these nocturnal erections in sophisticated sleep labs. Far less expensive and becoming More common is the use of a Lake Home device Cabied he snap gauge a Veteto band the Man places around his Penis at bedtime. The band snaps wider if in erection occurs giving the physician at least a rough idea that the impotence May to psychologically based. Should no physical cause be isolated impotence usually can be treated wih some form of sex therapy sometimes in weekly sessions Over a two month period or More intensive therapy such As is practice Al the Mas Lois and Johnson Institute in is. Louis. The master and Johnson approach typically involves 14 straight Days of behaviour oriented psychotherapy for the impotent Man and his Lover. We Only treat couples to Don t real  or. William h. Masters says. One of the first things we by to determine is whether the problem is in the individual s background or whether it s in the relationship and then treat whichever he says. Masters and his wife Virginia Johnson masters believe that anxiety Over sexual performance is responsible Lor much psychological impotence. So therapy consists of shilling the couple s focus from to end result to the immediate pleasures of lovemaking. Couples Are encouraged to participate in sexual exercises called Sensale focus which emphasize communication and reaming what feels Good or both the impotent partner and his male. The whole thing is a matter of education master says. Masters says his rapid treatment Oppi Oach Wilh a two year follow up produces lasting results in about 80 percent of the cases a figure that generally holds for other forms of sex therapy. But some psychologically impotent men do not belong in sex therapy and will no Benefit from it. Of Here a serious disturbance in the relationship Wilh the couple one with Tho other they Are not Good candidates for sexual therapy they need to have marital counselling Pearson says. In those situations the results Are usually poor because the basis for a relationship is not