How to choose better urologist

No man who suspects he has ED, or has been previously diagnosed with ED, should proceed with any form of ED treatment before consulting a physician with expertise in this area - preferably a urologist - for a complete medical evaluation to detect any medical conditions causing or contributing to his sexual dysfunction.

In choosing a physician and/or therapist, a patient must focus on the clinician's experience, knowledge, skills, character, qualifications, objectivity, past results, and bedside manner as well as the scientific methods he or she applies to the problem and the confidence he or she instills. It is always advisable, if possible, to check with other patients who have been treated by the various physicians or therapists being considered. Such patients can offer valuable insight into the clinicians' skills and the results and satisfaction that can be expected.

The patient must be alert to the so-called specialist who wants to impose opinions on him and be wary of anyone who wants to try nonapproved herbs, potions, lotions, or devices, or who claims expertise in some obscure and unconventional procedure. He must keep away from any physician who refuses to discuss the problem, answer all his questions, or provide all the information he needs on the full range of available treatment options. And of course, he must ensure that he does not fall into the hands of a quack promising a magic pill or potion as a sure and fast cure for his sexual dysfunction.

These remarks carry a connotation of "buyer beware" - and indeed, there is a perception on the part of many people, both inside and outside the medical community, of an ethics problem in the so-called ED trade. Some scientists and clinicians may be too eager for personal recognition and/or financial reward. A researcher, for example, can shade the results of a study into a conclusion that has no basis in factual evidence, or a doctor can apply undue pressure on a patient to undergo an expensive surgical procedure, when a less expensive therapy could yield results as good or better and without the long-term risks and complications.

A man seeking help for a sexual problem must insist on being fully educated about the anatomy and physiology of the sexual organs, the details of normal sexual mechanisms, and the causes of his dysfunction. He must also satisfy himself as to the expertise and general motivation of his doctor or therapist before agreeing to any diagnostic testing and/or treatment. If a patient is not fully confident in the treating clinician, or if he has any lingering doubts about the proposed treatment, he would be wise to seek other medical opinions.