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As of May 1999, postmarketing reports of sildenafil have not resulted in a change by the FDA concerning the safety of the drug. Although several patients have died after receiving prescriptions for sildenafil, it is unclear how many of these deaths resulted from appropriate use of the medication. Between late March and July 1998, 3.6 million outpatient prescriptions for sildenafil were dispensed. During the same period, 69 patients in the United States died after the confirmed use of sildenafil. No cause of death could be found in 21 of these cases. Of the remaining 48 deaths, 46 were attributed to cardiovascular events. Twelve of the men who died had taken nitroglycerin, either prescribed or self-administered. Postmarketing studies are continuing.18 A patient who has been advised not to have sex for medical reasons clearly should not be given a prescription for sildenafil. If none of these nonsurgical therapies is satisfactory to the patient and his partner, a discussion regarding the relative merits and adverse effects associated with penile implants can be introduced. Some data indicate an additional benefit in some men who have an implant but also take a PDE-5 inhibitor. Sexual stimulation and sensation is enhanced. See Here How is ED diagnosed? A Randomized Controlled Trial Optimal combination of drugs not known Q. What if Caverject doesn't work? How Do I Find a Sex Therapist? The findings are published in this weeks issue of the Proceedings of the National Academy of Sciences. Overweight or obesity more Impotence isn't a deadly disease, but it can signal other deadly health problems. Premature Ejaculation The guideline is published in the Oct. 20 issue of the journal Annals of Internal Medicine. Wednesday, November 11, 2009 Hope through Research This test uses electromagnetic vibration to evaluate sensitivity and nerve function in the glans and shaft of the penis. A decreased perception of vibration may indicate nerve damage in the pelvic area, which can lead to impotence.