The author presents suggestive evidence that glyceryl trinitrate served
to treat and diagnose atherosclerotic impotence in a man with psychogenic
impotence. The prevalence of atherosclerotic impotence is not known but may
be relatively high in older men. Vasodilators may be effective in
diagnosing these patients, who do not have clear signs of arterial
insufficiency of the lower extremities (e.g., Leriche's syndrome). The
author postulates a pharmacological interaction between organic nitrates
and imipramine.
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