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Impotence, tied closely as it is to cultural notions of potency, success and masculinity, can have devastating psychological consequences, including feelings of shame, loss or inadequacy; often unnecessary since in most cases the matter can be helped. There is a strong culture of silence and inability to discuss the matter. In fact, around 1 in 10 men will experience recurring impotence problems at some point in their lives.
Folk remedies have long been advocated, with some being advertised widely since the 1930s. The introduction of the first pharmacologically-approved remedy for impotence, sildenafil (trade name Viagra), in the 1990s caused a wave of public attention, propelled in part by heavy advertising.

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impotence Research
Impotence and Suing for Sex in Eighteenth-Century England
To explore the individual and social experiences and meanings of impotence in 18th-century England.
Methods
Close reading and period contextualization of various primary source records about impotence, including legal documents from lawsuits for nullity of marriage by reason of impotence, bestselling medical texts, and cheap pornographic pamphlets was done.
Results
Contemporary, humoral and mechanical medicine and physiology characterized impotence by various etiologies and patient presentations. This left room for laymen, and especially women, to diagnose and interpret the condition according to their own devices. A matter of public, as well as private, concern, impotence carried with it the meanings of failed masculinity, neglected civic responsibility, foreignness, and Catholicism.
Conclusions
Impotence in 18th-century England served as a catch-all diagnosis for sexual dysfunction and a vehicle through which to address anxieties about the stability of patriarchal power, female deceit, religion, and politics. Today, medicine, physiology, and the disease itself are very different, but the individual and social meanings of impotence remain influential and worthy of consideration.

Manipulative treatment for idiopathic impotence in a 24-year-old water polo player This case report discusses the manipulative treatment of a 24-year-old water polo player for impotence and its potential causes.
Keywords: Impotence; Impotence medicine; Osteopathy; Osteopathic manipulation; Manipulation; Erectile dysfunction

Constructions of masculinity following prostatectomy-induced impotence
Large numbers of Australian men are diagnosed and treated for prostate cancer each year. The incidence is exceeding mortality, and men are living longer with prostate cancer and the common treatment[s] side effect of impotence. Despite these epidemiological trends there is little research about men's experiences of impotence following treatment. An ethnographic study of Anglo-Australian men with localized prostate cancer explored participants’ experiences of impotence following prostatectomy. In-depth semi-structured interviews with 15 men were analyzed using a social constructionist gendered framework. In particular, the effect of impotence on participants’ masculinity, sexuality and intimate relationships was explored. The findings show that participants rationalized forgoing potency prior to surgery as a way of living longer. However, diverse complex reactions accompanied impotence. Whilst most participants redefined masculine ideals of phallocentric sex, the way in which this occurred varied greatly. The findings disrupt essentialist constructions of male sexuality and impotence, and provide valuable insight for clinical practice.
Keywords: Masculinity; Impotence; Prostatectomy; Prostate cancer; Australia

Penile bulb dose and impotence after three-dimensional conformal radiotherapy for prostate cancer on RTOG 9406: Findings from a prospective, multi-institutional, phase I/II dose-escalation study
Purpose
To assess the relationship between the dose to the bulb of the penis and the risk of impotence in men treated on Radiation Therapy Oncology Group (RTOG) 9406.
Methods and materials
Men enrolled on a Phase I/II dose-escalation study, RTOG 9406, who were reported to be potent at entry and evaluable (n = 158) were selected for inclusion. Follow-up evaluations were scheduled every 3, 4, and 6 months for the first, second, and the third through fifth years, then annually. At each follow-up visit an assessment of potency status was made. Penile structures were defined by a single observer blinded to the potency status, using Web-based, on-line software. The dosimetry for penile structures was calculated at the Quality Assurance Center at Washington University and provided to RTOG Statistical Headquarters to determine whether there was a relationship between dose and impotence.
Results
Patients whose median penile dose was ≥52.5 Gy had a greater risk of impotence compared with those receiving <52.5 Gy (p = 0.039). In a multivariate analysis neither age, the dose to the prostate, nor the use of hormonal therapy correlated with the risk of impotence.
Conclusions
Dose to the bulb of the penis seems to be associated with the risk of radiation-induced impotence.
Keywords: Prostate cancer; Three-dimensional conformal radiotherapy; Impotence

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