“One of the other specialists that we work closely with is Neurology, and there’s several aspects of Neurology that we see. One can be they can have men who’ve had vascular problems. So you know post stroke, vascular problems that could be closely linked to erectile dysfunction or even what’s called a TIA or a transient ischemic attack, a mild stroke. That’s one area.

The other thing that we see a lot with our Neurology colleagues are some of the neurologic conditions. You can have, for instance, multiple sclerosis. That can be associated with developing erectile dysfunction that can also be associated with developing some bladder problems.

Back issues, low back pain, very common in the United States now. So whether it’s disc problems or just problems with the lumbar spine, that can cause pain that radiates down the legs and it’s associated with erectile dysfunction. So I’ll get some referrals from my Neurology colleagues who are seeing back pain issues and will pick up erectile dysfunction.

The other area that Neurology plays an important role in is they often do the, what we call the peripheral sensory testing, nerve conduction studies for men with diabetes or even pre-diabetes. So one of the things that we know can happen with diabetes or pre-diabetes is that you can get loss of sensation, both in the hands and in the feet. And the Neurologists, some of the Neurologists actually studied this, they actually can do the studies that can document this.

So it’s interesting. I had a conversation with a Neurology friend of mine the other day and she was saying, ‘Wow, I have a lot of men with diabetes in my practice.’ And so, we started talking and again, the two-way referral pattern comes up, because I said, ‘Well, how many of those men do you ask about erectile dysfunction?’ And she said, ‘Probably not a lot,’ but she’ll certainly started thinking about that.

And then from my perspective, I see a lot of men who I’ll pick up who either maybe have diabetes or they have the pre-diabetes, the metabolic syndrome, the different risk factors. And if they’re having any decreased sensation, or even just to get a baseline, one of the things that I could consider is sending them in to Neurology to have this done, either via their primary care physician into neurology or, if they don’t have a Primary Care physician, just send them in. So as with all the referral patterns there’s a very nice interaction there with, I think being able to work with Neurology colleagues in a two-way referral pattern.”