A 56-year-old male presented for vascular workup of erectile dysfunction (ED). He complained of a massive reduction in his penile rigidity leading to an inability to have sexual intercourse for the last 2 years despite the use of phosphodiesterase-5 inhibitors (Viagra). A workup with an urologist delivered no specific pathological findings and his testosterone levels were normal. His cardiovascular risk factors included cigarette smoking (40 pack years).
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