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World J Methodol. Mar 20, 2026; 16(1): 107910
Published online Mar 20, 2026. doi: 10.5662/wjm.v16.i1.107910
Erectile dysfunction: Proposed definition and staging for early diagnosis
Arkiath Veettil Raveendran
Arkiath Veettil Raveendran, Department of Internal Medicine, Former Assistant Professor of Medicine, Govt Medical College, Kozhikode 673010, Kerala, India
Author contributions: Raveendran AV designed the manuscript, collected the data, and wrote and revised the manuscript; the author read and approved the final version of the manuscript to be published.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
Corresponding author: Arkiath Veettil Raveendran, MD, Chief Physician, FRCP, Department of Internal Medicine, Former Assistant Professor of Medicine, Govt Medical College, Medical College P. O, Kozhikode 673010, Kerala, India. raveendranav@yahoo.co.in
Received: April 2, 2025
Revised: May 29, 2025
Accepted: September 4, 2025
Published online: March 20, 2026
Processing time: 316 Days and 11.5 Hours
Abstract

Erectile dysfunction (ED) is considered a forerunner of cardiovascular disease. Early diagnosis of ED is important for identifying silent cardiovascular illness and reducing morbidity and mortality. ED has to be diagnosed before it interferes with sexual function. Various aspects of ED, methods to assess ED, and different types of ED are briefly discussed in this article. The proposed definition and staging of ED help in early diagnosis and are expected to revolutionize the current concepts of diagnosis and management of ED.

Keywords: Erectile dysfunction; Rigidity of penis; Angle of erection; Vaginal penetration pressure; Post-ejaculatory refractory period; Self-reported erection score; Staging of erectile dysfunction; Transient erectile dysfunction

Core Tip: Early diagnosis of erectile dysfunction (ED) is important to identify and prevent cardiovascular morbidity and mortality. The new proposed definition and staging system serve this purpose. Hope this will revolutionize current concepts in the diagnosis and management of ED.