Smoke is one of the most important causes of vascular diseases; these pathologies are also the most important causes of death in industrialised countries. Smoke causes impotence because it provokes irreversible organic arterial and/or venous alterations. Sometimes however it seems that smoke is able to determine reversible functional alterations of the cavernous system. The aim of this study was to show the significance of smoke in the anamnesis of certain patients and the importance of giving up smoking for a definitive diagnosis and therapy of reversible or irreversible impotency.
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