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Steidle, a urologist, and Casperson, a nurse practitioner, offer the simple message that erectile dysfunction (ED) should not be evaluated and treated as an isolated problem but as a warning of potentially more serious issues. While other factors may be the cause of ED, the serious consequences of silent and progressive atherosclerosis make it essential for the cardiovascular system to be included in any workup of erectile dysfunction. The authors make their point early and then devote most of the book to brief discussions of risk factors common to both situations, useful lifestyle changes, and references to diabetes, hypertension, and other conditions that can be related. Both medical and surgical options are discussed, and one chapter focuses on female sexual dysfunction. Ten appendixes offer a variety of self-assessment questionnaires. The information, while it doesn't break any new ground, is clearly presented and includes useful photos and diagrams. This stands apart from other books by physicians on the topic, such as J. Stephen Jones's Overcoming Impotence, because of its emphasis on the ED-heart connection. Recommended for large public libraries.