Men Who Smoke Prone to Impotence

Mydlo added one more word of caution: "Don't use ED medications -- Viagra, Cialis -- if you don't need them. Erections that last longer than four hours -- priapism -- can cause permanent scar tissue and permanent impotence. It's not a good idea to use these drugs casually."

More information

To learn more about erectile dysfunction and how to prevent it, visit the National Institute of Diabetes and Digestive and Kidney Diseases.

SOURCES: Larry Lipshultz, M.D., chief, male reproductive medicine, and professor, urology, Baylor College of Medicine, Houston; Jack Mydlo, M.D., professor and chairman, urology, Temple University School of Medicine and Hospital, Philadelphia; March 2006 Tobacco Control; American Journal of Epidemiology

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