These clinical approaches to sexual inadequacies, accepted by medicine since 1970, represent one horn of the dilemma. In addition, implanta tion of penile prostheses in cases of organic impotence is an increas ingly popular surgical procedure. Currently it is acceptable medical practice to treat sexual dysfunctions, disorders, or dissatisfactions that arise from psy chogenic etiologies, endocrine imbalances, neurologic defects or are side effects of necessary medication regimes. When confronted by the concerns of human sexual function or dys function, American medicine finds itself well impaled on the horns of a dilemma.
