The Surgeon Who Couldn't Finish
22 minJune 2026
A live case: Victoria brings a surgeon who can hold a scalpel steady for hours but can't finish in bed....
Evidence behind this episode
- Fisher 1979
Landmark, preserved nocturnal penile tumescence (NPT) points to a PSYCHOGENIC cause; reduced/lost NPT points to ORGANIC erectile dysfunction.
- Lavie 1999
Organic ED (defined by impaired sleep-related erections) co-travels with AUTONOMIC imbalance during sleep (higher LF/HF ratio). Supporting color for the autonomic framing ONLY (mild circularity, groups were defined by the sleep-erection signal); Fisher 1979 carries the claim.