The incidence of risk factors atherosclerosis and of vasculogenic importance in a group of patients with erectile failure is presented. As a single risk factor only arterial hypertension is associated significantly with arteriogenic importance. Myocardial ischemia and peripheric arteriopathy are also often associated with arteriogenic impotence. In a high percentage vasculogenic impotence can be the first sign of a generalized arteriopathy. The diagnosis of arteriogenic impotence can therefore have implications which are not only related to erectile failure.