Erectile Dysfunction

Inclusion Criteria

- Males with erectile dysfunction for more than 6 months and no more than three years according to the NIH Consensus definition (the inability to achieve and maintain penile erection sufficient for satisfactory sexual intercourse)
 - Stable, heterosexual relationship for more than 6 months
 - Age range: 18 years and older 
 - Documented,  written Informed Consent.

Exclusion Criteria

A) Previous or current Medical Conditions
  - Any unstable medical or psychiatric condition or substance abuse disorder that, in the opinion of the Investigator, is likely to affect the patient's ability to complete the study or precludes the patient's participation in the study
  - Presence of penile anatomical abnormalities (e.g. penile fibrosis or Peyronie disease) that would significantly impair erectile function.
  - Primary hypoactive sexual desire 
  - Erectile dysfunction after spinal cord injury
  - Retinitis pigmentosa.
  - History of positive test for Hepatitis B surface antigen (HbsAg) or Hepatitis C.
  -  Unstable angina pectoris
  - History of myocardial infarction, stroke, electrocardiographic ischaemia (except stable angina), or life-threatening arrhythmia, within the prior 6 months.   
  - Atrial tachyarrhythmia (e.g. atrial fibrillation/flutter) with a heart rate of > 100 beats per minute at screening
  - Severe chronic liver disease or liver function abnormalities
  - Clinically significant chronic haematological disease or bleeding disorder 
  - History of significant peptic ulcer disease within one year of Visit 1.
  - Resting hypotension (a resting systolic blood pressure of <90 mm Hg) or hypertension (a resting systolic blood pressure >170 mm Hg or a resting diastolic blood pressure >110 mm Hg)
  - Symptomatic postural hypotension within the six months of Visit 1.
  - Uncontrolled diabetes mellitus (Haemoglobin A1c > 12%)
  - History of malignancy within the past 5 years (other than squamous or basal cell skin cancer and K prostatic).
 B) Concomitant Medication
 1. Patients who are taking nitrates or nitric oxide donors (e.g. molsidomine)
.2. Patients who are taking anticoagulants, with the exception of anti-platelet agents.
3. Patients who are taking androgens (e.g. testosterone), trazodone or anti-androgens.
4. Patients who are taking the following potent inhibitors of cytochrome P 450 3A4: the  HIV protease inhibitors ritonavir and indinavir, or the anti-mycotic agents itraconazole and ketoconazole (topical forms are allowed).
 5. Patients who have received any investigational drug (including placebo) within 30 days of Visit 1.
6. Use of vardenafil (BAY 38-9456) at any time prior to the study. 
C) Abnormal Laboratory Values
1. Patients who have a serum total testosterone level >10% below the lower limit of normal (according to the range specified by the responsible laboratory).
2. Patients with serum creatinine > 2.5 mg/dL.D) Other 
Exclusion Criteria
1. Patients unwilling to cease use of vacuum devices, intracavernosal injection, Viagra or other therapy for erectile dysfunction for the entire course of the study .
2. Known hypersensitivity to any component of the investigational medication
3. Patients who are illiterate or are unable to understand the language in which the questionnaires are available.
4. Patients unwilling or unable to complete the patient diary card.