A 54-year-old man with a history of hypertension presents to the urology clinic with complaints of erectile dysfunction. He states that he has no morning erections and experiences pain in his buttocks which worsens with movement. Physical examination reveals muscle atrophy and a normal penis and scrotum. What is the most likely diagnosis?

A. Leriche syndrome

B. S3-S4 cord lesion

C. Pudendal nerve lesion

D. Psychological impotence

E. Beta blocker induced impotence

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