Summary of the Recommendations on Sexual Dysfunctions in Men

被引：254

作者：

Montorsi, Francesco ^{[1
]}

Adaikan, Ganesan ^{[2
]}

Becher, Edgardo ^{[3
]}

Giuliano, Francois ^{[4
]}

Khoury, Saad ^{[5
]}

Lue, Tom F. ^{[6
]}

Sharlip, Ira ^{[6
]}

Althof, Stanley E. ^{[7
]}

Andersson, Karl-Eric ^{[8
]}

Brock, Gerald ^{[9
]}

Broderick, Gregory ^{[10
]}

Burnett, Arthur ^{[11
]}

Buvat, Jacques ^{[12
]}

Dean, John

Donatucci, Craig ^{[13
]}

Eardley, Ian ^{[14
]}

Fugl-Meyer, Kerstin S. ^{[15
]}

Goldstein, Irwin ^{[16
]}

Hackett, Geoff ^{[17
]}

Hatzichristou, Dimitris ^{[18
,19
]}

Hellstrom, Wayne ^{[20
]}

Incrocci, Luca ^{[21
]}

Jackson, Graham ^{[22
]}

Kadioglu, Ates ^{[23
]}

Levine, Laurence ^{[24
]}

Lewis, Ronald W. ^{[25
]}

Maggi, Mario ^{[26
]}

McCabe, Marita ^{[27
]}

McMahon, Chris G. ^{[28
]}

Montague, Drogo ^{[29
]}

Montorsi, Piero ^{[30
]}

Mulhall, John ^{[31
]}

Pfaus, Jim ^{[32
]}

Porst, Hartmut

Ralph, David ^{[33
]}

Rosen, Raymond ^{[34
]}

Rowland, David ^{[35
]}

Sadeghi-Nejad, Hossein ^{[36
]}

Shabsigh, Ridwan ^{[37
]}

Stief, Christian ^{[38
]}

Vardi, Yoram ^{[39
]}

Wallen, Kim ^{[40
]}

Wasserman, Marlene ^{[41
]}

机构：

[1] Ist Sci San Raffaele, Dept Urol, I-20132 Milan, Italy

[2] Natl Univ Singapore, Dept Obstet & Gynaecol, Singapore 117548, Singapore

[3] Univ Buenos Aires, Div Urol, Buenos Aires, DF, Argentina

[4] Hop Raymond Poincare, Dept Neurouroandrol Garches, Garches, France

[5] Hop Pitie, Dept Urol, F-75651 Paris, France

[6] Univ Calif San Francisco, Dept Urol, San Francisco, CA 94143 USA

[7] Univ Miami, Sch Med Psychiat, W Palm Beach, FL USA

[8] Wake Forest Inst Regenerat Med, Winston Salem, NC USA

[9] Univ Western Ontario, Dept Surg, London, ON N6A 3K7, Canada

[10] Mayo Clin Jacksonville, Dept Urol, Jacksonville, FL 32224 USA

[11] Johns Hopkins Univ, Dept Urol, Baltimore, MD USA

[12] CETPARP, Lille, France

[13] Duke Univ, Dept Urol, Durham, NC USA

[14] Spire Leeds Hosp, Leeds, W Yorkshire, England

[15] Karolinska Univ Hosp, Dept Med, Ctr Androl & Sexual Med, Stockholm, Sweden

[16] Alvarado Hosp, Dept Sexual Med, San Diego, CA USA

[17] Holly Cottage Clin, Lichfield, England

[18] Aristotle Univ Thessaloniki, Papageorgiou Gen Hosp, Dept Urol 2, GR-54006 Thessaloniki, Greece

[19] Aristotle Univ Thessaloniki, CSPD, GR-54006 Thessaloniki, Greece

[20] Tulane Univ, Dept Urol, New Orleans, LA USA

[21] Erasmus MC, Dept Radiat Oncol, Rotterdam, Netherlands

[22] London Bridge Hosp Cardiol, Dept Cardiol, London, England

[23] Univ Istanbul Urol, Dept Urol, Istanbul, Turkey

[24] Rush Univ, Med Ctr, Dept Urol, Chicago, IL 60612 USA

[25] Med Coll Georgia, Dept Urol Surg, Augusta, GA 30912 USA

[26] Univ Florence, Androl Unit, Florence, Italy

[27] Deakin Univ, Dept Psychol, Burwood, Australia

[28] Australian Ctr Sexual Hlth, Sydney, NSW, Australia

[29] Cleveland Clin, Glickman Urol & Kidney Inst, Cleveland, OH 44106 USA

[30] Univ Milan, Dept Cardiovasc Sci, Ctr Cardiol Monzino, IRCCS, Milan, Italy

[31] Mem Sloan Kettering Canc Ctr, Dept Urol Sexual Med, New York, NY 10021 USA

[32] Concordia Univ, Dept CSBN Psychol, Montreal, PQ, Canada

[33] St Peter Androl Ctr, Dept Urol, London, England

[34] New England Res Inst, Watertown, MA 02172 USA

[35] Valparaiso Univ, Grad Sch, Valparaiso, IN 46383 USA

[36] UMDNJ Hackensack, Dept Urol, Hackensack, NJ USA

[37] Maimonides Hosp, Dept Urol, Brooklyn, NY 11219 USA

[38] Klinikum Univ Munchen, Dept Urol, Munich, Germany

[39] Dept Neuro Urol, Haifa, Israel

[40] Emory Univ, Dept Psychol, Atlanta, GA 30322 USA

[41] Sexual Hlth Ctr, Sea Point Cape Town, South Africa

来源：

JOURNAL OF SEXUAL MEDICINE | 2010年 / 7卷 / 11期

基金：

澳大利亚研究理事会;

关键词：

Erectile Dysfunction; Testosterone; Premature Ejaculation; Delayed Ejaculation; Peyronie's Disease; Priapism; Prostate Cancer; Radical Prostatectomy; Guidelines;

D O I：

10.1111/j.1743-6109.2010.02062.x

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction. Sexual health is an integral part of overall health. Sexual dysfunction can have a major impact on quality of life and psychosocial and emotional well-being. Aim. To provide evidence-based, expert-opinion consensus guidelines for clinical management of sexual dysfunction in men. Methods. An international consultation collaborating with major urologic and sexual medicine societies convened in Paris, July 2009. More than 190 multidisciplinary experts from 33 countries were assembled into 25 consultation committees. Committee members established scope and objectives for each chapter. Following an exhaustive review of available data and publications, committees developed evidence-based guidelines in each area. Main Outcome Measures. New algorithms and guidelines for assessment and treatment of sexual dysfunctions were developed based on work of previous consultations and evidence from scientific literature published from 2003 to 2009. The Oxford system of evidence-based review was systematically applied. Expert opinion was based on systematic grading of medical literature, and cultural and ethical considerations. Results. Algorithms, recommendations, and guidelines for sexual dysfunction in men are presented. These guidelines were developed in an evidence-based, patient-centered, multidisciplinary manner. It was felt that all sexual dysfunctions should be evaluated and managed following a uniform strategy, thus the International Consultation of Sexual Medicine (ICSM-5) developed a stepwise diagnostic and treatment algorithm for sexual dysfunction. The main goal of ICSM-5 is to unmask the underlying etiology and/or indicate appropriate treatment options according to men's and women's individual needs (patient-centered medicine) using the best available data from population-based research (evidence-based medicine). Specific evaluation, treatment guidelines, and algorithms were developed for every sexual dysfunction in men, including erectile dysfunction; disorders of libido, orgasm, and ejaculation; Peyronie's disease; and priapism. Conclusions. Sexual dysfunction in men represents a group of common medical conditions that need to be managed from a multidisciplinary perspective. Montorsi F, Adaikan G, Becher E, Giuliano F, Khoury S, Lue TF, Sharlip I, Althof SE, Andersson K-E, Brock G, Broderick G, Burnett A, Buvat J, Dean J, Donatucci C, Eardley I, Fugl-Meyer KS, Goldstein I, Hackett G, Hatzichristou D, Hellstrom W, Incrocci L, Jackson G, Kadioglu A, Levine L, Lewis RW, Maggi M, McCabe M, McMahon CG, Montague D, Montorsi P, Mulhall J, Pfaus J, Porst H, Ralph D, Rosen R, Rowland D, Sadeghi-Nejad H, Shabsigh R, Stief C, Vardi Y, Wallen K, and Wasserman M. Summary of the recommendations on sexual dysfunctions in men. J Sex Med 2010;7:3572-3588.

引用

页码：3572 / 3588

页数：17