Erectile Dysfunction: AUA Guideline

被引:595
作者
Burnett, Arthur L. [1 ]
Nehra, Ajay [1 ]
Breau, Rodney H. [1 ]
Culkin, Daniel J. [1 ]
Faraday, Martha M. [1 ]
Hakim, Lawrence S. [1 ]
Heidelbaugh, Joel [1 ]
Khera, Mohit [1 ]
McVary, Kevin T. [1 ]
Miner, Martin M. [1 ]
Nelson, Christian J. [1 ]
Sadeghi-Nejad, Hossein [1 ]
Seftel, Allen D. [1 ]
Shindel, Alan W. [1 ]
机构
[1] Amer Urol Assoc Educ & Res Inc, Linthicum, MD 21090 USA
关键词
physiological sexual dysfunction; men's health; cardiovascular diseases; clinical decision/making; psychological sexual dysfunction; STANDARD OPERATING PROCEDURES; PLACEBO-CONTROLLED TRIALS; TRANSURETHRAL ALPROSTADIL; SILDENAFIL CITRATE; SEXUAL DYSFUNCTION; INJECTION THERAPY; PROSTATE-CANCER; DOUBLE-BLIND; RETROSPECTIVE ANALYSIS; INTERNATIONAL INDEX;
D O I
10.1016/j.juro.2018.05.004
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
Purpose: The purpose of this guideline is to provide a clinical strategy for the diagnosis and treatment of erectile dysfunction. Materials and Methods: A systematic review of the literature using the Pubmed, Embase, and Cochrane databases (search dates 1/1/1965 to 7/29/17) was conducted to identify peer-reviewed publications relevant to the diagnosis and treatment of erectile dysfunction. Evidence-based statements were based on body of evidence strength Grade A, B, or C and were designated as Strong, Moderate, and Conditional Recommendations with additional statements presented in the form of Clinical Principles or Expert Opinions. Results: The American Urological Association has developed an evidence-based guideline on the management of erectile dysfunction. This document is designed to be used in conjunction with the associated treatment algorithm. Conclusions: Using the shared decision-making process as a cornerstone for care, all patients should be informed of all treatment modalities that are not contraindicated, regardless of invasiveness or irreversibility, as potential first-line treatments. For each treatment, the clinician should ensure that the man and his partner have a full understanding of the benefits and risk/burdens associated with that choice.
引用
收藏
页码:633 / 641
页数:9
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