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Erectile Dysfunction: AUA Guideline
Abstract
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.
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In the citing paper
“By now, there are several review papers and clinical guidelines available on ED,9, 10, 11, 12, 13 but the majority of these papers approach the assessment and treatment of ED from a purely medical perspective and pay only little attention to describing the psychosocial aspects of ED.”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [12]
In the citing paper
“Hence, it can be stated that the treatment of ED is not cause-specific.12”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [12]
In the citing paper
“Not only does shared decision-making increase patient autonomy, it also predicts a better course, adherence, and outcome of therapy because patients have more realistic treatment expectations.10, 11, 12”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [12]
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“For detailed information on possible health benefits of testosterone therapy, AEs associated with testosterone therapy, and recommended monitoring protocols for men prescribed testosterone, refer to the AUA guideline on the evaluation and management of testosterone deficiency.(8)”
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“Hence, it can be stated that the treatment of ED is not cause-specific.(12)”
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Metadata
- Authors
- Burnett, A. L., Nehra, A., Breau, R. H., Culkin, D. J., Faraday, M. M., Hakim, L. S., Heidelbaugh, J., Khera, M., McVary, K. T., Miner, M. M., Nelson, C. J., Sadeghi-Nejad, H., Seftel, A. D., & Shindel, A. W.
- Affiliations
- American Urological Association (US)
- American Urological Association Education and Research, Inc., Linthicum, Maryland
- ORCID
- Venue
- Journal of Urology
- Published
- 2018-09
- Volume
- 200
- Issue
- 3
- Pages
- 633-641
- ISSN
- 0022-5347 (ISSN-L)
- 1527-3792
- OpenAlex
- W2801324609
- Cited by
- 949
- References
- 53
- Citations by year
- 2026: 162 · 2025: 127 · 2024: 144 · 2023: 140 · 2022: 100 · 2021: 108 · 2020: 86 · 2019: 70 · 2018: 8
- FWCI
- 53.14
- Type
- journal article
- Language
- en
- Update notices
- erratum (2022-03-01)
- Open access
- closed
- Locations
- The Journal of Urology (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- erectile dysfunction, diagnosis, treatment, shared decision-making, first-line therapy, treatment algorithm, patient education, evidence-based recommendations
- MeSH terms
- Clinical Decision-Making, Decision Making, Humans, Erectile Dysfunction, Male, Patient Participation, Societies, Medical, Urology, Critical Pathways
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