Cited by 949Sexual function and dysfunction studiesUrological Disorders and TreatmentsUrinary Bladder and Prostate Research

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Erectile Dysfunction: AUA Guideline

Burnett, Arthur L., Nehra, Ajay, Breau, Rodney H., Culkin, Daniel J., Faraday, Martha M., Hakim, Lawrence S., Heidelbaugh, Joel, Khera, Mohit, McVary, Kevin T., Miner, Martin M., Nelson, Christian J., Sadeghi-Nejad, Hossein, Seftel, Allen D., Shindel, Alan W.·2018·Journal of Urology

DOI 10.1016/j.juro.2018.05.004

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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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Method
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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: Burnett, Arthur L.
Breau, Rodney H.
Culkin, Daniel J.
Khera, Mohit
McVary, Kevin T.
Miner, Martin M.
Nelson, Christian J.
Shindel, Alan W.
Venue: Journal of Urology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2018-09
Volume: 200
Issue: 3
Pages: 633-641
ISSN: 0022-5347 (ISSN-L)
1527-3792
DOI: 10.1016/j.juro.2018.05.004
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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