Document Detail

Summary of the recommendations on sexual dysfunctions in men.
MedLine Citation:
PMID:  21040491     Owner:  NLM     Status:  In-Process    
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.
Francesco Montorsi; Ganesan Adaikan; Edgardo Becher; Francois Giuliano; Saad Khoury; Tom F Lue; Ira Sharlip; Stanley E Althof; Karl-Eric Andersson; Gerald Brock; Gregory Broderick; Arthur Burnett; Jacques Buvat; John Dean; Craig Donatucci; Ian Eardley; Kerstin S Fugl-Meyer; Irwin Goldstein; Geoff Hackett; Dimitris Hatzichristou; Wayne Hellstrom; Luca Incrocci; Graham Jackson; Ates Kadioglu; Laurence Levine; Ronald W Lewis; Mario Maggi; Marita McCabe; Chris G McMahon; Drogo Montague; Piero Montorsi; John Mulhall; Jim Pfaus; Hartmut Porst; David Ralph; Raymond Rosen; David Rowland; Hossein Sadeghi-Nejad; Ridwan Shabsigh; Christian Stief; Yoram Vardi; Kim Wallen; Marlene Wasserman
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of sexual medicine     Volume:  7     ISSN:  1743-6109     ISO Abbreviation:  J Sex Med     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101230693     Medline TA:  J Sex Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  3572-88     Citation Subset:  IM    
Copyright Information:
© 2010 International Society for Sexual Medicine.
Department of Urology, San Raffaele Hospital, Milan, Italy.
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