British Society for Sexual Medicine Guidelines on the Management of Erectile Dysfunction in Men-2017.

Hackett, Geoffrey and Kirby, Mike and Wylie, Kevan and Heald, Adrian and Ossei-Gerning, Nick and Edwards, David and Muneer, Asif (2018) British Society for Sexual Medicine Guidelines on the Management of Erectile Dysfunction in Men-2017. The journal of sexual medicine, 15 (4). pp. 430-457. ISSN 1743-6109. This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs

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Official URL: http://www.jsm.jsexmed.org/article/S1743-6095(18)3...

Abstract

BACKGROUND

This is an update of the 2008 British Society for Sexual Medicine (BSSM) guidelines.

AIM

To provide up-to-date guidance for U.K. (and international) health care professionals managing male sexual dysfunction.

METHODS

Source information was obtained from peer-reviewed articles, meetings, and presentations. A search of Embase, MEDLINE, and Cochrane Reviews was performed, covering the search terms "hypogonadism," "eugonadal or hypogonadism or hypogonadal or gonadal," and "low or lower testosterone," starting from 2009 with a cut-off date of September 2017.

OUTCOMES

We offer evidence-based statements and recommendations for clinicians.

RESULTS

Expert guidance for health care professionals managing male sexual dysfunction is included.

CLINICAL TRANSLATION

Current U.K. management has been largely influenced by non-evidence guidance from National Health Service departments, largely based on providing access to care limited by resources. The 2008 BSSM guidelines to date have been widely quoted in U.K. policy decision making.

CONCLUSIONS

There is now overwhelming evidence that erectile dysfunction is strongly associated with cardiovascular disease, such that newly presenting patients should be thoroughly evaluated for cardiovascular and endocrine risk factors, which should be managed accordingly. Measurement of fasting serum glucose, lipid profile, and morning total testosterone should be considered mandatory in all newly presenting patients. Patients attending their primary care physician with chronic cardiovascular disease should be asked about erectile problems. There can no longer be an excuse for avoiding discussions about sexual activity due to embarrassment. Hackett G, Kirby M, Wylie K, et al. British Society for Sexual Medicine Guidelines on the Management of Erectile Dysfunction in Men-2017. J Sex Med 2018;15:430-457.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs
Subjects: WJ Urogenital system. Urology
Divisions: Planned IP Care > Urology
Related URLs:
Depositing User: Mrs Caroline Tranter
Date Deposited: 10 Apr 2018 13:22
Last Modified: 10 Apr 2018 13:22
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1629

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