Erectile dysfunction: a primer for in office management

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dc.contributor.author Sami, Samir
dc.contributor.author Stern, Noah
dc.contributor.author Di Pierdomenico, Andrew
dc.contributor.author Katz, Brandon
dc.contributor.author Brock, Gerald
dc.date.accessioned 2019-10-14T21:39:52Z
dc.date.available 2019-10-14T21:39:52Z
dc.date.issued 2019-08-29
dc.identifier.citation Sami, S., Stern, N., Di Pierdomenico, A., Katz, B. and Brock, G. (2019) 'Erectile Dysfunction: A Primer for in Office Management', Medical Sciences, 7(9), 90. (12pp.) DOI: 10.3390/medsci7090090 en
dc.identifier.volume 7 en
dc.identifier.issued 9 en
dc.identifier.startpage 1 en
dc.identifier.endpage 12 en
dc.identifier.uri http://hdl.handle.net/10468/8752
dc.identifier.doi 10.3390/medsci7090090 en
dc.description.abstract Introduction: Optimizing erectile dysfunction (ED) remains a clinically significant endeavor as insufficient outcomes from oral, injectable and even surgical approaches to treatment remain less than ideal. In this report, we integrate evolving knowledge and provide an algorithmic approach for the clinician to fine-tune management. Methods: We performed a PubMed and Medline search of Erectile Dysfunction treatment optimization, enhanced patient efficacy for ED, and why men fail ED treatment. All relevant papers for the past two decades were reviewed. Results: Establishing the goals and objectives of the patient and partner while providing detailed instructions for treatment can minimize failures and create an environment that allows treatment optimization. A thorough work-up may identify reversible or contributing causes. We identified several areas where treatment of ED could be optimized. These include; management of associated medical conditions, lifestyle improvements, PDE5 inhibitor prescription strategies, management of hypogonadism and the initiation of intracavernosal injection therapy (ICI). Conclusions: In our view, once a man presents for help to the clinician, use of the simple strategies identified in this review to optimize the tolerability, safety and effectiveness of the selected treatment should result in enhanced patient and partner satisfaction, with improved outcomes. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher MDPI en
dc.relation.uri https://www.mdpi.com/2076-3271/7/9/90/htm
dc.rights © The Author(s) 2019. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.subject Erectile dysfunction en
dc.subject Treatment optimization en
dc.subject PDE-5 inhibitors en
dc.subject Testosterone en
dc.title Erectile dysfunction: a primer for in office management en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Brandon Katz, School of Medicine, University College Cork, Cork, Ireland. +353-21-490-3000 en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Medical Sciences en
dc.identifier.articleid 90 en
dc.identifier.eissn 2076-3271


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© The Author(s) 2019. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited Except where otherwise noted, this item's license is described as © The Author(s) 2019. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
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