Erectile dysfunction: a primer for in office management

dc.contributor.authorSami, Samir
dc.contributor.authorStern, Noah
dc.contributor.authorDi Pierdomenico, Andrew
dc.contributor.authorKatz, Brandon
dc.contributor.authorBrock, Gerald
dc.date.accessioned2019-10-14T21:39:52Z
dc.date.available2019-10-14T21:39:52Z
dc.date.issued2019-08-29
dc.description.abstractIntroduction: 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.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid90en
dc.identifier.citationSami, 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/medsci7090090en
dc.identifier.doi10.3390/medsci7090090en
dc.identifier.eissn2076-3271
dc.identifier.endpage12en
dc.identifier.issued9en
dc.identifier.journaltitleMedical Sciencesen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/8752
dc.identifier.volume7en
dc.language.isoenen
dc.publisherMDPIen
dc.relation.urihttps://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 citeden
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectErectile dysfunctionen
dc.subjectTreatment optimizationen
dc.subjectPDE-5 inhibitorsen
dc.subjectTestosteroneen
dc.titleErectile dysfunction: a primer for in office managementen
dc.typeArticle (peer-reviewed)en
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