erectile%20dysfunction
ERECTILE DYSFUNCTION
Treatment Guideline Chart

Erectile dysfunction is the inability to attain and maintain an erection enough to have satisfactory sexual performance for ≥3 months.

It is when the patient complains of partial erection that could not attain vaginal penetration.

Complete loss of penile rigidity is uncommon.

Initial penile erections can penetrate but early detumescence occurs without ejaculation.

Erectile Dysfunction References

  1. Andersson KE. Pharmacology of erectile function and dysfunction. Urol Clin North Am. 2001 May;28(2):233-247. PMID: 11402577
  2. American Association of Clinical Endocrinologists. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of male sexual dysfunction: a couple's problem -2003 update. Endocr Pract. 2003 Jan;9(1):77-95. PMID: 12917096
  3. Becher E. Topical alprostadil cream for the treatment of erectile dysfunction. Expert Opin Pharmacother. 2004 Mar;5(3):623-632. PMID: 15013930
  4. Ernst E, Pittler MH. Yohimbine for erectile dysfunction: a systematic review and meta-analysis for randomized clinical trials [abstract]. J Urol. 1998 Feb;159(2):433-436. PMID: 9649257
  5. Lue TF. Erectile dysfunction. N Engl J Med. 2000 Jun;342(24):1802-1813. PMID: 10853004
  6. Montorsi F, Salonia A, Deho F, et al. Pharmacological management of erectile dysfunction. BJU Int. 2003 Mar;91(5):446-454. PMID: 12603396
  7. Morales A, Heaton JP. Hormonal erectile dysfunction. Evaluation and management. Urol Clin North Am. 2001 May;28(2):279-288. PMID: 11402581
  8. Morgentaler A. Male impotence. Lancet. 1999 Nov;354(9191):1713-1718. PMID: 10568586
  9. MedWormhttp://www.medworm.com/rss/index.php/Endocrinology/15/http://www.medworm.com/rss/medicalfeeds/specialities/Endocrinology.xml
  10. Malaysia Urological Association and MEDACT. Clinical Practice Guide in Erectile Dysfunction. www.acadmed.org.my/view_file.cfm?fileid=211. Aug 2000
  11. American Urological Association Education and Research, Inc. Management of erectile dysfunction [chapter 1 w/ appendix: diagnosis and treatment guideline]. http://www.auanet.org/education/guidelines/erectile-dysfunction.cfm. 2005
  12. British Society for Sexual Medicine. Guidelines on the management of erectile dysfunction. http://www.bssm.org.uk/downloads/BSSM_ED_Management_Guidelines_2009.pdf. 2009
  13. Rosen RC, Riley A, Wagner G, et al. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997 Jun;49(6):822-830. PMID: 9187685
  14. Wespes E, Eardley I, Giuliano F, et al. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. European Association of Urology (EAU). http://www.uroweb.org/gls/pdf/14_Male%20Sexual%20Dysfunction_LR.pdf. 2013 Mar. Accessed 11 Feb 2014.
  15. Hatzimouratidis K, Eardley I, Giuliano F, et al. European Association of Urology guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. 2015 Mar:1-53.
  16. Bella A, Lee J, Carrier S, et al. 2015 Canadian Urological Association practice guidelines for erectile dysfunction. Can Urol Assoc J. 2015 Jan;9(1-2):23-29. doi: 10.5489/cuaj.2699. PMID: 25737750
  17. Alhathal N, Elshal AM, Carrier S. Synergetic effect of testosterone and phophodiesterase-5 inhibitors in hypogonadal men with erectile dysfunction: a systematic review. Can Urol Assoc J. 2012 Aug;6(4):269-274. doi: 10.5489/cuaj.11291. PMID: 23093538
  18. Duggin M. Erectile Dysfunction. In: Kellerman R D, Bope E T. Conn's Current Therapy 2018. Philadelphia, PA: Saunders, an imprint of Elsevier, Inc.; 2018. http://dx.doi.org/10.1016/B978-0-323-52769-9.00251-8. Accessed 06 Feb 2018:1068-1070.
  19. Wincze J P. Erectile Dysfunction. In: Ferri F. Ferri's Clinical Advisor 2018. Philadelphia, PA: Elsevier, Inc; 2018. 466-467. :466-467.
  20. Burnett AL, Nehra A, Breau AH, et al. Erectile dysfunction: AUA guideline. J Urol. 2018 Sep;200(3):633-641. doi: 10.1016/j.juro.2018.05.004. PMID: 29746858
  21. Khera, M. Evaluation of male sexual dysfunction. UpToDate. https://www.uptodate.com. 28 Apr 2020.
  22. Khera, M. Treatment of male sexual dysfunction. UpToDate. https://www.uptodate.com . 28 Jul 2021.
  23. Rosen RC, Khera M. Epidemiology and etiologies of male sexual dysfunction . UpToDate. https://www.uptodate.com. 27 May 2021.
  24. 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 Apr;15(4):430-457. doi: 10.1016/j.jsxm.2018.01.023. Accessed 09 Aug 2021. PMID: 29550461
Editor's Recommendations
Special Reports