Hatzichristou Dimitrios, Rosen Raymond C, Broderick Gregory, Clayton Anita, Cuzin Beatrice, Derogatis Leonard, Litwin Mark, Meuleman Eric, O'Leary Michael, Quirk Frances, Sadovsky Richard, Seftel Allen
Department of Urology, Aristotle University of Thessaloniki, Thessalonki, Greece.
J Sex Med. 2004 Jul;1(1):49-57. doi: 10.1111/j.1743-6109.2004.10108.x.
The optimal approach for identification and evaluation of the sexual problems in men and women in primary care or general medicine practice has not been consensed.
To provide recommendations/guidelines concerning state-of-the-art knowledge for clinical evaluation and management strategies in the evaluation and treatment of sexual dysfunction in men and women, emphasizing evidence-based medicine and a patient-centered framework.
An International Consultation in collaboration with the major urology and sexual medicine associations assembled over 200 multidisciplinary experts from 60 countries into 17 committees. Committee members established specific objectives and scopes for various male and female sexual medicine topics. The recommendations concerning state-of-the-art knowledge in the respective sexual medicine topic represent the opinion of experts from five continents developed in a process over a 2-year period. Concerning the Clinical Evaluation and Management Strategies Committee, there were 12 experts from five countries.
Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation and debate.
Three concepts underlie sexual medicine management: (i) adoption of a patient-centered framework for evaluation and treatment; (ii) application of the principles of evidence-based medicine in diagnostic and treatment planning; and (iii) use of a unified management approach in men and women. When taken together, these three principles provide a balanced and integrated approach to sexual dysfunction management. Common algorithms for diagnosis and management of men and women with sexual dysfunction, brief sexual symptom checklists, basics in history and physical examination, indications for specialized referral and development of a follow-up strategy are presented.
More research is needed in understanding the role of evidence-based and patient-centered medicine in the clinical evaluation and management strategies of men and women with sexual dysfunction.
在初级保健或普通医学实践中，识别和评估男性及女性性问题的最佳方法尚未达成共识。
提供有关男性和女性性功能障碍评估与治疗中临床评估及管理策略的最新知识的建议/指南，强调循证医学和以患者为中心的框架。
与主要的泌尿外科和性医学协会合作开展了一次国际咨询，召集了来自60个国家的200多名多学科专家，组成了17个委员会。委员会成员为各种男性和女性性医学主题确定了具体目标和范围。关于各自性医学主题的最新知识的建议代表了五大洲专家在两年时间里形成的意见。临床评估与管理策略委员会有来自五个国家的12名专家。
专家意见基于循证医学文献的分级、委员会内部广泛的讨论、公开报告和辩论。
性医学管理基于三个概念：（i）采用以患者为中心的评估和治疗框架；（ii）在诊断和治疗计划中应用循证医学原则；（iii）对男性和女性采用统一的管理方法。这三个原则结合起来，为性功能障碍管理提供了一种平衡且综合的方法。文中介绍了男性和女性性功能障碍诊断和管理的通用算法、简短的性症状检查表、病史和体格检查的要点、专科转诊指征以及随访策略的制定。
在理解循证医学和以患者为中心的医学在男性和女性性功能障碍临床评估及管理策略中的作用方面，还需要更多研究。
