Department of Urology, San Raffaele Hospital, Milan, Italy.
J Sex Med. 2010 Nov;7(11):3572-88. doi: 10.1111/j.1743-6109.2010.02062.x.
Sexual health is an integral part of overall health. Sexual dysfunction can have a major impact on quality of life and psychosocial and emotional well-being.
To provide evidence-based, expert-opinion consensus guidelines for clinical management of sexual dysfunction in men.
An international consultation collaborating with major urologic and sexual medicine societies convened in Paris, July 2009. More than 190 multidisciplinary experts from 33 countries were assembled into 25 consultation committees. Committee members established scope and objectives for each chapter. Following an exhaustive review of available data and publications, committees developed evidence-based guidelines in each area. Main Outcome Measures. New algorithms and guidelines for assessment and treatment of sexual dysfunctions were developed based on work of previous consultations and evidence from scientific literature published from 2003 to 2009. The Oxford system of evidence-based review was systematically applied. Expert opinion was based on systematic grading of medical literature, and cultural and ethical considerations.
Algorithms, recommendations, and guidelines for sexual dysfunction in men are presented. These guidelines were developed in an evidence-based, patient-centered, multidisciplinary manner. It was felt that all sexual dysfunctions should be evaluated and managed following a uniform strategy, thus the International Consultation of Sexual Medicine (ICSM-5) developed a stepwise diagnostic and treatment algorithm for sexual dysfunction. The main goal of ICSM-5 is to unmask the underlying etiology and/or indicate appropriate treatment options according to men's and women's individual needs (patient-centered medicine) using the best available data from population-based research (evidence-based medicine). Specific evaluation, treatment guidelines, and algorithms were developed for every sexual dysfunction in men, including erectile dysfunction; disorders of libido, orgasm, and ejaculation; Peyronie's disease; and priapism.
Sexual dysfunction in men represents a group of common medical conditions that need to be managed from a multidisciplinary perspective.
性健康是整体健康的一个组成部分。性功能障碍会对生活质量以及社会心理和情感健康产生重大影响。
为男性性功能障碍的临床管理提供循证专家意见共识指南。
2009 年 7 月在巴黎举行的国际咨询会议，与主要的泌尿科和性医学学会合作。来自 33 个国家的 190 多名多学科专家被召集到 25 个咨询委员会中。委员会成员为每个章节确定了范围和目标。在对现有数据和出版物进行详尽审查后，委员会在各个领域制定了循证指南。主要观察指标。根据以前的咨询结果和 2003 年至 2009 年发表的科学文献中的证据，制定了评估和治疗性功能障碍的新算法和指南。系统应用牛津循证审查系统。专家意见基于对医学文献的系统分级以及文化和伦理考虑。
提出了男性性功能障碍的算法、建议和指南。这些指南是循证、以患者为中心、多学科的方法制定的。与会者认为，所有性功能障碍都应遵循统一的策略进行评估和管理，因此国际性医学咨询会议（ICSM-5）为性功能障碍制定了逐步诊断和治疗算法。ICSM-5 的主要目标是根据男性和女性的个体需求（以患者为中心的医学），通过基于人群的研究中获得的最佳可用数据（循证医学）揭示潜在病因和/或指明适当的治疗选择。为男性的每一种性功能障碍制定了具体的评估、治疗指南和算法，包括勃起功能障碍；性欲、性高潮和射精障碍；佩罗尼氏病；和阴茎异常勃起。
男性性功能障碍是一组常见的医疗病症，需要从多学科角度进行管理。
