El-Sakka Ahmed I
Department of Urology, Suez Canal University, Ismailia, Egypt.
Arab J Urol. 2012 Jun;10(2):104-9. doi: 10.1016/j.aju.2012.02.001. Epub 2012 Mar 15.
To review local published data on the diagnosis and treatment of erectile dysfunction (ED) in Arab countries.
MEDLINE was searched for English-language articles published from 2000 to 2011, using the search terms 'Arab countries', 'sexual dysfunction', 'diagnosis' and 'treatment'.
In all, 86 articles were found to be relevant to this review; only a few had a high level of evidence and the remaining studies used an uncontrolled design. Several local studies were consistent with previous reports showing that a customised diagnostic pathway, with full consideration of the patient's goals, is adopted by most clinicians to treat ED. For an effective treatment, the evaluation methods should answer important questions about the aetiology and severity of ED, as well as the patient's and partner's goals and expectations. As ED is known to be associated with many common medical comorbidities and medications, careful questioning can yield information about peripheral vascular disease, coronary artery disease, diabetes, hypertension, dyslipidaemia, and tobacco and alcohol use. The presence of psychological, neurological or chronic debilitating diseases can direct further evaluation.
The methods used for the diagnosis and treatment of ED need more investigation, especially in Arab countries. Only a few studies addressed the results of different methods of investigating and treating ED among Arab men.
回顾阿拉伯国家当地发表的有关勃起功能障碍（ED）诊断与治疗的数据。
在MEDLINE数据库中检索2000年至2011年发表的英文文章，检索词为“阿拉伯国家”“性功能障碍”“诊断”和“治疗”。
总共找到86篇与本综述相关的文章；只有少数文章有高水平证据，其余研究采用的是无对照设计。一些当地研究与先前报告一致，表明大多数临床医生采用定制的诊断途径，充分考虑患者目标来治疗ED。为了进行有效治疗，评估方法应回答有关ED病因、严重程度以及患者和伴侣的目标与期望等重要问题。由于已知ED与许多常见的内科合并症和药物有关，仔细询问可获取有关外周血管疾病、冠状动脉疾病、糖尿病、高血压、血脂异常以及吸烟和饮酒情况的信息。心理、神经或慢性衰弱性疾病的存在可指导进一步评估。
ED的诊断和治疗方法需要更多研究，尤其是在阿拉伯国家。只有少数研究探讨了阿拉伯男性中不同ED调查和治疗方法的结果。
