男性性功能障碍：常见性问题的临床诊断与管理策略。
Male sexual dysfunction: Clinical diagnosis and management strategies for common sexual problems.
机构信息
MBBS, Surgical Registrar, Department of Urology, Princess Alexandra Hospital, University of Queensland, Brisbane, Qld.
MBBS, FRACS (Urol), Professor of Surgery, Department of Urology, Princess Alexandra Hospital, University of Queensland, Brisbane Qld; Professor of Surgery, Department of Urology, Macquarie University Hospital, Sydney NSW Australia; Director, AndroUrology Centre, Brisbane, Qld.
出版信息
Aust J Gen Pract. 2023 Jan-Feb;52(1-2):41-45. doi: 10.31128/AJGP-09-22-6559.
BACKGROUND
Male sexual dysfunction (MSD) can affect males of all ages. The most common problems associated with sexual dysfunction include low sexual desire, erectile dysfunction, Peyronie's disease and disorders of ejaculation and orgasm. Each of these male sexual problems can be difficult to treat, and some males may have more than one form of sexual dysfunction.
OBJECTIVE
This review article provides an overview of the clinical assessment and evidence-based management strategies for MSD problems. Emphasis is placed on a practical set of recommendations relevant to general practice.
DISCUSSION
Comprehensive clinical history-taking, tailored physical examination and relevant laboratory testing can provide relevant clues for MSD diagnosis. Modifying lifestyle behaviours, managing reversible risk factors and optimising existing medical conditions are important first-line management options. Medical therapy can be initiated by general practitioners (GPs) with subsequent referrals to a relevant non-GP specialist(s) if patients do not respond and/or require surgical interventions.
背景
男性性功能障碍（MSD）可影响各年龄段的男性。与性功能障碍相关的最常见问题包括性欲低下、勃起功能障碍、阴茎硬结症以及射精和高潮障碍。这些男性性问题中的每一种都可能难以治疗，有些男性可能有不止一种形式的性功能障碍。
目的
本文综述了 MSD 问题的临床评估和基于证据的管理策略，重点是一套与全科医学相关的实用建议。
讨论
全面的临床病史采集、针对性的体格检查和相关的实验室检查可为 MSD 诊断提供相关线索。改变生活方式行为、管理可逆转的危险因素以及优化现有医疗状况是重要的一线管理选择。如果患者无反应和/或需要手术干预，全科医生（GP）可开始进行药物治疗，随后转至相关非 GP 专科医生。
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