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Войти в исследования Summary of the recommendations on sexual dysfunctions in men.
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Montorsi Francesco, Adaikan Ganesan, Becher Edgardo, Giuliano Francois, Khoury Saad, Lue Tom F, Sharlip Ira, Althof Stanley E, Andersson Karl-Eric, Brock Gerald, Broderick Gregory, Burnett Arthur, Buvat Jacques, Dean John, Donatucci Craig, Eardley Ian, Fugl-Meyer Kerstin S, Goldstein Irwin, Hackett Geoff, Hatzichristou Dimitris, Hellstrom Wayne, Incrocci Luca, Jackson Graham, Kadioglu Ates, Levine Laurence, Lewis Ronald W, Maggi Mario, McCabe Marita, McMahon Chris G, Montague Drogo, Montorsi Piero, Mulhall John, Pfaus Jim, Porst Hartmut, Ralph David, Rosen Raymond, Rowland David, Sadeghi-Nejad Hossein, Shabsigh Ridwan, Stief Christian, Vardi Yoram, Wallen Kim, Wasserman Marlene
Аннотация
AIM: To provide evidence-based, expert-opinion consensus guidelines for clinical management of sexual dysfunction in men.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: Sexual dysfunction in men represents a group of common medical conditions that need to be managed from a multidisciplinary perspective.