A simplified approach to the treatment of erectile dysfunction – Based on the Canadian Urology Association Erectile Dysfunction Guidelines: SUMMARY CONCEPTS

• ED is the preferred clinical term to describe the inability to achieve and maintain a penile erection of sufficient rigidity to permit satisfactory sexual activity.
• Diagnosis and treatment of ED are performed most effectively by primary care physicians (PCPs).
• The underlying risk factors associated with ED are common to cardiovascular disease in general and, therefore, may represent the initial clinical sign of generalized vascular insufficiency.
• PCPs, urologists, internists, psychiatrists and other health care professionals should be encouraged to initiate an open dialogue of sexual issues to identify men with ED who may not otherwise volunteer their sexual concerns.
• Frequently, a careful history, physical examination, and serum glucose, lipids and optional testosterone testing are all that are needed to diagnose ED and to initiate first-line therapy.
• Organic (physical) causes of ED are present in the majority of men, but situational factors often contribute, and addressing these issues may enhance treatment efficacy.
• When reversible causes of ED have been ruled out, a trial of oral medication is recommended as first-line therapy based on treatment efficacy, side effect profile and minimal invasiveness.
• Specialized testing and referral are generally reserved for cases in which greater insight into the etiology is desired by the patient and/or physician, or when oral first-line treatment was unsuccessful or not appropriate.
• Second-line therapies, although more invasive than oral agents, are generally well tolerated and effective.
• Surgery is an important option for those men unresponsive to medical management, and offers durable and reliable relief from ED. Buy Asthma Inhalers Online

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