Fast Five Quiz: Sexual Dysfunction

Bradley Schwartz, DO; Michel E. Rivlin, MD

Disclosures

August 12, 2019

According to the most recent AUA recommendations, referral to a mental health professional should be considered to promote treatment adherence, reduce performance anxiety, and integrate treatments into a sexual relationship. Men with erectile dysfunction who have comorbidities known to negatively affect erectile function should be counseled that lifestyle modifications, including changes in diet and increased physical activity, improve overall health and may improve erectile function.

In men with erectile dysfunction, morning serum total testosterone levels should be measured. Men with erectile dysfunction should be informed regarding the treatment option of a US Food and Drug Administration (FDA)-approved oral PDE5i, including discussion of benefits and risks/burdens, unless contraindicated. Men who desire preservation of erectile function after treatment for prostate cancer by radical prostatectomy or radiation therapy should be informed that early use of PDE5i after treatment may not improve spontaneous, unassisted erectile function. 

Men with erectile dysfunction should be informed regarding the treatment option of intracavernosal injections, including discussion of benefits and risks/burdens. For men with erectile dysfunction who are considering this therapy, an in-office injection test should be performed. Penile venous surgery is not recommended for men with erectile dysfunction.

Read more on erectile dysfunction.

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