Summary of the recommendations on sexual dysfunctions in men.
BACKGROUND
Sexual health is an integral part of overall health. Sexual dysfunction can have a major impact on quality of life and psychosocial and emotional well-being.


OBJECTIVE
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.
Department of Urology, San Raffaele Hospital, Milan, Italy. montorsi.francesco@hsr.it
Francesco
F
Montorsi
Ganesan
G
Adaikan
Edgardo
E
Becher
Francois
F
Giuliano
Saad
S
Khoury
Tom F
TF
Lue
Ira
I
Sharlip
Stanley E
SE
Althof
Karl-Eric
KE
Andersson
Gerald
G
Brock
Gregory
G
Broderick
Arthur
A
Burnett
Jacques
J
Buvat
John
J
Dean
Craig
C
Donatucci
Ian
I
Eardley
Kerstin S
KS
Fugl-Meyer
Irwin
I
Goldstein
Geoff
G
Hackett
Dimitris
D
Hatzichristou
Wayne
W
Hellstrom
Luca
L
Incrocci
Graham
G
Jackson
Ates
A
Kadioglu
Laurence
L
Levine
Ronald W
RW
Lewis
Mario
M
Maggi
Marita
M
McCabe
Chris G
CG
McMahon
Drogo
D
Montague
Piero
P
Montorsi
John
J
Mulhall
Jim
J
Pfaus
Hartmut
H
Porst
David
D
Ralph
Raymond
R
Rosen
David
D
Rowland
Hossein
H
Sadeghi-Nejad
Ridwan
R
Shabsigh
Christian
C
Stief
Yoram
Y
Vardi
Kim
K
Wallen
Marlene
M
Wasserman
D004542:Ejaculation; D007172:Erectile Dysfunction / Q000473:pathology / Q000523:psychology / Q000601:surgery; D019317:Evidence-Based Medicine; D006801:Humans; D018783:Impotence, Vasculogenic / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D008297:Male; D010411:Penile Induration; D017410:Practice Guidelines as Topic; D011471:Prostatic Neoplasms; D012307:Risk Factors; D013739:Testosterone / Q000172:deficiency; D013997:Time Factors
D013739:Testosterone