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Guidelines for diagnosis and treatment of erectile dysfunction

Publication at First Faculty of Medicine |
2014

Abstract

Erectile dysfunction is defined as an inability to achieve and maintain an erection sufficient for satisfactory sexual intercourse. ED is commnon worldwide.

ED shares risk factors with cardiovascular disease. Erectile dysfunction is a predictor of a serious cardiovascular event in men.

Lifestyle modification (intensive exercise and decrease in BMI) can improve erectile function. Modern oral form of ED therapy by PDE5 inhibitors is safe and effective and is well tolerated.

A new method in erectile dysfunction therapy is low intensity extracorporeal shock wave therapy which produces neovascularisation. Intracavernosal therapy is safe and effective in diabetics and men after radical prostatectomy.