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Diagnostic tests for male erectile dysfunction revisited. Committee Consensus Report of the International Consultation in Sexual Medicine. | LitMetric

AI Article Synopsis

  • - The Committee on "Clinical Evaluation and Scales in Sexual Medicine" reviewed advancements in physiological testing for male erectile dysfunction (ED) during the third International Consultation in Sexual Medicine.
  • - An extensive review of Pubmed literature highlighted that since the 1980s, specialized tests for assessing ED have been used, but the increasing effectiveness of oral therapies and the link between ED and cardiovascular disease have minimized the need for classical tests.
  • - Key conclusions indicate that specialized tests for male ED are only clinically useful for a small number of men, and the focus of testing has shifted towards those with reliable results in cardiovascular health.

Article Abstract

Introduction: The Committee on "Clinical Evaluation and Scales in Sexual Medicine" of the third International Consultation in Sexual Medicine reviewed current practice and new developments in the field of physiological testing in male erectile dysfunction (ED).

Aim: To provide an overview of current practice and new developments in the field of diagnostic testing in male ED.

Methods: The Pubmed literature was reviewed.

Results: Since the 1980s of the last century, a broad array of specialized physiological tests has been used for assessing ED. The notion that ED often is an (early) symptom of generalized cardiovascular disease and the introduction of oral pharmacological therapies that are effective irrespective of etiology has reduced the application of the "classical" tests to a minimum and has shifted the scope toward tests with demonstrated reliability in cardiovascular medicine.

Conclusions: (i) The clinical utility of specialized tests in the evaluation of male ED is limited to a small minority of men; (ii) the scope of physiological testing has shifted toward tests with demonstrated reliability in cardiovascular medicine.

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Source
http://dx.doi.org/10.1111/j.1743-6109.2010.01841.xDOI Listing

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