European Association of Urology Guidelines on Sexual and Reproductive Health—2021 Update: Male Sexual Dysfunction
The present summary of the European Association of Urology (EAU) guidelines is based on the latest guidelines on male sexual health published in March 2021, with a last comprehensive update in January 2021. To present a summary of the 2021 version of the EAU guidelines on sexual and reproductive hea...
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| Vydáno v: | European urology Ročník 80; číslo 3; s. 333 - 357 |
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| Hlavní autoři: | , , , , , , , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
Switzerland
Elsevier B.V
01.09.2021
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| Témata: | |
| ISSN: | 0302-2838, 1873-7560, 1873-7560 |
| On-line přístup: | Získat plný text |
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| Abstract | The present summary of the European Association of Urology (EAU) guidelines is based on the latest guidelines on male sexual health published in March 2021, with a last comprehensive update in January 2021.
To present a summary of the 2021 version of the EAU guidelines on sexual and reproductive health.
A literature review was performed up to January 2021. The guidelines were updated, and a strength rating for each recommendation was included based on either a systematic review of the evidence or a consensus opinion from the expert panel.
Late-onset hypogonadism is a clinical condition in the ageing male combining low levels of circulating testosterone and specific symptoms associated with impaired hormone production and/or action. A comprehensive diagnostic and therapeutic work-up, along with screening recommendations and contraindications, is provided. Erectile dysfunction (ED) is the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance. Along with a detailed basic and advanced diagnostic approach, a novel decision-making algorithm for treating ED in order to better tailor therapy to individual patients is provided. The EAU guidelines have adopted the definition of premature ejaculation (PE), which has been developed by the International Society for Sexual Medicine. After the subtype of PE has been defined, patient’s expectations should be discussed thoroughly and pharmacotherapy must be considered as the first-line treatment for patients with lifelong PE, whereas treating the underlying cause must be the initial goal for patients with acquired PE. Haemospermia is defined as the appearance of blood in the ejaculate. Several reasons of haemospermia have been acknowledged; the primary goal over the management work-up is to exclude malignant conditions and treat any other underlying cause.
The 2021 guidelines on sexual and reproductive health summarise the most recent findings, and advise in terms of diagnosis and treatment of male hypogonadism and sexual dysfunction for their use in clinical practice. These guidelines reflect the multidisciplinary nature of their management.
Updated European Association of Urology guidelines on sexual and reproductive health are presented, addressing the diagnosis and treatment of the most prevalent conditions in men. Patients must be fully informed of all relevant diagnostic and therapeutic options and, together with their treating physicians, decide on optimal personalised management strategies.
The 2021 guidelines on sexual and reproductive health provide a clinical framework for the diagnosis, and a multidisciplinary treatment approach of male hypogonadism and sexual dysfunction for use in clinical practice. |
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| AbstractList | The present summary of the European Association of Urology (EAU) guidelines is based on the latest guidelines on male sexual health published in March 2021, with a last comprehensive update in January 2021.
To present a summary of the 2021 version of the EAU guidelines on sexual and reproductive health.
A literature review was performed up to January 2021. The guidelines were updated, and a strength rating for each recommendation was included based on either a systematic review of the evidence or a consensus opinion from the expert panel.
Late-onset hypogonadism is a clinical condition in the ageing male combining low levels of circulating testosterone and specific symptoms associated with impaired hormone production and/or action. A comprehensive diagnostic and therapeutic work-up, along with screening recommendations and contraindications, is provided. Erectile dysfunction (ED) is the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance. Along with a detailed basic and advanced diagnostic approach, a novel decision-making algorithm for treating ED in order to better tailor therapy to individual patients is provided. The EAU guidelines have adopted the definition of premature ejaculation (PE), which has been developed by the International Society for Sexual Medicine. After the subtype of PE has been defined, patient's expectations should be discussed thoroughly and pharmacotherapy must be considered as the first-line treatment for patients with lifelong PE, whereas treating the underlying cause must be the initial goal for patients with acquired PE. Haemospermia is defined as the appearance of blood in the ejaculate. Several reasons of haemospermia have been acknowledged; the primary goal over the management work-up is to exclude malignant conditions and treat any other underlying cause.
The 2021 guidelines on sexual and reproductive health summarise the most recent findings, and advise in terms of diagnosis and treatment of male hypogonadism and sexual dysfunction for their use in clinical practice. These guidelines reflect the multidisciplinary nature of their management.
Updated European Association of Urology guidelines on sexual and reproductive health are presented, addressing the diagnosis and treatment of the most prevalent conditions in men. Patients must be fully informed of all relevant diagnostic and therapeutic options and, together with their treating physicians, decide on optimal personalised management strategies. The present summary of the European Association of Urology (EAU) guidelines is based on the latest guidelines on male sexual health published in March 2021, with a last comprehensive update in January 2021.CONTEXTThe present summary of the European Association of Urology (EAU) guidelines is based on the latest guidelines on male sexual health published in March 2021, with a last comprehensive update in January 2021.To present a summary of the 2021 version of the EAU guidelines on sexual and reproductive health.OBJECTIVETo present a summary of the 2021 version of the EAU guidelines on sexual and reproductive health.A literature review was performed up to January 2021. The guidelines were updated, and a strength rating for each recommendation was included based on either a systematic review of the evidence or a consensus opinion from the expert panel.EVIDENCE ACQUISITIONA literature review was performed up to January 2021. The guidelines were updated, and a strength rating for each recommendation was included based on either a systematic review of the evidence or a consensus opinion from the expert panel.Late-onset hypogonadism is a clinical condition in the ageing male combining low levels of circulating testosterone and specific symptoms associated with impaired hormone production and/or action. A comprehensive diagnostic and therapeutic work-up, along with screening recommendations and contraindications, is provided. Erectile dysfunction (ED) is the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance. Along with a detailed basic and advanced diagnostic approach, a novel decision-making algorithm for treating ED in order to better tailor therapy to individual patients is provided. The EAU guidelines have adopted the definition of premature ejaculation (PE), which has been developed by the International Society for Sexual Medicine. After the subtype of PE has been defined, patient's expectations should be discussed thoroughly and pharmacotherapy must be considered as the first-line treatment for patients with lifelong PE, whereas treating the underlying cause must be the initial goal for patients with acquired PE. Haemospermia is defined as the appearance of blood in the ejaculate. Several reasons of haemospermia have been acknowledged; the primary goal over the management work-up is to exclude malignant conditions and treat any other underlying cause.EVIDENCE SYNTHESISLate-onset hypogonadism is a clinical condition in the ageing male combining low levels of circulating testosterone and specific symptoms associated with impaired hormone production and/or action. A comprehensive diagnostic and therapeutic work-up, along with screening recommendations and contraindications, is provided. Erectile dysfunction (ED) is the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance. Along with a detailed basic and advanced diagnostic approach, a novel decision-making algorithm for treating ED in order to better tailor therapy to individual patients is provided. The EAU guidelines have adopted the definition of premature ejaculation (PE), which has been developed by the International Society for Sexual Medicine. After the subtype of PE has been defined, patient's expectations should be discussed thoroughly and pharmacotherapy must be considered as the first-line treatment for patients with lifelong PE, whereas treating the underlying cause must be the initial goal for patients with acquired PE. Haemospermia is defined as the appearance of blood in the ejaculate. Several reasons of haemospermia have been acknowledged; the primary goal over the management work-up is to exclude malignant conditions and treat any other underlying cause.The 2021 guidelines on sexual and reproductive health summarise the most recent findings, and advise in terms of diagnosis and treatment of male hypogonadism and sexual dysfunction for their use in clinical practice. These guidelines reflect the multidisciplinary nature of their management.CONCLUSIONSThe 2021 guidelines on sexual and reproductive health summarise the most recent findings, and advise in terms of diagnosis and treatment of male hypogonadism and sexual dysfunction for their use in clinical practice. These guidelines reflect the multidisciplinary nature of their management.Updated European Association of Urology guidelines on sexual and reproductive health are presented, addressing the diagnosis and treatment of the most prevalent conditions in men. Patients must be fully informed of all relevant diagnostic and therapeutic options and, together with their treating physicians, decide on optimal personalised management strategies.PATIENT SUMMARYUpdated European Association of Urology guidelines on sexual and reproductive health are presented, addressing the diagnosis and treatment of the most prevalent conditions in men. Patients must be fully informed of all relevant diagnostic and therapeutic options and, together with their treating physicians, decide on optimal personalised management strategies. The present summary of the European Association of Urology (EAU) guidelines is based on the latest guidelines on male sexual health published in March 2021, with a last comprehensive update in January 2021. To present a summary of the 2021 version of the EAU guidelines on sexual and reproductive health. A literature review was performed up to January 2021. The guidelines were updated, and a strength rating for each recommendation was included based on either a systematic review of the evidence or a consensus opinion from the expert panel. Late-onset hypogonadism is a clinical condition in the ageing male combining low levels of circulating testosterone and specific symptoms associated with impaired hormone production and/or action. A comprehensive diagnostic and therapeutic work-up, along with screening recommendations and contraindications, is provided. Erectile dysfunction (ED) is the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance. Along with a detailed basic and advanced diagnostic approach, a novel decision-making algorithm for treating ED in order to better tailor therapy to individual patients is provided. The EAU guidelines have adopted the definition of premature ejaculation (PE), which has been developed by the International Society for Sexual Medicine. After the subtype of PE has been defined, patient’s expectations should be discussed thoroughly and pharmacotherapy must be considered as the first-line treatment for patients with lifelong PE, whereas treating the underlying cause must be the initial goal for patients with acquired PE. Haemospermia is defined as the appearance of blood in the ejaculate. Several reasons of haemospermia have been acknowledged; the primary goal over the management work-up is to exclude malignant conditions and treat any other underlying cause. The 2021 guidelines on sexual and reproductive health summarise the most recent findings, and advise in terms of diagnosis and treatment of male hypogonadism and sexual dysfunction for their use in clinical practice. These guidelines reflect the multidisciplinary nature of their management. Updated European Association of Urology guidelines on sexual and reproductive health are presented, addressing the diagnosis and treatment of the most prevalent conditions in men. Patients must be fully informed of all relevant diagnostic and therapeutic options and, together with their treating physicians, decide on optimal personalised management strategies. The 2021 guidelines on sexual and reproductive health provide a clinical framework for the diagnosis, and a multidisciplinary treatment approach of male hypogonadism and sexual dysfunction for use in clinical practice. |
| Author | Russo, Giorgio Ivan Tharakan, Tharu Cilesiz, Nusret Can Capogrosso, Paolo Corona, Giovanni Gül, Murat Bettocchi, Carlo Dimitropoulos, Kostantinos Modgil, Vaibhav Verze, Paolo Martínez Salamanca, Juan Ignatio Salonia, Andrea Kadioglu, Ates Minhas, Suks Boeri, Luca Cocci, Andrea Jones, T. Hugh Milenkovic, Uros Serefoglu, Ege Can Carvalho, Joana Hatzichristodoulou, Georgios |
| Author_xml | – sequence: 1 givenname: Andrea orcidid: 0000-0002-0595-7165 surname: Salonia fullname: Salonia, Andrea email: salonia.andrea@hsr.it organization: Division of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy – sequence: 2 givenname: Carlo surname: Bettocchi fullname: Bettocchi, Carlo organization: Department of Urology, University of Foggia, Foggia, Italy – sequence: 3 givenname: Luca surname: Boeri fullname: Boeri, Luca organization: Department of Urology, Foundation IRCCS Ca’ Granda – Ospedale Maggiore Policlinico, University of Milan, Milan, Italy – sequence: 4 givenname: Paolo surname: Capogrosso fullname: Capogrosso, Paolo organization: Department of Urology and Andrology, Ospedale di Circolo and Macchi Foundation, Varese, Italy – sequence: 5 givenname: Joana surname: Carvalho fullname: Carvalho, Joana organization: CPUP: Center for Psychology of Porto University, Faculty of Psychology and Educational Sciences, Porto University, Porto, Portugal – sequence: 6 givenname: Nusret Can surname: Cilesiz fullname: Cilesiz, Nusret Can organization: Department of Urology, Taksim Training & Research Hospital, Istanbul, Turkey – sequence: 7 givenname: Andrea surname: Cocci fullname: Cocci, Andrea organization: Department of Minimally Invasive and Robotic Urologic Surgery and Kidney Transplantation, University of Florence, Florence, Italy – sequence: 8 givenname: Giovanni surname: Corona fullname: Corona, Giovanni organization: Endocrinology Unit, Medical Department, Maggiore-Bellaria Hospital, Bologna, Italy – sequence: 9 givenname: Kostantinos surname: Dimitropoulos fullname: Dimitropoulos, Kostantinos organization: Academic Urology Unit, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK – sequence: 10 givenname: Murat surname: Gül fullname: Gül, Murat organization: School of Medicine, Department of Urology, Selcuk University, Konya, Turkey – sequence: 11 givenname: Georgios surname: Hatzichristodoulou fullname: Hatzichristodoulou, Georgios organization: Department of Urology, Martha-Maria Hospital Nuremberg, Nuremberg, Germany – sequence: 12 givenname: T. Hugh surname: Jones fullname: Jones, T. Hugh organization: Centre for Diabetes and Endocrinology, Barnsley Hospital NHS Trust, Barnsley, UK – sequence: 13 givenname: Ates surname: Kadioglu fullname: Kadioglu, Ates organization: Department of Urology, İstanbul University İstanbul School of Medicine, İstanbul, Turkey – sequence: 14 givenname: Juan Ignatio surname: Martínez Salamanca fullname: Martínez Salamanca, Juan Ignatio organization: Department of Urology, Hospital Universitario Puerta de Hierro-Majadahonda, Lyx Institute of Urology, Universidad Francisco de Vitoria, Madrid, Spain – sequence: 15 givenname: Uros surname: Milenkovic fullname: Milenkovic, Uros organization: Department of Urology, University Hospitals Leuven, Leuven, Belgium – sequence: 16 givenname: Vaibhav surname: Modgil fullname: Modgil, Vaibhav organization: Manchester Andrology Centre, Manchester Royal Infirmary, Manchester University Hospitals NHS Foundation Trust, Manchester, UK – sequence: 17 givenname: Giorgio Ivan surname: Russo fullname: Russo, Giorgio Ivan organization: Urology Section, Department of Surgery, University of Catania, Catania, Italy – sequence: 18 givenname: Ege Can surname: Serefoglu fullname: Serefoglu, Ege Can organization: Department of Urology, Biruni University School of Medicine, Istanbul, Turkey – sequence: 19 givenname: Tharu surname: Tharakan fullname: Tharakan, Tharu organization: Department of Urology, Imperial Healthcare NHS Trust, Charing Cross Hospital, London, UK – sequence: 20 givenname: Paolo surname: Verze fullname: Verze, Paolo organization: Department of Medicine and Surgery "Scuola Medica Salernitana", University of Salerno, Fisciano, Campania, Italy – sequence: 21 givenname: Suks surname: Minhas fullname: Minhas, Suks organization: Department of Urology, Imperial Healthcare NHS Trust, Charing Cross Hospital, London, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34183196$$D View this record in MEDLINE/PubMed |
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| Keywords | Premature ejaculation Haemospermia Testosterone Ejaculatory disorders Sexual dysfunction Male Erectile dysfunction Hypogonadism Guidelines |
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