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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Bibliographic Details
Published in:European urology Vol. 80; no. 3; pp. 333 - 357
Main Authors: Salonia, Andrea, Bettocchi, Carlo, Boeri, Luca, Capogrosso, Paolo, Carvalho, Joana, Cilesiz, Nusret Can, Cocci, Andrea, Corona, Giovanni, Dimitropoulos, Kostantinos, Gül, Murat, Hatzichristodoulou, Georgios, Jones, T. Hugh, Kadioglu, Ates, Martínez Salamanca, Juan Ignatio, Milenkovic, Uros, Modgil, Vaibhav, Russo, Giorgio Ivan, Serefoglu, Ege Can, Tharakan, Tharu, Verze, Paolo, Minhas, Suks
Format: Journal Article
Language:English
Published: Switzerland Elsevier B.V 01.09.2021
Subjects:
Ejaculatory disorders
Erectile dysfunction
Erectile Dysfunction - diagnosis
Erectile Dysfunction - etiology
Erectile Dysfunction - therapy
Europe
Guidelines
Haemospermia
Hemospermia - diagnosis
Hemospermia - etiology
Hemospermia - therapy
Humans
Hypogonadism
Hypogonadism - diagnosis
Hypogonadism - drug therapy
Hypogonadism - etiology
Male
Practice Guidelines as Topic
Premature ejaculation
Premature Ejaculation - diagnosis
Premature Ejaculation - etiology
Premature Ejaculation - therapy
Sexual dysfunction
Testosterone
Europe
Premature ejaculation
Haemospermia
Testosterone
Ejaculatory disorders
Sexual dysfunction
Male
Erectile dysfunction
Hypogonadism
Guidelines
ISSN:0302-2838, 1873-7560, 1873-7560
Online Access:Get full text
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Summary: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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ISSN:0302-2838
1873-7560
1873-7560
DOI:10.1016/j.eururo.2021.06.007