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External Mechanical Devices and Vascular Surgery for Erectile Dysfunction.

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This summary is machine-generated.

Penile traction therapy and vacuum erection devices offer viable treatment options for penile length and erectile function. Penile revascularization benefits select patients with vasculogenic erectile dysfunction, but evidence for other therapies is limited.

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Area of Science:

  • Sexual Medicine
  • Urology

Background:

  • The field of sexual medicine is rapidly evolving, necessitating updated clinical guidelines.
  • Best practices require regular review of novel outcomes and therapeutic advancements.

Purpose of the Study:

  • To provide evidence-based clinical guidelines on penile traction therapy, vacuum erection devices, and penile revascularization.
  • To summarize current literature for practicing sexual medicine clinicians.

Main Methods:

  • A consensus panel of sexual medicine experts convened at the 2015 International Consultation on Sexual Medicine (ICSM).
  • Literature was reviewed and graded using Oxford criteria to develop guideline and consensus statements.

Main Results:

  • Penile traction therapy can modestly improve penile length and may aid in Peyronie's disease management.
  • Vacuum erection devices effectively facilitate intercourse and may help maintain penile length post-prostatectomy.
  • Penile revascularization shows benefits in select patients with arterial insufficiency, but optimal techniques and candidacy require further research.

Conclusions:

  • Develop clinically relevant guidelines based on expert consensus and literature review.
  • Clinicians should incorporate updated recommendations on external mechanical devices and penile revascularization into practice.