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European Association of Urology Guidelines on Sexual and Reproductive Health-2021 Update: Male Sexual Dysfunction
Andrea Salonia1, Carlo Bettocchi2, Luca Boeri3
1Division of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy.
European Urology
|June 29, 2021
Summary
The 2021 European Association of Urology guidelines offer updated advice on male sexual health, including diagnosis and treatment for hypogonadism and sexual dysfunction. These guidelines emphasize personalized patient care and multidisciplinary management strategies.
Area of Science:
- Urology
- Andrology
- Sexual Medicine
Background:
- The European Association of Urology (EAU) periodically updates its guidelines on male sexual and reproductive health.
- The 2021 guidelines incorporate the latest evidence and expert consensus on prevalent male health conditions.
Purpose of the Study:
- To summarize the 2021 EAU guidelines on male sexual and reproductive health.
- To provide clinicians with updated recommendations for diagnosing and treating male hypogonadism and sexual dysfunction.
Main Methods:
- A comprehensive literature review was conducted up to January 2021.
- Recommendations were updated based on systematic evidence reviews and expert panel consensus.
- A strength rating was assigned to each recommendation.
Main Results:
- Guidelines address late-onset hypogonadism, including diagnosis, screening, and contraindications.
- A novel decision-making algorithm is provided for erectile dysfunction (ED) management.
- Recommendations for premature ejaculation (PE) and haemospermia diagnosis and treatment are detailed.
Conclusions:
- The 2021 guidelines offer current diagnostic and therapeutic strategies for male sexual and reproductive health issues.
- Management reflects a multidisciplinary approach, emphasizing shared decision-making between patients and physicians.
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