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Reaching consensus: a scoping review on erectile disorder guidelines.

Minoo Safaei1, Raziyeh Maasoumi1,2, Seyed Amirhosein Mahdavi3

  • 1Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Journal of Medicine and Life
|November 23, 2022
PubMed
Summary

This review evaluated clinical practice guidelines for erectile disorder (ED), finding that a detailed history, physical exam, and lab tests are crucial for diagnosis. Quality guidelines offer consistent, yet detailed, approaches to diagnosing ED.

Keywords:
erectile disordererectile dysfunctionguidanceguidelinemale sexual disordermale sexual dysfunctionsexual disordersexual dysfunction

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Area of Science:

  • Urology
  • Clinical Practice Guidelines

Background:

  • Erectile disorder (ED) significantly impacts quality of life.
  • High-quality clinical practice guidelines (CPGs) are essential for accurate ED diagnosis.

Purpose of the Study:

  • To conduct a scoping review of ED CPGs.
  • To identify and evaluate the highest quality guidelines for diagnosing erectile disorder.

Main Methods:

  • A five-step scoping review process was employed.
  • Initial search yielded 1,888 articles; 9 CPGs were selected after screening.
  • The AGREE II tool assessed guideline quality, resulting in 5 final CPGs.

Main Results:

  • Five high-quality CPGs were identified and reviewed.
  • CPGs demonstrated overlap in diagnostic principles but varied in specific details.
  • Key diagnostic steps include comprehensive history, physical examination, questionnaires, and targeted lab tests.

Conclusions:

  • A thorough patient history, physical examination, and relevant questionnaires are fundamental for ED diagnosis.
  • Routine laboratory tests, hormonal profiles, and condition-specific investigations are recommended.
  • The reviewed CPGs provide a solid foundation for diagnosing erectile disorder.