علاج العجز الجنسي العضوي في نقص التستوستيرون عندما لا يحقق علاج التستوستيرون ومثبطات PDE5 انتصاباً كافياً

DOI: 10.1016/j.juro.2018.05.004

• Serum total testosterone should be measured in all men with ED to determine if testosterone deficiency (TD), defined as total testosterone <300 ng/dL with the presence of symptoms and signs, is present.
• Men with ED and testosterone deficiency (TD) who are considering ED treatment with a PDE5i should be informed that PDE5i may be more effective if combined with testosterone therapy.
• Men with ED should be informed regarding the treatment option of a vacuum erection device (VED), including discussion of benefits and risks/burdens.
• Men with ED should be informed regarding the treatment option of intraurethral (IU) alprostadil, including discussion of benefits and risks/burdens.
• Men with ED should be informed regarding the treatment option of intracavernosal injections (ICI), including discussion of benefits and risks/burdens.
• The most commonly used outcome measure in ICI studies is the percentage of men who reported achieving an erection sufficient for successful intercourse.