Erectile dysfunction, twenty years after - 24/02/18

Doi : 10.1016/j.sexol.2018.01.016 
M.H. Colson a, , B. Cuzin b, c , A. Faix d, L. Grellet e, E. Huyghes f
a Immuno-hematology clinic (CISIH), Sainte-Marguerite hospital, 13009 Marseille, France 
b Édouard-Herriot hospital group, 69437 Lyon cedex, France 
c Lyon urology centre Bellecour-Charcot, 4, rue Paul-Lintier, 69002 Lyon, France 
d Department of sexual medecine, clinique Beau-Soleil, 34000 Montpellier, France 
e 19, rue Magnol, 34000 Montpellier, France 
f Urology department, Rangueil hospital, 1, avenue du Professeur-Jean-Poulhès, 31059 Toulouse cedex 9, France 

Corresponding author.


We are presenting in this article the third updated version of “Guidelines for non-sexologist general practitioners for first-line treatment” for a patient suffering from erectile dysfunction (ED). This work follows the methodology recommended by the French National Health Authority, and includes an in-depth documentary search of medical and scientific bibliographic data. It was conducted by a working group that identified, selected, analysed and summarised the scientific literature used to prepare these guidelines. All this work was reviewed by a reading group that expressed an opinion on the substance and format of these guidelines, in particular concerning their legibility and ease of application. Amongst the main points that have been updated and which are presented in detail in the articles of this issue, we draw attention in particular to: a change in definitions, abandoning the classification of erectile dysfunction by aetiology, dividing it into three types (organic, psychogenic and mixed), preferring a better suited integrated definition, recognising that these various factors can overlap; the issue of the partner's role in triggering or maintaining the patient's ED is today seen as an important factor that should not be overlooked; the high prevalence of ED has been confirmed by recent studies, as well as its steady rise with age. But the older patients would today appear to be more acutely affected in terms of their quality of life. For younger patients, the prevalence of ED can also be high, linked to lack of activity, comorbidities, or excessive consumption of alcohol and/or toxic substances. Vulnerable populations (patients with comorbidities, diabetes, hypertension and cardiovascular pathologies, depression etc.) are today identified as presenting high levels of risk for high prevalence of ED. ED is often an “indicator” of a comorbidity, in particular for certain conditions such as cardiovascular disease, diabetes, depression, or impaired urination. In such cases, its emotional impact is intensified; treatments have also evolved, with the arrival of new drugs, and better structured care to take account of the various organic, psychological and relationship factors. These guidelines were designed as a support for diagnosis and treatment, for first-line management of patients consulting for erectile dysfunction, and are summarised by an algorithm. We have added a Communication Guide to help practitioners to tackle the issue of sexuality with patients whenever this is helpful or necessary.

Le texte complet de cet article est disponible en PDF.

Keywords : Erectile dysfunction, Treatments, Definition, Epidemiology, General practitioner


 La version en français de cet article, publiée dans l’édition imprimée de la revue, est également disponible en ligne : https://doi.org/10.1016/j.sexol.2018.01.015.

© 2018  Elsevier Masson SAS. Tous droits réservés.
Ajouter à ma bibliothèque Retirer de ma bibliothèque Imprimer

    Export citations

  • Fichier

  • Contenu

Vol 27 - N° 1

P. e1-e6 - janvier 2018 Retour au numéro
Article précédent Article précédent
  • La dysfonction érectile, vingt ans après
  • M.H. Colson, B. Cuzin, A. Faix, L. Grellet, É. Huyghes
| Article suivant Article suivant
  • La dysfonction érectile, une présence active
  • M.H. Colson, B. Cuzin, A. Faix, L. Grellet, E. Huyghes

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

Mon compte

Plateformes Elsevier Masson

Déclaration CNIL

EM-CONSULTE.COM est déclaré à la CNIL, déclaration n° 1286925.

En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.
Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.
Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers.