References

Dick B, Reddy A, Gabrielson AT, Hellstrom WJ. Organic and psychogenic causes of sexual dysfunction in young men. International Journal of Medical Review. 2017; 4:(4)102-111 https://doi.org/10.29252/IJMR-040404

Hackett G, Kirby M, Wylie K British Society for Sexual Medicine Guidelines on the Management of Erectile Dysfunction in Men—2017. J Sex Med. 2018; 15:(4)430-457 https://doi.org/10.1016/j.jsxm.2018.01.023

EAU Guidelines Panel on Male Sexual Dysfunction. EAU Guidelines on Male Sexual Dysfunction (Erectile Dysfunction and premature ejaculation). 2016. https://uroweb.org/guideline/male-sexual-dysfunction/ (accessed 14 December 2020)

Helgeson VS, Lepore SJ. Quality of life following prostate cancer: the role of agency and unmitigated agency. J Appl Soc Psychol. 2004; 34:(12)2559-2585 https://doi.org/10.1111/j.1559-1816.2004.tb01992.x

Kloner RA. Erectile dysfunction as a predictor of cardiovascular disease. Int J Impot Res. 2008; 20:(5)460-465 https://doi.org/10.1038/ijir.2008.20

Kloner R. Erectile dysfunction and hypertension. Int J Impot Res. 2007; 19:(3)296-302 https://doi.org/10.1038/sj.ijir.3901527

Lalong-Muh J, Colm T, Steggall M. Erectile dysfunction following retropubic prostatectomy. Br J Nurs. 2013; 22:S4-S9 https://doi.org/10.12968/bjon.2013.22.Sup2.S4

Lewis RW, Fugl-Meyer KS, Corona G Definitions/epidemiology/risk factors for sexual dysfunction. J Sex Med. 2010; 7:(4)1598-1607 https://doi.org/10.1111/j.1743-6109.2010.01778.x

McKinlay JB. The worldwide prevalence and epidemiology of erectile dysfunction. Int J Impot Res. 2000; 12:(S4)S6-S11 https://doi.org/10.1038/sj.ijir.3900567

Montorsi P, Ravagnani PM, Galli S Association between erectile dysfunction and coronary artery disease. Role of coronary clinical presentation and extent of coronary vessels involvement: the COBRA trial. Eur Heart J. 2006; 27:(22)2632-2639 https://doi.org/10.1093/eurheartj/ehl142

National Institute for Health and Care Excellence. Scenario: Management of erectile dysfunction. 2019. https://cks.nice.org.uk/erectile-dysfunction#!scenario (accessed 14 December 2020)

Rai J, Terry T. Comparison of erectile dysfunction guidelines between the UK (BSSM/NICE) and Europe (EAU). J Clin Urol. 2018; 11:(2)122-126 https://doi.org/10.1177/2051415816688820

Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Peña BM. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res. 1999; 11:(6)319-326 https://doi.org/10.1038/sj.ijir.3900472

Sarma AV, Hotaling JM, de Boer IH Blood pressure, antihypertensive medication use, and risk of erectile dysfunction in men with type I diabetes. J Hypertens. 2019; 37:(5)1070-1076 https://doi.org/10.1097/HJH.0000000000001988

Steggall MJ. Erectile dysfunction: physiology, causes and patient management. Nurs Stand. 2007; 21:(43)49-56 https://doi.org/10.7748/ns2007.07.21.43.49.c4578

Steggall MJ. Management of erectile dysfunction. Trends in Urology, Gynaecology & Sex Health. 2009; 14:(6)14-17 https://doi.org/10.1002/tre.128

Management pathways for erectile dysfunction in primary care

02 January 2021
9 min read
Volume 32 · Issue 1

Abstract

Erectile dysfunction is a common problem in primary care. Martin Steggall and colleagues discuss what needs to be assessed and the treatment options available

Erectile dysfunction (ED) is defined as the inability of a man to get and maintain an erection that is sufficient for sexual intercourse, and is a common problem. ED commonly has a profound negative impact on quality of life in the patient and his partner, which can result in changes to sexual self-confidence. This article outlines strategies for identifying and managing ED in primary care, outlining what needs to be assessed and the various treatment options available to manage the condition.

Erectile dysfunction (ED) is a common male sexual dysfunction with an estimated incidence of 20–40% of men in their 60s, increasing to 50–100% of men in their 70s (Lewis, et al, 2010). ED is defined as the inability of a man to get and maintain an erection that is sufficient for sexual intercourse. ED commonly has a profound negative impact on quality of life in the patient and his partner, which can result in changes to sexual self-confidence (Steggall, 2007). It may also impact compliance with other prescribed medications where it is known that side effects can cause ED. Men who identify with traditional masculine ideals may take risks concerning their health. For these men sexual functioning is a vital part of their identity and manhood, and sexual competency validates their masculinity (Helgeson and Lepore, 2004). In other words, some men find ED difficult to cope with due to either fear or embarrassment. Therefore, they may seek to self-manage the condition by stopping anti-hypertensive or other medications if they know side effects can cause erection difficulties.

Register now to continue reading

Thank you for visiting Practice Nursing and reading some of our peer-reviewed resources for general practice nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month