Summary of the recommendations on sexual dysfunctions in men

Francesco Montorsi, Ganesan Adaikan, Edgardo Becher, Francois Giuliano, Saad Khoury, Tom F. Lue, Ira Sharlip, Stanley E. Althof, Karl Eric Andersson, Gerald Brock, Gregory Broderick, Arthur Burnett, Jacques Buvat, John Dean, Craig Donatucci, Ian Eardley, Kerstin S. Fugl-Meyer, Irwin Goldstein, Geoff Hackett, Dimitris HatzichristouWayne Hellstrom, Luca Incrocci, Graham Jackson, Ates Kadioglu, Laurence Levine, Ronald W. Lewis, Mario Maggi, Marita McCabe, Chris G. McMahon, Drogo Montague, Piero Montorsi, John Mulhall, Jim Pfaus, Hartmut Porst, David Ralph, Raymond Rosen, David Rowland, Hossein Sadeghi-Nejad, Ridwan Shabsigh, Christian Stief, Yoram Vardi, Kim Wallen, Marlene Wasserman

Research output: Contribution to journalArticlepeer-review

231 Scopus citations


Introduction. Sexual health is an integral part of overall health. Sexual dysfunction can have a major impact on quality of life and psychosocial and emotional well-being. Aim. To provide evidence-based, expert-opinion consensus guidelines for clinical management of sexual dysfunction in men. Methods. An international consultation collaborating with major urologic and sexual medicine societies convened in Paris, July 2009. More than 190 multidisciplinary experts from 33 countries were assembled into 25 consultation committees. Committee members established scope and objectives for each chapter. Following an exhaustive review of available data and publications, committees developed evidence-based guidelines in each area. Main Outcome Measures. New algorithms and guidelines for assessment and treatment of sexual dysfunctions were developed based on work of previous consultations and evidence from scientific literature published from 2003 to 2009. The Oxford system of evidence-based review was systematically applied. Expert opinion was based on systematic grading of medical literature, and cultural and ethical considerations. Results. Algorithms, recommendations, and guidelines for sexual dysfunction in men are presented. These guidelines were developed in an evidence-based, patient-centered, multidisciplinary manner. It was felt that all sexual dysfunctions should be evaluated and managed following a uniform strategy, thus the International Consultation of Sexual Medicine (ICSM-5) developed a stepwise diagnostic and treatment algorithm for sexual dysfunction. The main goal of ICSM-5 is to unmask the underlying etiology and/or indicate appropriate treatment options according to men's and women's individual needs (patient-centered medicine) using the best available data from population-based research (evidence-based medicine). Specific evaluation, treatment guidelines, and algorithms were developed for every sexual dysfunction in men, including erectile dysfunction; disorders of libido, orgasm, and ejaculation; Peyronie's disease; and priapism. Conclusions. Sexual dysfunction in men represents a group of common medical conditions that need to be managed from a multidisciplinary perspective.

Original languageEnglish (US)
Pages (from-to)3572-3588
Number of pages17
JournalJournal of Sexual Medicine
Issue number11
StatePublished - Nov 2010


  • Delayed Ejaculation
  • Erectile Dysfunction
  • Guidelines
  • Peyronie's Disease
  • Premature Ejaculation
  • Priapism
  • Prostate Cancer
  • Radical Prostatectomy
  • Testosterone

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Urology
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Reproductive Medicine


Dive into the research topics of 'Summary of the recommendations on sexual dysfunctions in men'. Together they form a unique fingerprint.

Cite this