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AUA releases guidelines for Erectile Dysfunction
According to new guidelines released by the American Urological Association (AUA), all Viagra,
Cialis and Levitra work and they should be considered as first-line treatment for men with erectile dysfunction.
"We did not distinguish between these drugs," said Drogo Montague, MD, Professor of Surgery, Cleveland
Clinic and Case Western Reserve University, Cleveland, Ohio, United States, co-chairman of the panel that
produced the new document released here on May 24th.
At the same time, if the oral compounds fail to work or cannot be used due to contraindications with nitrate drugs,
the AUA guidelines also outline for other treatments that can be used for erectile dysfunction such us suppositories,
injections, pumps and surgery.
The guidelines invite doctors to take a careful patient history before prescribing the PDE-5 inhibitors
in order to avoid prescribing them with drug that might interact and cause adverse events.
Very important is that Dr. Montague also said the guidelines recommend against the use of trazodone, yohimbine,
herbal therapies or testosterone in patients with normal testosterone levels. Penile vascular surgeries are also
specifically not recommended.
The new guidelines also outline a treatment algorithm for priapism, incorporating new treatments that often resolve
the condition with an injection into the penis rather than surgery as a primary modality.
NOTE: The Information on this site is provided for information only,
and is not meant to substitute for the advice of your own physician or other medical professional.
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