Canadian Urological Association guideline: Erectile dysfunction

Erectile dysfunction (ED) impacts the wellness and quality of life of millions of Canadians. An evaluation focused on the identification of reversible and irreversible underlying factors is recommended for patients presenting with ED. Through a shared decision-making model framework, the goal of ED treatment is to improve functional outcomes and enhance sexual satisfaction while minimizing adverse effects associated with treatment. Given that ED is assessed and treated by multiple different types of health practitioners, the purpose of this guideline is to provide the best available evidence to facilitate care delivery through a Canadian lens. After a narrative review of ED assessment and treatment for general readership, five key clinical questions relating to priority areas of ED are assessed using the GRADE and evidence-to-decision-making frameworks.

Automated summary

Erectile dysfunction (ED) assessment should focus on identifying reversible and irreversible underlying factors, aiming to improve functional outcomes and sexual satisfaction while minimizing adverse effects. This guideline provides evidence to facilitate care delivery through a Canadian lens, analyzing key clinical questions related to ED using the GRADE and evidence-to-decision-making frameworks.