Erectile Dysfunction: AUA Guideline

J Urol. 2018 Sep;200(3):633-641. doi: 10.1016/j.juro.2018.05.004. Epub 2018 May 7.


Purpose: The purpose of this guideline is to provide a clinical strategy for the diagnosis and treatment of erectile dysfunction.

Materials and methods: A systematic review of the literature using the Pubmed, Embase, and Cochrane databases (search dates 1/1/1965 to 7/29/17) was conducted to identify peer-reviewed publications relevant to the diagnosis and treatment of erectile dysfunction. Evidence-based statements were based on body of evidence strength Grade A, B, or C and were designated as Strong, Moderate, and Conditional Recommendations with additional statements presented in the form of Clinical Principles or Expert Opinions.

Results: The American Urological Association has developed an evidence-based guideline on the management of erectile dysfunction. This document is designed to be used in conjunction with the associated treatment algorithm.

Conclusions: Using the shared decision-making process as a cornerstone for care, all patients should be informed of all treatment modalities that are not contraindicated, regardless of invasiveness or irreversibility, as potential first-line treatments. For each treatment, the clinician should ensure that the man and his partner have a full understanding of the benefits and risk/burdens associated with that choice.

Keywords: cardiovascular diseases; clinical decision/making; men's health; physiological sexual dysfunction; psychological sexual dysfunction.

Publication types

  • Practice Guideline
  • Systematic Review

MeSH terms

  • Clinical Decision-Making / methods*
  • Critical Pathways / standards
  • Decision Making*
  • Erectile Dysfunction / diagnosis
  • Erectile Dysfunction / therapy*
  • Humans
  • Male
  • Patient Participation
  • Societies, Medical / standards*
  • Urology / standards*