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Urology

Welcome to the urology category for physicians and pharmacists. This category has links to a wide range of clinical practice resources. Search and find resources such as urology guidelines, medical journal articles and prescribing guidance for urological diseases e.g. urinary tract infections (UTIs), erectile dysfunction (ED) and prostate cancer.

American Urological Association Clinical Guidelines

Source: auanet.org
Clinical Resource: Guidelines
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Last Checked: 07/05/13 Link Error: Report It

 

Canadian Urological Association Guidelines

Source: cua.org
Clinical Resource: Guidelines
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Last Checked: 20/08/15 Link Error: Report It

 

European Association of Urology Guidelines

Source: uroweb.org
Clinical Resource: Guidelines
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Last Checked: 18/06/13 Link Error: Report It

 

The Cochrane Collaboration
Cochrane Reviews - Urology

The Cochrane Collaboration is an international, non-profit, independent organisation, established to ensure that up-to-date, accurate information about the effects of healthcare interventions is readily available worldwide. It produces and disseminates systematic reviews of healthcare interventions, and promotes the search for evidence in the form of clinical trials and other studies of the effects of interventions.

Source: cochrane.org
Clinical Resource: Systematic Reviews
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Last Checked: 13/07/15 Link Error: Report It

 

BestBETs
Urinary Tract

BETs were developed in the Emergency Department of Manchester Royal Infirmary, UK, to provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature. BETs take into account the shortcomings of much current evidence, allowing physicians to make the best of what there is.

Source: bestbets.org
Clinical Resource: Evidence Based Answers to Clinical Questions
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Last Checked: 31/08/13 Link Error: Report It

 

Bandolier Knowledge
Urinary

In these pages are collected the stories from Bandolier relating to things urological.

Source: bandolier.org.uk
Clinical Resource: Evidence Based Abstracts
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Last Checked: 13/06/17 Link Error: Report It

 

Urogenital - CLEAR: clinical enquiry and response service

The CLEAR service is delivered by a team of information professionals based at Healthcare Improvement Scotland and NHS Greater Glasgow and Clyde.

CLEAR aims to provide clinicians with summarised evidence relating to aetiology, diagnosis, prognosis and treatment queries about patient care.

Source: knowledge.scot.nhs.uk
Clinical Resource: Evidence Based Answers to Clinical Questions
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Last Checked: 22/04/13 Link Error: Report It

 

Joint Consensus Statement on the Initial Assessment of Haematuria
Prepared on behalf of the Renal Association and British Association of Urological Surgeons

Source: baus.org.uk
Clinical Resource: Consensus Statement
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Last Checked: 20/08/15 Link Error: Report It

 

Scottish Intercollegiate Guidelines Network (SIGN) Guideline > Management of Suspected Bacterial Urinary Tract Infection in Adults

Source: sign.ac.uk
Clinical Resource: Guideline
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Last Checked: 18/05/15 Link Error: Report It

 

Urinary tract infection: diagnosis guide for primary care
Public Health England

Guidance for primary care on diagnosing and understanding culture results for urinary tract infection (UTI)

Source: gov.uk
Clinical Resource: Guide
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Last Checked: 23/02/15 Link Error: Report It

 

Best Practice in Antibiotic Prescribing
Acute Uncomplicated Urinary Tract Infection in Women, 18 – 65 yrs of age
Cumbria PCT Medicines Management

Source: cumbria.nhs.uk
Clinical Resource: Detailing Aid
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Last Checked: 18/06/13 Link Error: Report It

 

Infectious Diseases Society of America Guidelines for the Diagnosis and Treatment of Asymptomatic Bacteriuria in Adults

Source: idsociety.org
Clinical Resource: Guideline
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Last Checked: 15/05/15 Link Error: Report It

 

 

National Institute for Health and Care Excellence (NICE) Guidance > Urinary tract infection in children: Diagnosis, treatment and long-term management

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 18/05/15 Link Error: Report It

 

 

Urinary Tract Infections: A Primary Care Puzzle

This course explains the importance and appropriateness of diagnostics and offers advice on how to assess and treat patients with a range of urinary symptoms. It encourages reflection on how to minimise antibiotic resistance and offers ‘real-life’ cases.

Source: rcgp.org.uk
Clinical Resource: e-Learning
Register to Access Content: Yes - registration is FREE

Last Checked: 02/12/16 Link Error: Report It

 

The Truth About UTIs and Asymptomatic Bacteriuria

Acute cystitis is extremely common with 40% to 50% of women reporting at least one urinary tract infection (UTI) in their lifetime. UTIs are much less common in men.

Source: stacommunications.com
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

COMPASS Therapeutic Notes on the Management of Bacterial Urinary Tract Infections in Primary Care

In this issue

Introduction, Background & Diagnostic Tests
UTI in non-pregnant women
UTI in pregnant women
UTI in men
UTI in patients with catheters
Acute pyelonephritis
UTI in children
Cranberry products

Source: hscbusiness.hscni.net
Clinical Resource: Bulletin
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Last Checked: 22/11/16 Link Error: Report It

 

Management of urinary tract infections in the elderly

Urinary tract infection is a common cause of morbidity and mortality in patients over 70 years of age. The prevention, diagnosis and treatment of infection in this group of patients require an understanding of the different epidemiology and pathophysiology involved.

Source: eu.wiley.com
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Management of urinary tract infections in men

In this article, the authors provide a practical stepwise guide for those managing urinary tract infections in adolescent and adult males in the community.

Source: eu.wiley.com
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Treatment of UTIs in patients with renal failure

What is the treatment of choice for a urinary tract infection (UTI) in a patient with renal failure?

Source: druginformation.co.nz
Clinical Resource: Drug Information Service Bulletin
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Last Checked: 16/03/13 Link Error: Report It

 

Cranberry Juice and Urinary Tract Infection

Cranberries have long been the focus of interest for their beneficial effects in preventing urinary tract infections (UTIs). Cranberries contain 2 compounds with antiadherence properties that prevent fimbriated Escherichia coli from adhering to uroepithelial cells in the urinary tract.

Source: cdi.oxfordjournals.org
Clinical Resource: Journal Article
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Last Checked: 24/02/14 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Nocturnal enuresis: The management of bedwetting in children and young people

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 18/05/15 Link Error: Report It

 

The investigation and management of nocturnal enuresis in General Practice

Key Concepts

  • Nocturnal enuresis is common and children usually grow out of it
  • Simple advice regarding fluids and use of rewards may be appropriate in the first instance
  • If the child and their family are motivated to try treatment, then the use of bed alarms with support offer the best chance of long-term success
  • Desmopressin can be prescribed with caution for occasional short term use
Source: bpac.org.nz
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Urinary incontinence: The management of urinary incontinence in women

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 18/05/15 Link Error: Report It

 

Implementation of the NICE guidance for the management of urinary incontinence in women

A joint guide on behalf of the Section of Female and Reconstructive Urology of the British Association of Urological Surgeons and the British Society of Urogynaecology

Source: baus.org.uk
Clinical Resource: Guidance
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Last Checked: 20/08/15 Link Error: Report It

 

 

Approach to urinary incontinence in women
Diagnosis and management by family physicians

Urinary incontinence (UI) is a common problem that affects women of childbearing age and older women. Although the exact prevalence of UI is difficult to determine because women do not always report It, reported rates are generally high.

Source: cfp.ca
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Urinary Incontinence in the Elderly

Urinary incontinence is a common disability with considerable personal and carer burden in the elderly. Drugs play a role in causing and treating urinary incontinence and lower urinary tract symptoms. This article will discuss the therapeutic approach to managing urinary incontinence in the older person. 

Source: shpa.org.au
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Management of urinary incontinence in older people

Our series Prescribing in older people gives practical advice for successful management of the special problems experienced by this patient group. Here, the authors describes the drug management of urinary incontinence.

Source: eu.wiley.com
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Is newer better? New drugs for treatment of overactive bladder

The current Letter summarizes the Common Drug Review (CDR) reports on three drugs newly available in Canada for the treatment of overactive bladder (darifenacin, solifenacin and trospium).

Source: ti.ubc.ca
Clinical Resource: Evidence Based Therapeutics Letter
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Last Checked: 18/06/13 Link Error: Report It

 

Anticholinergic drugs for overactive bladder: a review of the literature and practical guide

This paper reviews the current anticholinergic pharmacotherapy,which is the mainstay of treatment for this condition.

Source: eu.wiley.com
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

New Approaches in Managing Interstitial Cystitis/Bladder Pain Syndrome

There is controversy surrounding the management of IC/BPS, with no clear consensus for its optimal treatment.1 The symptoms of IC/BPS vary among patients, with the definitions of the condition and how to measure outcomes varying as well.

Source: uspharmacist.com
Clinical Resource: Journal Article
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Last Checked: 12/06/17 Link Error: Report It

 

Q: Why would Flomax® be prescribed for a woman?

A: Tamsulosin (Flomax®) is a selective alpha-1a/1d adrenergic antagonist indicated for the treatment of benign prostatic hyperplasia (BPH).

Source: duq.edu
Clinical Resource: Pharmaceutical Information Centre Publication
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Last Checked: 18/06/13 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Lower urinary tract symptoms: The management of lower urinary tract symptoms in men

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 18/05/15 Link Error: Report It

 

British Association of Urological Surgeons’ suprapubic catheter practice guidelines

Source: baus.org.uk
Clinical Resource: Guideline
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Last Checked: 18/06/13 Link Error: Report It

 

Multi-disciplinary Team (MDT) Guidance for Managing Bladder Cancer

Produced by:

  • British Uro-oncology Group (BUG)
  • British Association of Urological Surgeons (BAUS) Section of Oncology
  • Action on Bladder Cancer (ABC)
Source: baus.org.uk
Clinical Resource: Guidance
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Last Checked: 20/08/15 Link Error: Report It

 

MDT (Multi-disciplinary Team) Guidance for Managing Prostate Cancer

Produced by:

  • British Uro-oncology Group (BUG)
  • British Association of Urological Surgeons (BAUS): Section of Oncology
  • British Prostate Group (BPG)
Source: baus.org.uk
Clinical Resource: Guidance
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Last Checked: 20/08/15 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Prostate cancer: diagnosis and treatment

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 27/06/14 Link Error: Report It

 

Clinical Practice Guidelines for the management of locally advanced and metastatic prostate cancer

Developed by the Australian Cancer Network these guidelines are intended for use by all practitioners and health workers who require information about the management of patients with locally advanced and metastatic prostate cancer and is available to download

Source: andrologyaustralia.org
Clinical Resource: Guideline
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Last Checked: 18/06/13 Link Error: Report It

 

Early Diagnosis of Prostate Cancer in General Practice

Prostate Cancer UK and The Royal College of General Practitioners are proud to offer this e-learning module for Primary Care.

This course will enable you to increase your awareness, knowledge and skills to assess patients with symptoms that could be explained by prostate cancer.

It covers epidemiology, risk factors, case scenarios to showcase the variety of clinical presentations and explains the use of primary care investigations, including the appropriate use of the prostate specific antigen.

Source: prostatecanceruk.org
Clinical Resource: e-Learning
Register to Access Content: Yes - registration is FREE

Last Checked: 24/02/15 Link Error: Report It

 

Bandolier Knowledge
Prostate cancer

This site looks at the best evidence we can find on prostate cancer, mainly through systematic reviews.

Source: bandolier.org.uk
Clinical Resource: Evidence Based Abstracts
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Last Checked: 13/06/17 Link Error: Report It

 

Andrology Australia
Prostate Disease

Source: andrologyaustralia.org
Clinical Resource: Guide
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Last Checked: 18/06/13 Link Error: Report It

 

Prostate disease: e-learning for pharmacy staff

This e-learning module is focused towards providing pharmacists with:

  • the information required to successfully identify the symptoms of possible prostate diseases, including prostate cancer, in a pharmacy setting
  • the appropriate knowledge and confidence to guide men on the next steps in the diagnosis process.
Source: prostatecanceruk.org
Clinical Resource: e-Learning
Register to Access Content: Yes - registration is FREE

Last Checked: 24/04/15 Link Error: Report It

 

Benign Prostatic Hypertrophy
An update on drug therapy

This Letter updates the evidence of benefit and harm from alpha blockers and 5-α-reductase inhibitors.

Source: ti.ubc.ca
Clinical Resource: Evidence Based Therapeutics Letter
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Last Checked: 18/06/13 Link Error: Report It

 

Bandolier Knowledge
Benign prostatic hyperplasia (BPH)

This site looks at the best evidence we can find on BPH, mainly through systematic reviews.

Source: bandolier.org.uk
Clinical Resource: Evidence Based Abstracts
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Last Checked: 13/06/17 Link Error: Report It

 

Should combinations of alpha-adrenergic blockers and 5-alpha reductase inhibitors be used to treat benign prostatic hyperplasia ??

Source: usask.ca
Clinical Resource: Drug Information Service Newsletter
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Last Checked: 18/03/13 Link Error: Report It

 

Finasteride (Propecia®/Proscar®) and Pregnancy

This sheet talks about whether exposure to finasteride may increase the risk for birth defects above that background risk.

Source: mothertobaby.org
Clinical Resource: Factsheet
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Last Checked: 19/10/15 Link Error: Report It

 

Supplements for Prostate Health

This article will discuss some common nonprescription therapies that are used for prostate health.

Source: uspharmacist.com
Clinical Resource: Journal Article
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Last Checked: 24/02/14 Link Error: Report It

 

British Association for Sexual Health and HIV Clinical Effectiveness Group UK National Guideline on the Management of Non-gonococcal Urethritis

Source: bashh.org
Clinical Resource: Guideline
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Last Checked: 21/08/15 Link Error: Report It

 

British Association for Sexual Health and HIV Clinical Effectiveness Group UK National Guideline for the Management of Prostatitis

Source: bashh.org
Clinical Resource: Archived Guideline
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Last Checked: 21/08/15 Link Error: Report It

 

Endocrinology of Male Reproduction

1 Endocrinology of the Male Reproductive System
2 Androgen Physiology, Pharmacology and Abuse
3 Androgen Physiology: Receptor and Metabolic Disorders
4 Laboratory Assessment of Testicular Function
5 Hypogonadotropic Hypogonadism (HH) And Gonadotropin Therapy
6 Primary Testicular Failure
7 Clinical Management of Male Infertility
8 Medical and Surgical Therapy of Erectile Dysfunction
9 Benign Prostate Disorders
10 Prostate cancer
11 Age-Related Changes in the Male Reproductive Axis
12 Epidemiology of male reproductive disorders
13 Testicular Cancer Pathogenesis, Diagnosis And Endocrine Aspects
14 Gynecomastia: Etiology, Diagnosis, and Treatment
15 Male Contraception
16 Androgens and Coronary Artery Disease
17 Estrogens and male reproduction
18 Male Androgenetic Alopecia
19 Cryptorchidism and Hypospadias

Source: endotext.org
Clinical Resource: Chapters
Register to Access Content: Yes - registration is FREE

Last Checked: 01/08/13 Link Error: Report It

 

Guidelines on the management of sexual problems in men: the role of androgens

A statement produced by:

British Society for Sexual Medicine

In association with:

British Association for Sexual Health and HIV
British Association of Urological Surgeons
British Fertility Society
British Menopause Society
Royal College of Pathologists
Royal College of Physicians
Society for Endocrinology

Source: bssm.org.uk
Clinical Resource: Guideline
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Last Checked: 08/05/13 Link Error: Report It

 

Testosterone Therapy in Adult Men with Androgen Deficiency Syndromes: An Endocrine Society Clinical Practice Guideline

Source: endocrine.org
Clinical Resource: Guideline
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Last Checked: 07/06/13 Link Error: Report It

 

Society for Endocrinology Position Statement on Male Hypogonadism and Ageing

Source: endocrinology.org
Clinical Resource: Position Statement
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Last Checked: 18/06/13 Link Error: Report It

 

Guidelines on the management of sexual problems in women: the role of androgens

A statement produced by:

British Society for Sexual Medicine

In association with:

British Association for Sexual Health and HIV
British Association of Urological Surgeons
British Fertility Society
British Menopause Society
Royal College of Pathologists
Royal College of Physicians
Society for Endocrinology

Source: bssm.org.uk
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 08/05/13 Link Error: Report It

 

Andrology Australia
Androgen deficiency

Source: andrologyaustralia.org
Clinical Resource: Guide
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Last Checked: 18/06/13 Link Error: Report It

 

Androgen Therapy in Women: An Endocrine Society Clinical Practice Guideline

Source: endocrine.org
Clinical Resource: Guideline
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Last Checked: 07/06/13 Link Error: Report It

 

Off-Label Drug Uses
Tramadol: Premature Ejaculation

Source: thomasland.com
Clinical Resource: Journal Article
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Last Checked: 26/11/15 Link Error: Report It

 

Andrology Australia
Premature Ejaculation and Other Ejaculatory Disorders - Diagnosis and Management

Source: andrologyaustralia.org
Clinical Resource: Guide
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Last Checked: 18/06/13 Link Error: Report It

 

British Society for Sexual Medicine Guidelines on the Management of Erectile Dysfunction

Source: bssm.org.uk
Clinical Resource: Guideline
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Last Checked: 18/06/13 Link Error: Report It

 

Hormonal Testing and Pharmacologic Treatment of Erectile Dysfunction: A Clinical Practice Guideline From the American College of Physicians

Source: acponline.org
Clinical Resource: Guideline
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Last Checked: 18/06/13 Link Error: Report It

 

 

Andrology Australia
Erectile Dysfunction

Source: andrologyaustralia.org
Clinical Resource: Guide
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Last Checked: 18/06/13 Link Error: Report It

 

Bandolier Knowledge
Erectile dysfunction and premature ejaculation

This site is intended to gather the best evidence available about erectile dysfunction and premature ejaculation.

Source: bandolier.org.uk
Clinical Resource: Evidence Based Abstracts
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Last Checked: 13/06/17 Link Error: Report It

 

Erectile Dysfunction

Erectile dysfunction (ED) is defined as the inability to achieve or maintain an erection sufficient for satisfactory sexual activity. Persistent ED is common, particularly in older men, and can significantly impair quality of life both for the man and his partner.

Source: bpac.org.nz
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Interactions between drugs for erectile dysfunction and drugs for cardiovascular disease

The present review will focus on the effects of drugs for cardiovascular disease on erectile function and make special emphasis on the interactions of drugs for treatment of ED with drugs for treatment of heart disease.

Source: nature.com
Clinical Resource: Journal Article
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Last Checked: 22/04/13 Link Error: Report It

 

European Society of Hypertension Newsletter
Hypertension and Sexual Dysfunction

Source: eshonline.org
Clinical Resource: Newsletter
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Last Checked: 19/08/15 Link Error: Report It

 

Drug-induced sexual dysfunction in men and women

Many medical conditions and their treatments contribute to sexual dysfunction.

Commonly implicated drugs include antihypertensives, antidepressants, antipsychotics and antiandrogens.

Understanding the potential for drug-induced sexual problems and their negative impact on adherence to treatment will enable the clinician to tailor treatments for the patient and his or her partner.

Source: nps.org.au
Clinical Resource: Journal Article
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Last Checked: 08/08/16 Link Error: Report It

 

Drugs causing possible erectile dysfunction

Source: refhelp.scot.nhs.uk
Clinical Resource: Table
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Last Checked: 18/06/13 Link Error: Report It

 

Some prescribed drugs that may cause problems with sexual dysfunction

Source: sda.uk.net
Clinical Resource: List
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Last Checked: 18/06/13 Link Error: Report It

 

Sexual dysfunction & antidepressants – part one

When considering whether sexual dysfunction is a result of antidepressant therapy, other causes and or contributing factors should be taken into account.

Sexual dysfunction & antidepressants – part two

There are a number of strategies that have been suggested for managing antidepressant induced sexual dysfunction as follows.

Source: auspharmlist.net.au
Clinical Resource: Pharmacy E-Bulletins
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Last Checked: 18/06/13 Link Error: Report It

 

Antidepressant-induced sexual dysfunction

Depression and sexual dysfunction are both common in the general population. When they co-exist they have the potential to impact negatively on each other in a bidirectional manner. Medication used to treat depression may cause additional problems with the sexual response cycle; although no drug is completely innocent, serotonergic agents such as selective serotonin reuptake inhibitors (SSRIs) and serotonin and noradrenaline reuptake inhibitors (SNRIs) are most frequently implicated in antidepressant-induced sexual dysfunction.

Source: safpj.co.za
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

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