Volume 13, Issue 2, April 2025
Editorial
Use the sexperts recommendations!
International Consultation on Sexual Medicine Recommendations
Psychological and interpersonal dimensions of sexual function and dysfunction: recommendations from the fifth international consultation on sexual medicine (ICSM 2024)
Penile prosthesis for erectile dysfunction: recommendations from the 5th International Consultation on Sexual Medicine
Vacuum erectile devices for erectile dysfunction: recommendations from the 5th international consultation on sexual medicine
1—Clinicians should offer vacuum erectile device (VED) alone or combined with other therapies for erectile dysfunction (ED) for intercourse, even in difficult to treat populations, such as diabetes mellitus (DM), spinal cord injury, and post-radical prostatectomy (RP). The quality of evidence is moderate. Strength of recommendation: strong.
2—Clinicians should offer VED early in the post-operative setting to maintain penile size following RP. The quality of evidence is moderate. Strength of recommendation: strong.
3—Clinicians should not offer VED to restore spontaneous erectile function more rapidly or to a greater degree when used as a rehabilitation therapy after RP.
The quality of evidence is high. Strength of recommendation: strong.
4—Clinicians may offer VED before or after penile prosthesis implantation to improve surgical outcomes. The quality of evidence is low. Strength of recommendation: weak.
5—Clinicians may offer VED as a primary treatment or combined with other therapies for Peyronie’s disease. The quality of evidence is low. Strength of recommendation: weak.
6—Clinicians should be aware of studies with VED use for female sexual dysfunction, subjective short penis, post proctectomy and after urethroplasty. The quality of evidence is very low. No recommendation can be given due to very limited publications.
