referral criteria from primary care - erectile dysfunction (ED)
Last reviewed 01/2018
Urgent admission to hospital
- if there is priapism (the patient should be advised to if he has an erection lasting longer than 4 hours).
Referral to secondary care is done in
- penile abnormality (phimosis, Peyronie’s disease, post-priapism, penile cancer)
- endocrinopathy (primary or secondary hypogonadism)
- severe mental distress
- first line pharmacotherapy ineffective
- psychogenic erectile dysfunction refractory to first line drugs
- specialised diagnostic tests needed (for example, penile Doppler studies, nocturnal penile tumescence)
- intermediate or high risk cardiovascular disease
- contraindication to phosphodiesterase-5 inhibitors
- lifelong history of erectile dysfunction (1)
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