Samenvatting van de standaard ‘Erectiele disfunctie’ van het Nederlands Huisartsen Genootschap

The Dutch College of General Practitioners recently published the practice guideline ‘Erectile dysfunction’. The prevalence of erectile dysfunction increases with age. A lot of the men suffering from erectile dysfunction do not consult their general practitioner, or only do so after a lot of delay. It is recommended that inquiry about erectile dysfunction be made during routine follow-up consultations for co-morbid conditions.

The discrimination between psychogenic and somatic erectile dysfunction is important in the choice of treatment. With the exception of increased physical activity, it has not been demonstrated that changes in life-style diminish existing erectile dysfunction. The efficacy and safety of the 3 phosphodiesterase-5-inhibitors, sildenafil, vardenafil and tadalafil, are similar.