PD28-01 PROCESS OF CARE OF ED 3.0 FOR THE UROLOGIC PROVIDER

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Evaluation I (PD28)1 Apr 2020PD28-01 PROCESS OF CARE OF ED 3.0 FOR THE UROLOGIC PROVIDER Michael Rosenheck*, John Sobieski, Hailu Yang, MD Miner Martin, MD Joel Heidelbaugh, MD Michael DiSanto, andPhD Allen SeftelMD Michael Rosenheck*Michael Rosenheck* More articles by this author , John SobieskiJohn Sobieski More articles by this author , Hailu YangHailu Yang More articles by this author , Miner MartinMiner Martin More articles by this author , Joel HeidelbaughJoel Heidelbaugh More articles by this author , Michael DiSantoMichael DiSanto More articles by this author , and Allen SeftelAllen Seftel More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000892.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Erectile Dysfunction (ED) is defined as the inability to achieve or maintain an erection for satisfactory sexual performance. A Process of Care (PoC) Model was established in 1999 wherein a clinical algorithm with broad appeal was developed to evaluate and treat male patients with erectile dysfunction (ED). The PoC model was updated in 2018 (Mulhall et al.), just as the AUA updated its ED management guidelines (Burnett et al.). To integrate the updated 2018 AUA guideline with the PoC model, we present PoC 3.0. PoC 3.0 provides a simplified suite of ED evaluation and management tools for the urologic provider. METHODS: The 1999 and 2018 PoC models, along with the 2018 AUA guidelines, were used as the template for PoC 3.0. PoC 3.0 removes the previously suggested tiered or hierarchal ED treatment approach (consistent with the 2018 AUA guidelines). PoC 3.0 has been endorsed by the American Society of Men’s Health (ASMH). RESULTS: PoC 3.0 has been tailored to the urologic provider, as ED evaluation, management and treatment has become expansive. As an example, we have incorporated penile duplex doppler with intravcavernous injection of a pharmacologic agent (PDUS) into the diagnostic pathway. By utilizing our updated “provider’s toolkit” that condenses the previous tiered treatment process into a more streamlined treatment pathway, this evolved process of care model broadens patients’ freedom to choose by offering all of the currently available treatment options at the outset under the guidance of the experienced urologic provider. This PoC model addresses the pitfalls of patient self-treatment of ED and suggests that patients can be educated in lifestyle modification, shared decision-making, and CV risk assessment along with treatment options (see graphic). CONCLUSIONS: Our updated PoC model, PoC 3.0, is the first PoC model that is specific to the urologic provider. This redesigned PoC model incorporates PDUS in the diagnosis of ED and removes the tiered approach to ED treatment. Through this updated model, patients will feel more involved in their ED care, better understand their clinical options, and leverage the knowledge of their provider to treat their ED in a personalized manner. Source of Funding: na © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e612-e612 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Michael Rosenheck* More articles by this author John Sobieski More articles by this author Hailu Yang More articles by this author Miner Martin More articles by this author Joel Heidelbaugh More articles by this author Michael DiSanto More articles by this author Allen Seftel More articles by this author Expand All Advertisement PDF downloadLoading ...