Tratamiento de la disfunción eréctil. Revisión Sistemática

Abstract

Background: Erectile dysfunction is defined as the constant lack of ability to attain or maintain an erection to achieve satisfactory sexual activity, affecting approximately 76% of the global population, with an estimated increase in the number of individuals. The objective is to analyze the various treatment methods for erectile dysfunction through the investigation of scientific data sources. Methodology: A systematic review was performed using a search in the following databases: PubMed, Scopus, Ovid, Taylor & Francis, and Web of science. The information collected was from 2019. Cross-sectional, longitudinal, cohort, and randomized articles were included. All studies and the most important elements were placed in tables. Results: Eighteen studies were analyzed, including treatments for lifestyle change, the use of phosphodiesterase-5 inhibitors, intracavernous injection, testosterone hormone replacement therapy, vacuum erection devices, penile prosthesis implantation, cognitive behavioral therapy, and regenerative therapies—either individually or in combination. Conclusions: All the evidence collected demonstrates that erectile dysfunction treatments present an efficacy that, although inferior to combined therapies of 2 treatments, retain their importance, also emphasizing the advantages and disadvantages involved in the use of a treatment, which encourages a comprehensive analysis prior to the administration of a treatment for erectile dysfunction. Keywords: erectile dysfunction, treatment, pharmacotherapy, surgery, regenerative therapy