madman
Super Moderator
Helen L. Bernie, DO, MPH, Director, Sexual and Reproductive Medicine and Assistant Professor of Urology, Indiana University, Carmel, Indiana, reviews what the 2018 AUA erectile dysfunction guideline got right, where evidence limitations created “gray areas,” and what still applies in clinical practice today.
She discusses shared decision-making, foundational evaluation standards, PDE5 inhibitor optimization, erectile dysfunction as a men’s health diagnosis, and evidence gaps involving penile rehabilitation, regenerative therapies, and outcome measurement. Dr. Bernie also addresses how clinicians can navigate uncertainty while future guidance evolves.
This presentation provides a practical perspective on applying current guideline principles while recognizing where evidence remains limited.
