Prescribing of sildenafil by national insurance program physicians. What basic sexual medicine qualification is required?
Vauth, R.; Berner, M.; Wetterauer, U.; Berger, M.
Fortschritte der Medizin. Originalien 118(4): 173-179
2001
ISSN/ISBN: 1438-3276 PMID: 11217683 Document Number: 531036
The role of sildenafil in the treatment of erectile dysfunction is discussed. Especially in primary care there is a necessity to weigh the individual cost-benefit-ratio. Functional analysis of erectile dysfunction, exclusion of psychiatric and organic comorbidity, identification of sexual deviance and couple counseling about the advantages and disadvantages of sildenafil prescription are the core prerequisites of sildenafil application in primary care. The counseling model of PLIS-SIT is proposed as a guideline for counseling process. Current approaches of education for general practitioners are reviewed and the integration in a recently developed training for management of psychiatry and psychosomatic illness in general medical settings is proposed. Finally open questions for research and quality management are discussed.