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Erectile dysfunction is a common disease affecting the lives of millions of men worldwide. Sildenafil was the first oral treatment licensed for male erectile dysfunction. However, there are now a number of other options available. In this article the currently available oral treatments are reviewed.

Tasked by the Ministry of Health the Chinese Medical Association organized experts to develop these Guidelines for Diagnosis and Treatment of HIV/AIDS. Based on the latest national and international research developments these guidelines adopt an evidence-based approach taking into account the characteristics of Chinas situation. Topics include epidemiology etiology pathogenesis pathological changes clinical presentation and staging laboratory tests diagnosis highly active antiretroviral therapy (HAART) diagnosis and treatment of common opportunistic infections (OIs) prevention of mother-to-child transmission (PMTCT) and post-exposure prophylaxis. Special attention focuses on the antiretroviral therapy. Features of these guidelines include: 1) systematic and comprehensive coverage from basic science to the clinical from treatment to prophylaxis; 2) evidence-based medicine that avoids recommending views and approaches yet to be proven; 3) clinically practical and innovative buildingupon the consensus from Chinese experts (particularly in regard to HIV clinical staging and diagnostic criteria) epidemiology of HIV and AIDS in China and the clinical characteristics of Chinese AIDS patients; 4) recommendation of HAART regimens based on in-country drug availability. (excerpt)

Oral phosphodiesterase inhibitors have become the mainstay of treatment for erectile dysfunction. A novel and potent phosphodiesterase inhibitor, tadalafil, known as Cialis, has been introduced in the UK as an alternative to the other currently available phosphodiesterase inhibitors for the treatment of erectile dysfunction.

Priapism is defined as a prolonged penile erection that fails to subside despite orgasm. It is a medical emergency which should be diagnosed and treated early to preserve erectile function and avoid corporal fibrosis resulting from anoxia of the corporal tissue. Decompression is usually successful with no permanent damage if treatment is provided within 12hours of onset.

Accidental high-pressure injection of oils—grease-gun injury—has become increasingly common. We report a non-accidental variant.

Item does not contain fulltext Erectile dysfunction (ED) affects men of all ages and results in considerable distress and impact on quality of life for those who suffer from it. As ED is associated with a wide variety of under-lying conditions and cardiovascular co-morbidities, there is a requirement for diversity of treatment options and several factors must be considered to customise and optimise therapy. In the ideal holistic approach to management of the ED patient, both primary care and specialist physicians have an important role to play. This article reports on a sequential approach for the diagnosis and treatment of ED, with an emphasis on 'shared care'. The deliberations are based on a pan-European inter-disciplinary group that met at the Lygon Arms, UK on 22 February 2002.