The Princeton IV Consensus Recommendations for the Management of Erectile Dysfunction and Cardiovascular Disease.

Sharon J Parish, John P Mulhall, Martin Miner, Arthur L Burnett, Irwin Goldstein, Richard Sadovsky, Peter Ganz, Raymond C Rosen, Tobias S Köhler, Kevin T McVary, Robert A Kloner, Michael J Blaha, Noel N Kim, Tom Lue, Hossein Sadeghi-Nejad, Ira D Sharlip

Journal: Mayo Clinic proceedings 2024;99(9):1500-1517

PMID: 39115509

Abstract

The Princeton Consensus (Expert Panel) Conference is a multispecialty collaborative symposium dedicated to optimizing sexual function and preserving cardiovascular health. The Fourth Princeton Consensus Conference was convened on March 10-11, 2023, at the Huntington Medical Research Institutes in Pasadena, California. Princeton panels I to III addressed the clinical management of men with erectile dysfunction (ED) who also had cardiovascular disease. Thirteen years since Princeton III, Princeton IV builds on previous foundations in several key areas. Mounting evidence supports the need for providers to treat men with ED as being at risk for cardiac events until proven otherwise. Algorithms for the diagnosis and treatment of ED are updated with new recommendations for coronary artery calcium scoring for advanced cardiovascular risk stratification. Optimization of oral phosphodiesterase type 5 inhibitors in the treatment of men with ED and cardiovascular disease is thoroughly explored, including recent evidence of potential cardioprotective effects of these drugs.

Copyright © 2024 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

Address: Department of Urology, Mayo Clinic, Rochester, MN. Electronic address: [email protected].; Department of Cardiovascular Research, Huntington Medical Research Institutes, Pasadena, CA; Department of Medicine, Keck School of Medicine at University of Southern California, Los Angeles.; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco.; Department of Urology, Johns Hopkins University, Baltimore, MD.; Cardiology and Epidemiology, John Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease, Baltimore, MD.; Department of Medicine, University of California, San Francisco.; Department of Sexual Medicine, Institute for Sexual Medicine, Alvarado Hospital, San Diego, CA.; Department of Urology, University of California, San Francisco.; Center for Male Health, Stritch School of Medicine at Loyola University Medical Center, Maywood, IL.; Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.; Weill Cornell Medicine, New York, NY; Department of Medicine and Psychiatry, Westchester Behavioral Health Center, NewYork-Presbyterian Hospital, White Plains, NY.; Department of Urology, NYU Langone Grossman School of Medicine, New York, NY.; Department of Family and Community Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY.; Men's Health Center, Miriam Hospital, Providence, RI.

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