{"id":13756,"date":"2023-10-25T14:26:39","date_gmt":"2023-10-25T14:26:39","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13756"},"modified":"2023-10-25T14:26:42","modified_gmt":"2023-10-25T14:26:42","slug":"llr-policy-for-erectile-dysfunction-impotence","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/llr-policy-for-erectile-dysfunction-impotence\/","title":{"rendered":"Politica LLR pentru disfunc\u021bia erectil\u0103 (impoten\u021b\u0103)"},"content":{"rendered":"

<\/p>\n\n\n\n

<\/p>\n\n\n\n

Categoria<\/strong><\/p>\n\n\n\n

Criterii de prag<\/p>\n\n\n\n

Disfunc\u021bia erectil\u0103 (impoten\u021ba) este definit\u0103 ca incapacitatea de a ob\u021bine sau de a men\u021bine o erec\u021bie suficient\u0103 pentru penetrare \u0219i pentru satisfac\u021bia ambilor parteneri sexuali.<\/p>\n\n\n\n

<\/p>\n\n\n\n

Eligibilitate<\/strong><\/p>\n\n\n\n

LLR ICB va finan\u021ba tratamentul dup\u0103 cum urmeaz\u0103<\/strong>
\u00a0\u00a0
1. Tratamentul cu inhibitorul fosfodiesterazei de tip -5, sildenafil generic, \u00een doza minim\u0103 eficient\u0103 este recomandat oric\u0103rui b\u0103rbat care prezint\u0103 disfunc\u021bie erectil\u0103 cu o frecven\u021b\u0103 de dozare pentru o maxim de patru ori pe lun\u0103<\/strong>.
\u00a0
2. Pentru to\u021bi ceilal\u021bi inhibitori ai fosfodiesterazei de tip 5 (vardenafil, tadalafil \u0219i avanafil) este recomandat numai pentru pacien\u021bii care \u00eendeplinesc criteriile Schemei de liste selectate de guvern (SLS) \u0218I<\/strong> unde sildenafilul generic este ineficient, cu o frecven\u021b\u0103 de dozare maxim de patru ori pe lun\u0103<\/strong> folosind medicamentul cu cel mai mic cost de achizi\u021bie.
\u00a0
3. Tratamentul cu injec\u021bii intracavernoase de prostaglandin\u0103 E1 \u0219i instila\u021bii intrauretrale este recomandat numai pacien\u021bilor care \u00eendeplinesc criteriile SLS \u0218I<\/strong> numai dac\u0103 inhibitorii orali de fosfodiesteraza de tip 5 sunt contraindica\u021bi sau ineficien\u021bi. Frecven\u021ba maxim\u0103 de dozare ar trebui s\u0103 fie de patru ori pe lun\u0103<\/strong> folosind medicamentul cu cel mai mic cost de achizi\u021bie.
\u00a0
4. Tratamentul cu crema Alprostadil este nu sunt finan\u021bate \u00een mod obi\u0219nuit<\/strong> datorit\u0103 dovezilor limitate pentru eficien\u021ba clinic\u0103 \u0219i cost-eficacitate.
\u00a0
5. Tratamentul cu dispozitive de erec\u021bie cu vid poate fi luat \u00een considerare pentru acei b\u0103rba\u021bi care sunt intoleran\u021bi, care nu pot beneficia de terapie cu injec\u021bie intracavernos\u0103 (ICI) sau agen\u021bi orali.
\u00a0
6. Tratamentul cu implanturi peniane va fi finan\u021bat pentru post prostatectomie \u0219i priapism acut complicat. Opera\u021bia de implant penian pentru disfunc\u021bia erectil\u0103 \u00een stadiu terminal este finan\u021bat\u0103 de NHSE.

\u00a07. Tratamentul cu interven\u021bii psihosexuale poate fi utilizat \u00een lucrul cu pacien\u021bii de trimitere ter\u021biar\u0103, prin urmare medicii de familie ar trebui s\u0103 trimit\u0103 \u0219i s\u0103 se gestioneze \u00een asisten\u021ba primar\u0103 ca parte a \u00eengrijirii clinice.
<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u00cendrumare<\/strong><\/p>\n\n\n\n

\u00a0
Disfunc\u021bia erectil\u0103 | Subiecte de s\u0103n\u0103tate de la A la Z | CKS | GROZAV<\/a>
<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
Data revizuirii ARP 39: 2026<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"

Category Threshold Criteria Erectile dysfunction (impotence) is defined as an inability to obtain or maintain an erection sufficient for penetration and for the satisfaction of both sexual partners. 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