Psych CASC / OSCE · Specialty psychiatry — sexual medicine interface
Explain erectile treatment safety and PE options — CASC communication station
MRCPsych/FRANZCP-style communication station: ED counselling, PDE5 safety, and PE psychoeducation.
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Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
A 45-year-old man wants 'the blue pill' after seeing online adverts. He has diet-controlled diabetes, takes no nitrates, and also describes lifelong PE with severe embarrassment. Partner is waiting outside. Explain assessment priorities, PDE5 inhibitor expectations and safety, PE behavioural options, and a collaborative plan without shame.
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the outpatient clinic. [2]
Candidate instructions. Take a focused, non-judgemental sexual history outline, explain that ED and PE can coexist and that ED should be addressed carefully, counsel on PDE5 inhibitor use (stimulation required, timing, no nitrates, side-effects), introduce behavioural PE techniques and possible medication options for PE, offer partner involvement with consent, and agree follow-up including diabetes review. [1][2][3]
References4ShowHide
- [1]Goldstein I, Lue TF, Padma-Nathan H, et al. Oral sildenafil in the treatment of erectile dysfunction. Sildenafil Study Group N Engl J Med, 1998.PMID 9580646
- [2]Burnett AL, Nehra A, Breau RH, et al. Erectile Dysfunction: AUA Guideline J Urol, 2018.PMID 29746858
- [3]Althof SE, McMahon CG, Waldinger MD, et al. An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation (PE) J Sex Med, 2014.PMID 24848686
- [4]Rosen RC, Riley A, Wagner G, et al. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction Urology, 1997.PMID 9187685