The Executive Council of the Italian Society of Andrology and Sexual Medicine (SIAMS), in collaboration with the Guidelines Committee of the same Society, has identified the 5 clinical practices at greater risk of inappropriateness from a first list of 20 proposals. Subsequently, the Guidelines Committee generated the text of recommendations, which have been debated by the President, the General Secretary and two delegates appointed by the Executive Council, one of whom is the Elected President.The final version of these recommendations has been submitted to the Executive Council and finally approved on 23/10/2017.