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A study using Viagra in a mental health practice.

J Pallas1, S B Levine, S E Althof

  • 1Center for Marital and Sexual Health, Inc., Cleveland, Ohio 44122, USA.

Journal of Sex & Marital Therapy
|February 29, 2000
PubMed
Summary
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Viagra (sildenafil citrate) improved erectile function in many men, with 63% experiencing better erections. Psychodynamic factors are crucial for patients not achieving ideal outcomes with Viagra.

Area of Science:

  • Urology
  • Psychiatry
  • Pharmacology

Background:

  • Erectile dysfunction (ED) affects a significant number of men.
  • Sildenafil citrate (Viagra) emerged as a novel treatment option for ED.
  • Understanding patient responses and predictors of success is essential.

Purpose of the Study:

  • To evaluate the clinical effectiveness of Viagra in a psychiatric outpatient setting.
  • To categorize and analyze patient outcomes, including successes and failures.
  • To explore the role of psychodynamic factors in treatment response.

Main Methods:

  • An intent-to-treat study involving 58 men receiving Viagra.
  • Data collected between April and December 1998.
  • Follow-up visits to assess clinical responses using defined success and failure categories.

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Main Results:

  • 63% of patients reported improved erections.
  • 50% regained the ability to have intercourse.
  • 43% achieved ideal outcomes (cure or uncomplicated drug-dependent success).
  • 17% showed no benefit; 21% were lost to follow-up.

Conclusions:

  • Viagra demonstrates effectiveness in improving erectile function.
  • Psychodynamic considerations are important for managing patients with suboptimal responses.
  • Further research into psychological aspects of ED treatment is warranted.