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Sildenafil versus the vacuum erection device: patient preference
J Chen1, N J Mabjeesh, A Greenstein
1Department of Urology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
The Journal of Urology
|October 5, 2001
Summary
Many men with erectile dysfunction preferred vacuum erection devices over sildenafil, citing side effects. However, two-thirds chose sildenafil for its efficacy, comfort, and ease of use.
Area of Science:
- Urology
- Andrology
- Sexual Medicine
Background:
- Vacuum erection devices (VEDs) are a primary treatment for erectile dysfunction (ED).
- Sildenafil is an effective oral medication for ED.
- Patient preference between VEDs and oral medications can vary.
Purpose of the Study:
- To evaluate patient preference between VEDs and sildenafil after successful treatment with both.
- To identify reasons for treatment preference in patients with ED.
Main Methods:
- 52 patients with ED successfully treated with VEDs were switched to sildenafil (25-100 mg).
- 36 patients reporting satisfactory erections with both methods expressed their preference.
- Data collected included reasons for choice and adverse side effects.
Main Results:
- 66.6% of patients preferred continuing sildenafil, while 33.3% preferred resuming VED use.
- Adverse side effects of sildenafil were the primary reason for choosing VEDs.
- Efficacy, comfort, and ease of use favored sildenafil, with fewer ejaculatory difficulties.
Conclusions:
- Despite effective oral medications like sildenafil, VEDs remain a preferred option for a significant number of ED patients.
- Patient-reported outcomes and side effect profiles heavily influence treatment choice in ED management.