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Group treatment of secondary erectile dysfunction
P R Kilmann1, R J Milan, J P Boland
1Department of Psychology, University of South Carolina, Columbia 29208.
Journal of Sex & Marital Therapy
|January 1, 1987
Summary
Three group therapy formats effectively treated secondary erectile dysfunction in men. Treatment success was linked to male partner age, relationship adjustment, and prior sexual performance, with 81% achieving significant improvement.
Area of Science:
- Urology
- Psychology
- Sex Therapy
Background:
- Secondary erectile dysfunction (ED) affects numerous men and their partners.
- Understanding effective treatment formats for ED is crucial for improving patient outcomes.
Purpose of the Study:
- To compare the efficacy of three group treatment formats for secondary erectile dysfunction.
- To identify predictors of successful treatment outcomes in men with ED.
Main Methods:
- 20 couples with male partners diagnosed with secondary ED were assigned to Communication Technique Training, Sexual Technique Training, Combination Treatment, Attention-Placebo, or No-Treatment groups.
- Participants engaged in twice-weekly sessions for 20 hours, with a 5-week waiting period for the no-treatment group.
- Success was measured by an 80% or greater success/experience ratio at 6-month follow-up.
Main Results:
- All three treatment groups showed substantial gains, with no statistically significant differences between formats.
- Male partner's age, perceived relationship adjustment, and pre-treatment success/experience ratio predicted treatment gains.
- 81% of treated men achieved the success criterion at 6-month follow-up.
- Good nocturnal tumescence pre-treatment correlated with better outcomes.
Conclusions:
- Group therapy formats are effective for treating secondary erectile dysfunction.
- Individual patient factors significantly influence treatment success.
- Combination treatment approaches may offer the most comprehensive benefits for erectile dysfunction.