自慰的勃起硬度得分可以作为有机勃起功能障碍的初步查工具
Hui Zhang1, Elena Colonnello2, Hao Zhang3
1Department of Infertility and Sexual Medicine, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China; Chair of Endocrinology and Medical Sexology (ENDOSEX), Department of Experimental Medicine, University of Rome Tor Vergata, Rome, Italy.
Urology
|September 23, 2023
概括
自慰期间的勃起硬度得分 (EHS) 有效诊断勃起功能障碍 (ED),显示高特异性. 一个EHS分数为3-4表明ED不那么严重,可能会避免进一步的夜间阴茎缩和刚性 (NPTR) 测试.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 性医学性医学性医学性医学
背景情况:
- 勃起功能障碍 (ED) 诊断依赖于各种方法,夜间阴茎缩和刚性 (NPTR) 是一个标准.
- 勃起硬度得分 (EHS) 是患者报告的勃起质量结果指标.
研究的目的:
- 为了评估勃起硬度得分 (EHS) 的诊断效果,应用于自慰,主要用于有机勃起功能障碍 (ED).
- 为了比较EHS对夜间阴茎瘤和刚性 (NPTR) 的敏感性和特异性,作为黄金标准.
主要方法:
- 189名患有ED的男性患者 (IIEF-6分数<26) 填写了EHS (自慰) 和IIEF-6 (伴侣性交) 问卷.
- 使用Rigiscan的NPTR测试对每个患者进行了连续两晚的测试.
- 统计分析包括灵敏度,特异性,预测值和ROC曲线分析.
主要成果:
- 在诊断ED时,EHS的灵敏度为60.0%,特异性为95.7%.
- 积极和消极的预测值分别为83.3%和86.9%,巧合率为86.2%.
- 一个0.572的相关系数和0.78的ROC AUC表明了EHS在区分有机ED的实用性.
结论:
- 自慰期间的勃起硬度得分 (EHS) 是诊断勃起功能障碍 (ED) 的宝贵工具.
- 3-4的EHS评分表明良好最佳勃起功能,降低了主要有机性勃起障碍的可能性和NPTR测试的需要.
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