泌尿科医生的沟通是导致勃起功能障碍治疗前列腺切除术后的主要因素
Martin Baunacke1, Christer Groeben2, Angelika Borkowetz1
1Department of Urology, TU Dresden, Fetscherstrasse 74, 01307 Dresden, Germany.
The journal of sexual medicine
|August 30, 2024
概括
许多男性在急性前列腺切除术 (RP) 后不寻求勃起功能障碍 (ED) 的治疗. 关键障碍包括缺乏合作伙伴的兴趣和与泌尿科医生的沟通不良,突出需要积极的患者参与.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 男人的健康 男人的健康
- 性医学性医学性医学性医学
背景情况:
- 勃起功能障碍 (ED) 是急性前列腺切除术 (RP) 后患者的常见问题.
- 研究表明,大量患者没有获得足够的护理或治疗前列腺切除术后的ED.
研究的目的:
- 识别和评估与寻求和接受ED治疗的障碍相关的变量.
- 了解影响RP后患者治疗利用率的因素.
主要方法:
- 一项多中心前性横截面研究评估了936名患者在RP后10-15年后的功能结果.
- 对525名ED或失禁患者进行了一项调查,以收集有关治疗经验和障碍的数据.
- 数据分析包括千平方测试,t测试和多变量逻辑回归.
主要成果:
- 在246名ED患者中,46%从未接受过治疗.
- 关于ED的主要对话伙伴是伴侣 (69%) 和泌尿科医生 (48%).
- 没有接受ED治疗的患者不太可能与泌尿科医生沟通,伴侣支持较少,并报告伴侣对性感兴趣较少. 相信治疗不会有帮助是最常被引用的障碍 (65%).
结论:
- 与泌尿科医生的沟通不足和伴侣对性感兴趣的缺乏是RP后使用ED治疗的重大障碍.
- 泌尿科医生应主动与患者讨论ED治疗选择,并提高他们对患者关切的认识.
相关概念视频
Disorders of the Male Reproductive System
359
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
359
Male Sexual Response: Erection & Ejaculation
1.8K
Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
1.8K
Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
136
Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
136


