recent-study-erectile-dysfunction

A Controlled Study to Evaluate the Impact of a Psychosexual Assessment on Treatment Adherence and Satisfaction in Men with Erectile Dysfunction.

Title Annotation: research
Article Type: Brief Article
Geographic Code: 1USA
Date: Feb 1, 2006
Words: 201
Publication: The Journal of Sex Research
ISSN: 0022-4499


A Controlled Study to Evaluate the Impact of a Psychosexual Assessment on Treatment Adherence and Satisfaction in Men with Erectile Dysfunction, Katherine A. Muldoon, Julie F. Larouche, Rhonda Amsel, Yitzchak M. Binik, and Serge Carrier, McGill University

We compared the multidisciplinary assessment model of erectile dysfunction (ED) to the standard medical treatment. All patients were examined by the same urologist and received the same standard of care; however, the experimental group attended a psychosexual assessment prior to the appointment with the urologist. All patients answer a general health and sexual functioning questionnaire and complete the Sexual Health Inventory for Men (SHIM) at baseline. We followed up 3-6 months later and administered a brief structured interview, the SHIM, and the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) to assess sexual functioning and treatment satisfaction. Preliminary results suggested that men who underwent a psychosexual assessment before their urology exam report a significantly higher percentage use of prescribed medication treatment and significantly higher treatment satisfaction than men who had the urologist examination alone. A multidisciplinary approach to ED may be the most effective way to assess the condition and facilitate treatment adherence. This supports the conclusions of the NIH Consensus Panel on Impotence (1993).
COPYRIGHT 2006 Society for the Scientific Study of Sexuality, Inc.
Copyright 2006, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.


A Controlled Study to Evaluate the Impact of a Psychosexual Assessment on Treatment Adherence and Satisfaction in Men with Erectile Dysfunction
Read more On "recent-study-erectile-dysfunction"!

references-erectile-dysfunction

References
ERECTILE DYSFUNCTION

McVary, K. T.. Clinical practice. Erectile dysfunction. N Engl J Med. 2007 Dec; 357(24): 2472-81.

Melnik T, Soares BG, Nasselo AG. Psychosocial interventions for erectile dysfunction. Cochrane Database Syst Rev. 2007 Jul 18;(3):CD004825.

Update Date: 8/10/2009

Updated by: Reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Also reviewed by Scott Miller, MD, Urologist, private practice, Atlanta, Georgia.
Read more On "references-erectile-dysfunction"!

other-treatment-erection-problems

Most often KNOWLEDGE AND GUIDANCE of experienced Sex Therapist itself is a POWERFUL treatment and no other treatment is required.

THE SEX THERAPIST SHOULD BE ASKED WHAT IS THE BEST TREATMENT
TREATMENT WITH MINIMUM OR NO SIDE EFFECTS IS ALWAYS PREFERABLE.

If pills,like viagra(R), cialis(R), revitra(R), (sildenafil, tadalafil, vardenafil) do not work, options such as the following are available.

Testosterone replacement using skin patches, topical gel, or injections into the muscle may be prescribed if your blood testosterone level is low. This option is rarely used.

ICIVAD
Injection of VasoActive Drugs in Penis
Eg. CAVERJECT
A medicine called alprostadil, injected into the penis or inserted into the urethra, improves blood flow to the penis. This usually works better than medications taken by mouth.
An external vacuum device can be used to pull blood into the penis. A special rubber band is then used to maintain the erection during intercourse.

For some patients, a surgically-placed penile implant (prosthesis) may also be recommended or needed.

Many herbs and dietary supplements are marketed to help sexual performance or desire. There are several special concerns for people taking alternative remedies for erectile dysfunction. Also, none of these remedies have been proven effective for treating erectile dysfunction.


Source
http://www.nlm.nih.gov/medlineplus/ency/article/003164.htm
Read more On "other-treatment-erection-problems"!

precaution-medicine-erection-treatment

VIAGRA(R) and similar medicines that contain Sildenafil Citrate are called PDE5 inhibitors.
SILDENAFIL
TADALAFIL
VARDENAFIL
are also PDE5 inhibitors

PDE5 inhibitors should be used with caution if you have any of the following conditions:

Recent stroke
Severe heart disease, such as unstable angina, a recent heart attack, or arrhythmia
Severe heart failure
Uncontrolled hypertension (high blood pressure)
Uncontrolled diabetes
Very low blood pressure (hypotension)

http://www.nlm.nih.gov/medlineplus/ency/article/003164.htm
Read more On "precaution-medicine-erection-treatment"!