Multicentral clinical evaluation of the aetiology of erectile dysfunction: A survey report

被引:14
作者
Aydin S. [1 ]
Ünal D. [2 ]
Erol H. [3 ]
Karaman I. [4 ]
YIlmaz Y. [1 ]
Ş E. [1 ]
BayraklI H. [1 ]
机构
[1] Department of Urology, Medical School, Yüzüncü Yil University, Van
[2] Department of Urology, Medical School, Harran University, Urfa
[3] Department of Urology, Medical School, Adnan Menderes University, Aydin
[4] Sisli Etfal State Hospital, Istanbul
关键词
Aetiology; Erectile dysfunction;
D O I
10.1023/A:1015004429704
中图分类号
学科分类号
摘要
Patients with erectile dysfunction, who admitted to 4 different urological centres in Turkey were evaluated in terms of aetiological factors to establish the aetiology of erectile dysfunction in our population and compare it with the data derived from Western communities. After the history, physical examination, psychological evaluation and laboratory testing, a clinical diagnosis was established as primarily psychogenic, organic, or mixed aetiology. Mean patient age was 43.5 years (range 17 to 69), and 9 of the patients were unmarried. Of the patients 53 had vascular risk factors, and 10 reported a history of alcohol abuse. Eleven patients were using drugs that might interfere with the disorder. In this multicentral study of 115 impotent men, an organic cause was found in 43%, psychogenic in 47%, and mixed in 19%. Mean age of the overall patients was 43.48. When the ages of the patients with organic erectile dysfunction and those with psychogenic erectile dysfunction were compared, it was clearly seen that those with organic erectile dysfunction were much older (52.73 versus 33.02).
引用
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页码:699 / 703
页数:4
相关论文
共 20 条
  • [1] Williams C.B., Aetiology of erectile dysfunction, Urology, 46, 1, (1995)
  • [2] Van Arsdalen K.N., Malloy T.R., Wein A.J., Erectile physiology, dysfunction, and evaluation: II. Aetiology and evaluation of erectile dysfunction, Monogr Urol, 4, (1983)
  • [3] Krane R.J., Goldstein I., Saenz De Tejada I., Impotence, New Engl J Med, 321, (1989)
  • [4] Goldstein I., Krane R.J., Drug-induced sexual dysfunction, World J Urol, 1, (1983)
  • [5] Slag M.F., Morley J.E., Elson M.K., Trence D.L., Nelson C., Nelson A., Kinlaw W.B., Beyer H.S., Nuttal F.Q., Shafer R.B., Impotence in medical clinic outpatients, J.A.M.A., 249, (1983)
  • [6] Feldman H.A., Goldstein I., Hatzichristou D.G., Krane R.J., McKinlay J.B., Impotence and its medical and psychosocial correlates: Results of the Massachusetts male aging study, J Urol, 151, 1, pp. 54-61, (1994)
  • [7] Martins F.E., Reis J.P., Visual erotic stimulation test for initial screening of psychogenic erectile dysfunction: A reliable noninvasive alternative?, J Urol, 157, 1, pp. 134-139, (1997)
  • [8] Consens Statement Online, 10, 4, pp. 1-31, (1992)
  • [9] Nickel J.C., Morales A., Condra M., Et al., Endocrine dysfunction in impotence: Incidence, significance, and cost-effective screening, J Urol, 132, (1984)
  • [10] Davis-Joseph B., Tiefer L., Melman A., Accuracy of the initial history and physical examination to establish the aetiology of erectile dysfunction, Urology, 45, 3, pp. 498-502, (1995)