Dutch Sexologist perceptions on monitoring nocturnal erectile function

Trip Evelien J, Nicolai Melianthe P, Elzevier Henk W, Pelger Rob CM, Beck Jack JH
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Abstract

Background: There has been a long-standing interest in assessing male sexual function over the past number of decades. Erectile Dysfunction (ED) is commonly classified as organic, psychogenic, or mixed. Aim: The principal aim of this questionnaire was to determine the ways in which Dutch healthcare professionals (sexologists) define the type of ED in their daily practice. The second aim was to evaluate sexologists’ opinions regarding their experiences with the Rigiscan and the desired aspects of a yet-to-be-developed successor. Methods: We performed an anonymous survey study. A questionnaire with 21 items was mailed to all participants of the Dutch Association of Sexology. To obtain a higher response rate the survey was sent three times. The questionnaire was designed by two Dutch sexologists from the Sint Antonius Hospital. The survey questions were pre-tested, and after making changes to the questionnaire it was pilot tested. Outcomes: Eighty-eight people responded and sixty-six respondents completed the survey. Results: The majority of respondents reported that information obtained by a thorough sexual history, according to the biopsychosocial model, is sufficient to diagnose the cause of ED and enable them to provide the correct therapy. For additional diagnostics, respondents indicate to refer to a urologist for physical examination, basic laboratory tests, or, if necessary, advanced examinations such as a nocturnal penile tumescence measurement. 83% of respondents said to use a simple sensor to differentiate the cause of ED if this would be available. Features respondents mentioned of a future sensor where: validated, patient-friendly, and easy to use at home. Clinical implications: The data provide information to develop a new sensor to measure nocturnal erections. Strengths & limitations: Study strengths include: The first report among Dutch sexologists about usage and needs for nocturnal erections measurements. Study limitations include a non-validated questionnaire. A diverse group of Dutch sexologists, not many medical sexologists. Low response rate. Conclusion: The participating sexologists indicate a need for more clarity regarding the different tools which could be useful for the differentiation between primary organic and primary psychogenic ED. A new validated, patient-friendly sensor that can be used by patients in their home setting was appointed to be helpful.
荷兰性学家对监测夜间勃起功能的看法
背景:在过去的几十年里,对男性性功能的评估一直存在着长期的兴趣。勃起功能障碍(ED)通常分为器质性、心因性或混合性。目的:本问卷的主要目的是确定荷兰医疗保健专业人员(性学家)在日常实践中定义ED类型的方式。第二个目的是评估性学家的意见,关于他们与Rigiscan的经验和期望的方面,尚未开发的继任者。方法:采用匿名调查研究。一份包含21个项目的调查问卷被邮寄给了荷兰性学协会的所有参与者。为了获得更高的回复率,调查发送了三次。这份问卷是由圣安东尼奥医院的两位荷兰性学家设计的。调查问题是预先测试的,在对问卷进行更改后,进行试点测试。结果:88人回应,66人完成调查。结果:大多数受访者报告说,根据生物心理社会模型,通过彻底的性史获得的信息足以诊断ED的原因,并使他们能够提供正确的治疗。对于额外的诊断,应答者表示要向泌尿科医生咨询进行体格检查、基本实验室检查,或在必要时进行高级检查,如夜间阴茎肿胀测量。83%的受访者表示,如果有可能,他们会使用一个简单的传感器来区分ED的原因。受访者提到的未来传感器的特点是:经过验证,对患者友好,易于在家中使用。临床意义:这些数据为开发一种新的测量夜间勃起的传感器提供了信息。优势与局限性:研究优势包括:荷兰性学家关于夜间勃起测量的使用和需求的第一份报告。研究的局限性包括未验证的问卷。一群不同的荷兰性学家,而不是很多医学性学家。响应率低。结论:参与研究的性学家指出,需要更加明确区分原发性器质性ED和原发性心因性ED的不同工具。一种新的经过验证的、对患者友好的传感器被指定为有帮助的,这种传感器可以在患者的家庭环境中使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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