One patient out of four with newly diagnosed erectile dysfunction is a young man-worrisome picture from the everyday clinical practice
Autor: | Rocco Damiano, Giulia Castagna, Fabio Castiglione, Francesco Montorsi, Alberto Briganti, Paolo Capogrosso, Francesco Cantiello, Nazareno Suardi, Michele Colicchia, Maria Chiara Clementi, Andrea Salonia, Eugenio Ventimiglia |
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Přispěvatelé: | Capogrosso, P, Colicchia, M, Ventimiglia, E, Castagna, G, Clementi, Mc, Suardi, N, Castiglione, F, Briganti, Alberto, Cantiello, F, Damiano, R, Montorsi, Francesco, Salonia, Andrea |
Jazyk: | angličtina |
Rok vydání: | 2013 |
Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Adolescent Endocrinology Diabetes and Metabolism Urology Penile Induration Prevalence Young Disease Newly diagnosed Comorbidity New onset Health Statu Clinical Practice Young Adult Endocrinology Age Elderly Older patients Erectile Dysfunction Risk Factors Premature ejaculation medicine Humans International Index of Erectile Function Testosterone Premature Ejaculation business.industry Risk Factor Obstetrics and Gynecology medicine.disease Psychiatry and Mental health Erectile dysfunction Italy Reproductive Medicine Physical therapy Comorbiditie medicine.symptom business Human |
Popis: | Introduction Erectile dysfunction (ED) is a common complaint in men over 40 years of age, and prevalence rates increase throughout the aging period. Prevalence and risk factors of ED among young men have been scantly analyzed. Aim Assessing sociodemographic and clinical characteristics of young men (defined as 40 years) seeking first medical help for new onset ED as their primary sexual disorder. Methods Complete sociodemographic and clinical data from 439 consecutive patients were analyzed. Health-significant comorbidities were scored with the Charlson Comorbidity Index (CCI). Patients completed the International Index of Erectile Function (IIEF). Main Outcome Measure Descriptive statistics tested sociodemographic and clinical differences between ED patients 40 years and >40 years. Results New onset ED as the primary disorder was found in 114 (26%) men 40 years (mean [standard deviation [SD]] age: 32.4 [6.0]; range: 17-40 years). Patients 40 years had a lower rate of comorbid conditions (CCI=0 in 90.4% vs. 58.3%; (2), 39.12; P40 years. Younger ED patients more frequently showed habit of cigarette smoking and use of illicit drug, as compared with older men (all P0.02). Premature ejaculation was more comorbid in younger men, whereas Peyronie's disease was prevalent in the older group (all P=0.03). At IIEF, severe ED rates were found in 48.8% younger men and 40% older men, respectively (P>0.05). Similarly, rates of mild, mild-to-moderate, and moderate ED were not significantly different between the two groups. Conclusions This exploratory analysis showed that one in four patients seeking first medical help for new onset ED was younger than 40 years. Almost half of the young men suffered from severe ED, with comparable rates in older patients. Overall, younger men differed from older individuals in terms of both clinical and sociodemographic parameters. Capogrosso P, Colicchia M, Ventimiglia E, Castagna G, Clementi MC, Suardi N, Castiglione F, Briganti A, Cantiello F, Damiano R, Montorsi F, and Salonia A. One patient out of four with newly diagnosed erectile dysfunction is a young manworrisome picture from the everyday clinical practice. J Sex Med 2013;10:1833-1841. |
Databáze: | OpenAIRE |
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