Opinions, Attitudes, and Perceptions in Relation to Erectile Dysfunction and Premature Ejaculation in the Undiagnosed Spanish Male Population. Results of the PANDORA Project

Autor: Gutiérrez Hernández, Francisco José, N. Cruz-Culebra, Arrondo Arrondo, Mariano Rosselló Gayá, Corral Molina, Pedro Ramón, Jesús Fernández Rosaenz, M. Artés-Ferragud, Félix Campos Juanatey, José Pascual, A.M. Puigvert-Martínez, Vela Jiménez, Jorge Manuel González Suárez, Fernando Meijide Rico, Luís Rodríguez Vela, José María, Martínez Jabaloyas, R. Artigas-Feliu, Alcaraz Reverte, José Jara Rascón, R. Prieto-Castro, Cortiñas González, Juan Manuel, José Luis, José Valero Rosa, Jesús Mateos Blanco, José Ramón, Asier Leibar Tamayo, P. Illán-Mateo
Rok vydání: 2019
Předmět:
Zdroj: The journal of sexual medicine. 17(8)
ISSN: 1743-6109
Popis: Background Approximately 43% of Spanish men report experiencing premature ejaculation (PE) at some point in their lives and 12.1% suffer from erectile dysfunction (ED), of whom only 16.5% have seen a doctor. Despite this, ED and PE remain undiagnosed among a supposedly healthy segment of the population. Aim To assess the general knowledge of a representative population of healthy Spanish males of the symptoms, treatment, and expectations related to ED and PE. Methods This was a descriptive study based on an online questionnaire in which 2,515 males aged 25–75 years with no history of ED and/or PE presented their perception of aspects related to symptoms, diagnosis, treatment, and expectations in ED and PE. Main Outcome Measures The study provided an evaluation of the knowledge, attitude, and underdiagnosis of ED and/or PE in healthy males and the approach taken by urology specialists and other disciplines. Results The survey was completed by 2,515 healthy males, including over 80% of those who had completed secondary or higher education. 60% of the sample had never seen a urologist and 59% and 62% of the participating men responded correctly to the statements about PE and ED, respectively. Their lack of knowledge of the therapeutic alternatives was clear (74% and 76% of the panel were unaware of the existence of effective treatments for ED and PE, respectively). Despite the initiative shown by some participants in seeking information about each condition (10.3% for ED; 16.7% for PE), only 4.7% of them had been questioned about ED by a medical practitioner (1.9% for PE). The underdiagnosis rate stood at 3.5% for ED (5.6% participants >65 years) and at about 10% for PE. Clinical Implications These results will represent a point of departure for establishing some recommendations to improve the detection and treatment of these disorders. Strengths & Limitations This is the first study of its kind in Spain to analyze the underdiagnosis of ED and/or PE inferred from data reported by a population of healthy males. Screening for ED was performed with a validated questionnaire. However, the rest of the research was conducted using adaptations of validated questionnaires or a self-designed questionnaire based on and in consultation with a group of experienced andrologists. Conclusion People need to have greater knowledge of both the conditions and the related false myths to make sure that they are familiar with the existence of drug treatments and socio-sanitary interventions. Primary care physicians and urologists should also be more proactive in routine visits in order to achieve better management of ED and PE.
Databáze: OpenAIRE
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