Skip to main content

Advertisement

Log in

Understanding the needs and objectives of erectile dysfunction patients

  • Topic Paper
  • Published:
World Journal of Urology Aims and scope Submit manuscript

Abstract

Consideration of the needs and objectives of individual patients significantly influences the behavior of erectile dysfunction (ED) patients and their partners. Evaluation of an erectile dysfunction (ED) patient requires individualized consideration of the expectations, needs, and objectives of the affected couple. These factors can influence attitudes toward diagnosis, treatment seeking, and ultimately treatment compliance and dropout. Relevant ED market research studies were presented at the 2006 annual meeting of the American Urological Association. The studies explored the prevalence of ED, access to treatment, and ED patient attitudes and preferences. Several barriers continue to influence treatment-seeking behavior in men with ED. These barriers have had a negative impact on the ED patient and marketplace resulting in low rates of utilization and high rates of dropout from therapies for ED.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Zakaria L, Anastasiadis A, Shabsigh R (2001) Common conditions of the aging male: erectile dysfunction, benign prostatic hyperplasia, cardiovascular disease and depression. Int Urol Nephrol 33:283

    Article  CAS  PubMed  Google Scholar 

  2. Johannes CB, Araujo AB, Feldman HA, et al (2000) Incidence of erectile dysfunction in men 40–69 years old: longitudinal results from the Massachusetts male aging study. J Urol 163:460

    Article  CAS  PubMed  Google Scholar 

  3. Araujo AB, Durante R, Feldman HA, et al (1998) The relationship between depressive symptoms and male erectile dysfunction: cross-sectional results from the Massachusetts male aging study. Psychosom Med 60:458

    CAS  PubMed  Google Scholar 

  4. Shabsigh R, Klein LT, Seidman S, et al (1998) Increased incidence of depressive symptoms in men with erectile dysfunction. Urology 52:848

    Article  CAS  PubMed  Google Scholar 

  5. Seidman SN, Roose SP, Menza MA, et al (2001) Treatment of ED in men with depressive symptoms: placebo-controlled trial with sildenafil. Am J Psychiatry 158:1623

    Article  CAS  PubMed  Google Scholar 

  6. Laumann EO, Paik A, Rosen RC (1999) Sexual dysfunction in the United States: prevalence and predictors. JAMA 281:537

    Article  CAS  PubMed  Google Scholar 

  7. Giuliano F, Chevret-Measson M, Tsatsaris A, Reitz C, Murino M, Thonneau P (2002) Prevalence of erectile dysfunction in France: results of an epidemiological survey of a representative sample of 1004 men. Eur Urol 42(4):382–389

    Article  PubMed  Google Scholar 

  8. Guest JF, Das Gupta R (2002) Health-related quality of life in a UK-based population of men with erectile dysfunction. Pharmacoeconomics 20:109

    Article  PubMed  Google Scholar 

  9. Hakim J, Subit M, Kandzari S, et al (2002) Quality control in the screening of erectile dysfunction-results of a survey. Urology 60:125

    Article  CAS  PubMed  Google Scholar 

  10. Burchardt M, Burchardt T, Anastasiadis AG, et al (2001) Erectile dysfunction is a marker for cardiovascular complications and psychological functioning in men with hypertension. Int J Impot Res 13:276

    Article  CAS  PubMed  Google Scholar 

  11. De Berardis G, Franciosi M, Belfiglio M, et al (2002) Quality of care and outcomes in type 2 diabetes (QuED) study group. Diabetes Care 25:284

    PubMed  Google Scholar 

  12. Fagelman E, Fagelman A, Shabsigh R (2001) Efficacy, safety, and use of sildenafil in urologic practice. Urology 57:1141

    Article  CAS  PubMed  Google Scholar 

  13. Shabsigh R, Padma-Nathan H, Gittleman M, et al (2000) Intracavernous alprostadil alfadex is more efficacious, better tolerated, and preferred over intraurethral alprostadil plus optional actis: a comparative, randomized, crossover, multicenter study. Urology 55:109

    Article  CAS  PubMed  Google Scholar 

  14. Mulhall JP, Jahoda AE, Ahmed A, et al (2001) Analysis of the consistency of intraurethral prostaglandin E(1) (MUSE) during at-home use. Urology 58:262

    Article  CAS  PubMed  Google Scholar 

  15. Wagner G, Fugl-Meyer KS, Fugl-Meyer AR (2000) Impact of erectile dysfunction on quality of life: patient and partner perspectives. Int J Impot Res 12(suppl4):S144

    Article  PubMed  Google Scholar 

  16. MacDonagh R, Ewings P, Porter T (2002) The effect of erectile dysfunction on quality of life: psychometric testing of a new quality of life measure for patients with erectile dysfunction. J Urol 167:212

    Article  PubMed  Google Scholar 

  17. Derogatis LR, Rosen R, Leiblum S, et al (2002) The female sexual distress scale (FSDS): initial validation of a standardized scale for assessment of sexually related personal distress in women. J Sex Marital Ther 28:317

    Article  PubMed  Google Scholar 

  18. Althof SE (2002) When an erection alone is not enough: biopsychosocial obstacles to lovemaking. Int J Impot Res 14(suppl1):S99

    Article  PubMed  Google Scholar 

  19. Armstrong DK, Convery AG, Dinsmore WW (1994) Reasons for patient drop-out from an intracavernous auto-injection programme for erectile dysfunction. Br J Urol 74:99

    Article  CAS  PubMed  Google Scholar 

  20. Fichten CS, Spector I, Libman E (1988) Client attributions for sexual dysfunction. J Sex Marital Ther 14:208

    CAS  PubMed  Google Scholar 

  21. Ehrensaft MK, Condra M, Morales A, et al (1994) Communication patterns in patients with erectile dysfunction and their partners. Int J Impot Res 6:25

    CAS  PubMed  Google Scholar 

  22. Shirai M, Takimoto Y, Ishii N, et al (2001) Influence of erectile dysfunction on daily life and general attitudes towards treatments. Nippon Hinyokika Gakkai Zasshi 92(7):666

    CAS  PubMed  Google Scholar 

  23. Sundaram CP, Thomas W, Pryor LE, et al (1997) Long-term follow-up of patients receiving injection therapy for erectile dysfunction. Urology 49:932

    Article  CAS  PubMed  Google Scholar 

  24. Lottman PE, Hendriks JC, Vruggink PA, et al (1998) The impact of marital satisfaction and psychological counselling on the outcome of ICI-treatment in men with ED. Int J Impot Res 10:83

    Article  CAS  PubMed  Google Scholar 

  25. Shabsigh R, Perelman M, Laumann EO, Lockhardt D (2004) Drivers and barriers to seeking treatment for erectile dysfunction, a comparison of 6 countries. B JU Int 94(7):1055–1065

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ridwan Shabsigh.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shabsigh, R., Stone, B. Understanding the needs and objectives of erectile dysfunction patients. World J Urol 24, 618–622 (2006). https://doi.org/10.1007/s00345-006-0128-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00345-006-0128-5

Keywords

Navigation