Positive effect of counseling and dose adjustment in patients with erectile dysfunction who failed treatment with sildenafil

European Urology
Ilan GruenwaldYoram Vardi

Abstract

Many patients with erectile dysfunction (ED) stop using sildenafil due to subjective failure. This study examined whether counseling and maximal dosing (100 mg) could achieve better treatment compliance and could possibly improve treatment outcome. Patients were recruited by newspaper advertisements and referred to 5 ED centers throughout the country. Details about their previous experiences with sildenafil were recorded and following an explicit explanation about the nature and action of the drug, were offered to enter the study. Instructions on drug use were provided during each visit in which four 100 mg Sildenafil tablets were provided. Treatment outcomes were assessed by the international index of erectile function (IIEF) questionnaire after taking 4 and 8 tablets. In 2 ED centers a short video with sexual counseling content was added in between visits. The study cohort was comprised of 220 patients aged 27-88 years. The majority reported having received limited or no instructions on drug use when sildenafil was first prescribed. A significant increase in IIEF erectile function domain scores (EFDS) between visits 1, 2 and 3 was observed (10.96+/-0.40, 16.73+/-0.51 and 17.82+/-0.55 mean+/-SE, respectively), with 23.6% of th...Continue Reading

References

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Citations

Jul 25, 2009·International Journal of Clinical Practice·R SadovskyS Sorsaburu
Dec 1, 2007·Clinical Interventions in Aging·Konstantinos Hatzimouratidis
Sep 7, 2014·Current Diabetes Reports·Konstantinos Hatzimouratidis, Dimitrios Hatzichristou
Jun 30, 2009·The Aging Male : the Official Journal of the International Society for the Study of the Aging Male·Sertac CimenAhmet Adil Esen
Feb 13, 2009·The Journal of Sexual Medicine·Lasantha S Malavige, Jonathan C Levy
Feb 13, 2010·Sociology of Health & Illness·Barbara L Marshall
Sep 5, 2006·European Urology·Konstantinos Hatzimouratidis, Dimitrios Hatzichristou
Dec 22, 2006·International Journal of Impotence Research·S Doggrell
Oct 21, 2006·Current Opinion in Urology·Muammer KendirciWayne J G Hellstrom
Jul 20, 2020·International Journal of Impotence Research·Alessandro PalmieriUNKNOWN SIA-Low intensity shock wave for Erectile Dysfunction (LED) Study Group

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