Meyer J-P, Gillatt D A, Lockyer R, Macdonagh R
Bristol Urological Institute, Southmead Hospital, Westbury-on-Trym, Bristol, UK.
BJU Int. 2003 Dec;92(9):929-31. doi: 10.1111/j.1464-410x.2003.04530.x.
To report on the first use of a quality-of-life (QoL) measure specific for erectile dysfunction (ED), the 'ED effect on QoL' (ED-EQoL), to assess the effect of ED on QoL after radical prostatectomy (RP).
We retrospectively identified 89 patients who had undergone RP at one institution. Each was sent the ED-EQoL and a second questionnaire asking whether they had been counselled before RP about possible ED afterward.
The response rate was 91% and the median time since RP 92 months; 76% of those who were potent before RP were impotent afterward. The overall results showed that the QoL of 72% of patients was moderately or severely affected. For each question, on average a third of the patients reported that their QoL was affected either 'quite a lot' or 'a great deal'.
This study shows that ED after RP has a profound effect on QoL; it is therefore important when assessing ED to use an ED-specific QoL questionnaire such as the ED-EQoL to measure the psychosocial effect of ED, in addition to using an instrument such as the International Index of Erectile Function to measure the functional aspects of ED.
报告首次使用专门针对勃起功能障碍（ED）的生活质量（QoL）测量工具“ED对生活质量的影响”（ED-EQoL），以评估根治性前列腺切除术（RP）后ED对生活质量的影响。
我们回顾性地确定了在一家机构接受RP的89例患者。向每位患者发送了ED-EQoL以及另一份问卷，询问他们在RP之前是否就术后可能出现的ED接受过咨询。
回复率为91%，RP后的中位时间为92个月；RP前有勃起功能的患者中，76%术后出现勃起功能障碍。总体结果显示，72%的患者生活质量受到中度或重度影响。对于每个问题，平均有三分之一的患者报告其生活质量受到“相当大”或“极大”的影响。
本研究表明，RP后ED对生活质量有深远影响；因此，在评估ED时，除了使用如国际勃起功能指数等工具来测量ED的功能方面外，使用诸如ED-EQoL这样的特定于ED的生活质量问卷来测量ED的心理社会影响也很重要。
