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[使用国际勃起功能障碍指数(IIEF - 15)评估特发性帕金森病男性的性功能]

[Assessment of sexual function in men with idiopathic Parkinson's disease using the International Index of Erectile Dysfunction (IIEF-15)].

作者信息

Roumiguié M, Guillotreau J, Castel-Lacanal E, Malavaud B, De Boissezon X, Marque P, Rischmann P, Gamé X

机构信息

Service d'urologie, transplantation rénale et andrologie, CHU Rangueil, TSA 50032, 31059 Toulouse cedex, France.

出版信息

Prog Urol. 2011 Jan;21(1):67-71. doi: 10.1016/j.purol.2010.05.006. Epub 2010 Jul 2.

DOI:10.1016/j.purol.2010.05.006
PMID:21193148
Abstract

OBJECTIVE

to assess the sexual function in men with idiopathic Parkinson's disease.

PATIENTS AND METHODS

a cross-sectional study was performed in 35 men, mean age 68 ± 9 years, with idiopathic Parkinson's disease followed in a single urological department. The 15 questions International Index of the Erectile Function was sent by postal mail.

RESULTS

the answer's rate was 42.9% (15 patients). The mean age of the responders was 68.7 ± 10.0 years. Mean duration of the disease was 10.4 ± 6.8 years. Sexual dysfunction was the second cause for consultation in urology. Despite a sustained sexual desire, patients had an altered sexual function with low erectile function, orgasmic function, intercourse satisfaction and total satisfaction scores. According to the Cappelleri's classification, the erectile dysfunction was severe in 54% of the cases and moderate in 26.6%. Age, institutionalization and overactive bladder symptoms were associated with erectile, orgasmic function and intercourse satisfaction alteration, sexual desire alteration, intercourse and global satisfaction alteration, respectively.

CONCLUSION

men with idiopathic Parkinson's disease had a severe sexual dysfunction. The sexual desire was usually maintained but all the other domains were severely altered.

摘要

目的

评估特发性帕金森病男性患者的性功能。

患者与方法

对35名男性进行了一项横断面研究,这些男性平均年龄为68±9岁,患有特发性帕金森病,均在单一泌尿外科就诊。通过邮寄方式发放15个问题的国际勃起功能指数问卷。

结果

回复率为42.9%(15名患者)。回复者的平均年龄为68.7±10.0岁。疾病平均病程为10.4±6.8年。性功能障碍是泌尿外科门诊的第二大就诊原因。尽管性欲持续存在,但患者的性功能仍有改变,勃起功能、性高潮功能、性交满意度和总体满意度得分较低。根据卡佩莱里分类法,54%的病例勃起功能障碍严重,26.6%为中度。年龄、住院情况和膀胱过度活动症状分别与勃起功能、性高潮功能和性交满意度改变、性欲改变、性交和总体满意度改变相关。

结论

特发性帕金森病男性患者存在严重的性功能障碍。性欲通常得以维持,但所有其他方面均严重受损。

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