Giuliano F
Neuro-uro-andrologie, service de médecine physique et réadaptation, hôpital Raymond-Poincaré, université de Versailles-Saint-Quentin-en-Yvelines, AP-HP, 104, boulevard Raymond-Poincaré, 92380 Garches, France.
Prog Urol. 2013 Jul;23(9):811-21. doi: 10.1016/j.purol.2013.01.006. Epub 2013 Feb 28.
Screening, diagnosis and assessment of the management of male and female sexual dysfunctions have been greatly improved by the scientific development of self-administered questionnaires. Their use became the rule in clinical trials and epidemiological surveys. Nevertheless, their routine use has not yet become part of daily urological practice. Even if these tools replace neither the patient interview and medical history and the psychological and social context of the sexual behavior, nor clinical examination, they are of great assistance for determining management and are also highly reliable.
Medical literature was reviewed and combined with expert opinion of the author.
We present here several questionnaires which have been validated in their French version with the methodology for the calculation of the scores. The International Index of Erectile Function (15 items) and two abbreviated versions, the Erectile Function domain (six items) and the Sexual Health Inventory for Men (five questions) are mainly of use for patients with erectile dysfunction. They provide a robust classification of the severity of the condition. The Premature Ejaculation Profile (four questions) is used for patients with premature ejaculation. It describes premature ejaculation with the following criteria: time to ejaculation, control over ejaculation, the level of distress. The Male Health Sexual Questionnaire (25 questions) provides with a wider and more comprehensive approach to male sexuality of male sexuality including: erection, ejaculation, desire and satisfaction. This questionnaire is particularly useful to investigate ejaculatory disorders. Lastly, the Female Sexual Function Index (19 questions) is the tool of choice for female sexuality with questions regarding desire, arousal, lubrication, orgasm, satisfaction and pain.
Validated, user-friendly questionnaires are available in French language for the diagnosis and the follow-up of sexual dysfunctions in both men and women.
自我管理问卷的科学发展极大地改善了男性和女性性功能障碍的筛查、诊断及管理评估。它们的使用已成为临床试验和流行病学调查的规范。然而，其常规使用尚未成为日常泌尿外科实践的一部分。即便这些工具既不能替代患者访谈、病史以及性行为的心理和社会背景，也不能替代临床检查，但它们对确定治疗方案有很大帮助且可靠性很高。
回顾医学文献并结合作者的专家意见。
我们在此展示了几份已在法语版本中得到验证并带有评分计算方法的问卷。国际勃起功能指数（15项）及其两个简化版本，即勃起功能领域（6项）和男性性健康量表（5个问题）主要用于勃起功能障碍患者。它们对病情严重程度进行了有力的分级。早泄概况问卷（4个问题）用于早泄患者。它依据以下标准描述早泄：射精时间、对射精的控制、苦恼程度。男性健康性问卷（25个问题）对男性性行为提供了更广泛、更全面的评估，包括：勃起、射精、性欲和满意度。这份问卷对调查射精障碍特别有用。最后，女性性功能指数（19个问题）是评估女性性功能的首选工具，涉及性欲、性唤起、润滑、性高潮、满意度和疼痛等问题。
有经法语验证且用户友好的问卷可用于诊断和随访男性及女性的性功能障碍。
