Ji Yoon Seob, Choi Ji Woong, Ko Young Hwii, Song Phil Hyun, Jung Hee Chang, Moon Ki Hak
Department of Urology, Yeungnam University College of Medicine, Daegu, Korea.
Korean J Urol. 2013 Jul;54(7):467-71. doi: 10.4111/kju.2013.54.7.467. Epub 2013 Jul 15.
Whereas sexual function has long been assumed to be an important component of adult men's lives, the impact of sexual dysfunction has not been estimated in parallel to other modern disease entities. We compared the seriousness of erectile dysfunction (ED) with that of other diseases by use of self-administered questionnaires.
Between January 2012 and July 2012, 434 healthy male volunteers (group 1) and 263 ED patients (group 2) were enrolled. The questionnaire consisted of the following: "If you must undergo only one disease in all your life, which disease could you select among these items or ED?" The comparative disease entities included hypertension, diabetes mellitus (oral hypoglycemic agent/insulin injection), hemodialysis, myocardial infarction, herpes zoster, chronic sinusitis, chronic otitis media, gastric cancer (early/late), lung cancer (early/late), liver cancer (early/late), and dementia.
Group 1 recognized ED as being a more serious disease than hypertension, diabetes mellitus (oral hypoglycemic agent), herpes zoster, chronic sinusitis, and chronic otitis media. In comparison, group 2 recognized ED as being a more serious condition than diabetes mellitus (insulin injection) and dementia (p<0.001 and p<0.001, respectively). In particular, ED was deemed to be more serious than hemodialysis, gastric cancer (early), lung cancer (early), and liver cancer (early) by men in group 2 in their 30s to 40s, and these results were statistically significant compared with the same age subgroups in group 1 (p<0.001, p<0.007, p<0.02, and p<0.007, respectively).
In contrast with their healthy counterparts, Korean men with ED recognized ED as being as serious as hemodialysis, dementia, and early stage cancer, which reflects the severe bother of ED in Korean patients.
尽管性功能长期以来一直被认为是成年男性生活的重要组成部分,但性功能障碍的影响尚未与其他现代疾病实体进行平行评估。我们通过自我管理问卷比较了勃起功能障碍(ED)与其他疾病的严重程度。
2012年1月至2012年7月,招募了434名健康男性志愿者(第1组)和263名ED患者(第2组)。问卷包括以下内容:“如果你一生中必须只患一种疾病,你会从这些项目或ED中选择哪种疾病?”比较的疾病实体包括高血压、糖尿病(口服降糖药/胰岛素注射)、血液透析、心肌梗死、带状疱疹、慢性鼻窦炎、慢性中耳炎、胃癌(早期/晚期)、肺癌(早期/晚期)、肝癌(早期/晚期)和痴呆症。
第1组认为ED比高血压、糖尿病(口服降糖药)、带状疱疹、慢性鼻窦炎和慢性中耳炎更严重。相比之下,第2组认为ED比糖尿病(胰岛素注射)和痴呆症更严重(分别为p<0.001和p<0.001)。特别是,第2组中30多岁至40多岁的男性认为ED比血液透析、早期胃癌、早期肺癌和早期肝癌更严重,与第1组相同年龄亚组相比,这些结果具有统计学意义(分别为p<0.001、p<0.007、p<0.02和p<0.007)。
与健康男性相比,患有ED的韩国男性认为ED与血液透析、痴呆症和早期癌症一样严重,这反映了ED对韩国患者的严重困扰。