Santos José Carlos, Rolim Nídia, Fonseca Rita, Mota Renato, Monteiro Hélder
Serviço de Urologia, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal.
Serviço de Urologia, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal.
Rev Int Androl. 2019 Jan-Mar;17(1):31-36. doi: 10.1016/j.androl.2017.12.002. Epub 2018 Mar 19.
Andrology focuses in male sexual and fertility diseases. Its referral should be thoughtful and tailored in order to select the correct cases.
The aim of this work was to evaluate the referral to our department and improvement points.
A retrospective analysis was performed of the Andrology consults between January 2014 and December 2015.
We evaluated 96 of the 102 consults performed. About 60% of patients were referred with erectile dysfunction complaints, 15% with penile curvature and 8% with ejaculatory dysfunction. About 27% had previously tried phosphodiesterase 5 inhibitor, and 40% lacked recent metabolic workup.
The high prevalence of sexual complaints coupled with a high number of naïve patients could be due to difficulties by the referral doctors when analyzing and characterizing male sexual dysfunction according to the current sexual response cycle model. The lack of patient categorization accordingly to Princeton criteria (III) shows the difficulties found when selecting patients to start the first line of treatment for erectile dysfunction.
Sexual dysfunction are highly prevalent in the general population. Healthcare providers should improve diagnostic and treatment skills in this field of Urology.
男科学专注于男性性疾病和生育疾病。其转诊应经过深思熟虑并量身定制，以便选择正确的病例。
本研究旨在评估转诊至我们科室的情况及改进要点。
对2014年1月至2015年12月间的男科咨询进行回顾性分析。
我们评估了所进行的102次咨询中的96次。约60%的患者因勃起功能障碍主诉被转诊，15%因阴茎弯曲，8%因射精功能障碍。约27%的患者此前曾尝试使用5型磷酸二酯酶抑制剂，40%缺乏近期的代谢检查。
性主诉的高患病率以及大量初诊患者可能是由于转诊医生在根据当前性反应周期模型分析和界定男性性功能障碍时存在困难。未按照普林斯顿标准（III）对患者进行分类表明在选择开始勃起功能障碍一线治疗的患者时存在困难。
性功能障碍在普通人群中非常普遍。医疗服务提供者应提高泌尿外科这一领域的诊断和治疗技能。
