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患者对勃起功能障碍的理解与认知:香港与欧洲的对比

Patients' understanding and perception of erectile dysfunction: Hong Kong versus Europe.

作者信息

Shi Ruofan, Chun Stacia Tsun-Tsun, Na Rong, Zhang Yan, Pang Karl H

机构信息

Division of Urology, Department of Surgery, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong (HK), China.

Division of Urology, Department of Surgery, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.

出版信息

World J Urol. 2025 May 4;43(1):263. doi: 10.1007/s00345-025-05661-x.

DOI:10.1007/s00345-025-05661-x
PMID:40320446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12050226/
Abstract

PURPOSE

To estimate the prevalence of Erectile dysfunction (ED) in a Hong Kong (HK) population, evaluate the understanding and perception of ED and compare results with the European Association of Urology (EAU) and The Urology Foundation Trust (TRTed-TUF) data.

METHODS

A survey-based study was conducted between Dec 2023 and Mar 2024. The EAU and TRTed-TUF surveys were used as a template to design the current survey to ensure consistent reporting. Questions on the understanding of ED, healthcare seeking behaviour and awareness of treatment options were included. The survey was distributed via an online link to students and staff from The Hong Kong University (HKU) and to patients attending outpatient clinics at HKU Queen Mary Hospital.

RESULTS

616 responses were received from men aged 18-81 years. The prevalence of ED in our population was 51.8%. 53.2% (EAU 33.6%) were incorrect about what ED is, 54.0% (EAU 56.5%) knew that ED could be treated and 26.4% (TRTed-TUF 22%) were aware that ED could be a sign of heart disease. 73.6% (EAU, 26.3%) do not talk with anyone about ED. 88.3% (TRTed-TUF 77%) would be more likely to seek help if they knew ED was a sign of heart disease. Up to 32.6% (EAU 17.2%) have heard of alternative therapies to oral phosphodiesterase-5 inhibitors.

CONCLUSIONS

ED awareness is low, and it is important to raise awareness possibly through charity campaigns, social media and education in primary care in order to detect underlying cardiovascular disease and reduce the impact of ED on psychosocial health.

摘要

目的

评估香港人群中勃起功能障碍(ED)的患病率,评估对ED的理解和认知,并将结果与欧洲泌尿外科学会(EAU)和泌尿外科基金会信托基金(TRTed - TUF)的数据进行比较。

方法

在2023年12月至2024年3月期间进行了一项基于调查的研究。以EAU和TRTed - TUF的调查为模板设计本次调查,以确保报告的一致性。纳入了关于ED的理解、寻求医疗行为和治疗选择意识的问题。通过在线链接将调查问卷分发给香港大学(HKU)的学生和教职员工以及在HKU玛丽医院门诊就诊的患者。

结果

共收到616名年龄在18 - 81岁男性的回复。我们人群中ED的患病率为51.8%。53.2%(EAU为33.6%)对ED的定义有误,54.0%(EAU为56.5%)知道ED可以治疗,26.4%(TRTed - TUF为22%)意识到ED可能是心脏病的迹象。73.6%(EAU为26.3%)没有与任何人谈论过ED。88.3%(TRTed - TUF为77%)如果知道ED是心脏病的迹象,会更有可能寻求帮助。高达32.6%(EAU为17.2%)听说过口服磷酸二酯酶-5抑制剂以外的替代疗法。

结论

对ED的认知度较低,通过慈善活动、社交媒体和基层医疗教育来提高认知度很重要,以便发现潜在的心血管疾病并减少ED对心理社会健康的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d638/12050226/256aca09d606/345_2025_5661_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d638/12050226/4abc7bceb41e/345_2025_5661_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d638/12050226/256aca09d606/345_2025_5661_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d638/12050226/4abc7bceb41e/345_2025_5661_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d638/12050226/256aca09d606/345_2025_5661_Fig2_HTML.jpg

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本文引用的文献

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Intra-Cavernosal Injection of Botulinum Toxin in the Treatment of Erectile Dysfunction: a Systematic Review and Meta-Analysis.海绵体内注射肉毒杆菌毒素治疗勃起功能障碍:一项系统评价和荟萃分析。
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高发国家勃起功能障碍的流行病学更新。
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Erectile Dysfunction Predicts Cardiovascular Events as an Independent Risk Factor: A Systematic Review and Meta-Analysis.勃起功能障碍作为独立危险因素预测心血管事件:系统评价和荟萃分析。
J Sex Med. 2019 Jul;16(7):1005-1017. doi: 10.1016/j.jsxm.2019.04.004. Epub 2019 May 16.
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Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis.低强度体外冲击波疗法对勃起功能障碍的影响:一项系统评价和荟萃分析
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A systematic review of the psychosocial outcomes associated with erectile dysfunction: does the impact of erectile dysfunction extend beyond a man's inability to have sex?与勃起功能障碍相关的心理社会结局的系统评价:勃起功能障碍的影响是否超出了男性无法进行性行为的范围?
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