Dewire D M, Todd E, Meyers P
Department of Urology, Medical College of Wisconsin, Milwaukee 53226, USA.
Wis Med J. 1995 Oct;94(10):542-4.
One hundred ninety-eight impotent men were evaluated between July 1993 and June 1994. A "patient goal-directed" approach was used in all cases. Treatment options presented to patients included: oral yohimbine, vacuum constriction devices, penile self-injection therapy, penile prostheses, and testosterone supplementation when clinically indicated. Thirty-two percent of patients declined treatment, and 67% chose nonsurgical therapy. Only two patients (1%) chose penile prostheses. In August 1994, a survey addressing satisfaction with therapy was mailed to all patients, and 99 men (50%) responded. Of the treated respondents, 80% stated that their therapy was "easy to use," and 70% reported that they were "able to have intercourse." Patients prefer nonsurgical impotence therapy, which restores satisfactory sexual function in most men.
1993年7月至1994年6月期间，对198名阳痿男性进行了评估。所有病例均采用“以患者目标为导向”的方法。向患者提供的治疗选择包括：口服育亨宾、真空收缩装置、阴茎自我注射疗法、阴茎假体，以及临床指征明确时补充睾酮。32%的患者拒绝治疗，67%的患者选择非手术治疗。只有两名患者（1%）选择了阴茎假体。1994年8月，向所有患者邮寄了一份关于治疗满意度的调查问卷，99名男性（50%）作出了回应。在接受治疗的受访者中，80%表示他们的治疗“易于使用”，70%报告称他们“能够进行性交”。患者更喜欢非手术性阳痿治疗，这种治疗能使大多数男性恢复满意的性功能。
