Schuetz-Mueller D, Tiefer L, Melman A
Department of Psychiatry, Montefiore Medical Center, Bronx, NY 10467, USA.
J Sex Marital Ther. 1995 Winter;21(4):229-38. doi: 10.1080/00926239508414642.
Of 20 men evaluated for erectile dysfunction (ED) for whom vacuum erection devices or constriction bands were recommended, only four experienced improvement of their erectile function by using the specific suggested method. Although use of a simple constriction band mechanism (e.g., a rubber band wound tightly around the penis) for men with brief erectile capacity has been described as a viable treatment, only one of five men who tried using it achieved any success. Three of six men who used a vacuum erection device were helped by it, particularly the men who suffered from only partial ED. Most patients did not follow through with the recommended treatment and stopped sexual activity, or belatedly returned for intracavernosal injections. The interviews revealed the pervasive influence of shame and demoralization regarding erectile problems, the importance of evaluation and treatment follow-up, and the necessity for careful, explicit, extensive, and concrete explanations and instructions regarding treatment options.
在接受评估的20名勃起功能障碍（ED）男性中，推荐使用真空勃起装置或紧缩带，只有4人通过使用特定建议方法使勃起功能得到改善。尽管对于勃起功能短暂的男性，使用简单的紧缩带机制（如用橡皮筋紧紧缠绕阴茎）被描述为一种可行的治疗方法，但尝试使用的5名男性中只有1人取得了成功。使用真空勃起装置的6名男性中有3人从中受益，尤其是那些仅患有部分ED的男性。大多数患者没有坚持推荐的治疗方法，停止了性活动，或者后来又回来接受海绵体内注射。访谈揭示了羞耻感和对勃起问题的气馁情绪的普遍影响、评估和治疗随访的重要性，以及就治疗选择进行仔细、明确、广泛和具体解释及说明的必要性。
