Exhibition Hall (Room 517-AB) | Male - Sexual Dysfunction Time: - |
A Controlled Study to Evaluate the Impact of a Psychosexual Assessment on Treatment Adherence and Satisfaction in Men with Erectile Dysfunction.
Muldoon, Katherine*,1, 2, Larouche, Julie 2, Amsel, Rhonda1, Binik, Yitzchak 1, 2, Carrier, Serge3, 1 Department of Psychology, McGill University, Montreal, Quebec, Canada2 Sex and Couple Therapy Service, Department of Psychology, McGill University Health Center, Montreal, Quebec, Canada3 Department of Surgery, Division of Urology, McGill University Health Center, Montreal, Quebec, Canada
ABSTRACT- Intro/Objectives: Since their release in 1998, oral treatments such as Viagra, Levitra, and Cialis have been used by millions of men to treat erectile dysfunction (ED). While it has been a revolutionary advance, it is reported that up to 65% of men discontinue their treatment regardless of efficacy. With this in mind, The Sexual Health Program was developed, as a joint collaboration between the Departments of Urology and Psychology at the McGill University Health Centre (MUHC), to assess the organic and psychological aspects of erectile dysfunction. Main body/Results:The purpose of this study is to compare the multidisciplinary assessment model of ED to the standard medical treatment. All patients are examined by the same urologist and receive the same standard of care; however, the experimental group attends a psychosexual assessment prior to the appointment with the urologist. All patients answer a general health and sexual functioning questionnaire and complete the Sexual Health Inventory for Men (SHIM) at baseline. They are followed-up 3-6 months later and administered a brief structured interview, the SHIM, and the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS), to assess sexual functioning and treatment satisfaction. Preliminary results suggest that men who undergo a psychosexual assessment before their urology exam report a (1) significantly higher percentage use of prescribed medication treatment; and (2) significantly higher reported treatment satisfaction than men who have the urologist examination alone. Conclusion:A multidisciplinary approach to ED may be the most effective way to assess the condition and facilitate treatment adherence. This supports the conclusions of the NIH Consensus Panel on Impotence (1993).
Key words: erectile dysfunction, psychosexual assessment, treatment compliance, program evaluation