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Intracavernosal injection therapy with and without sexological counselling in men with erectile dysfunction
Author(s) -
Van Der Windt F.,
Dohle G.R.,
Van Der Tak J.,
Slob A.K.
Publication year - 2002
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1046/j.1464-410x.2002.02777.x
Subject(s) - discontinuation , erectile dysfunction , medicine , sexology , gynecology , urology , clinical psychology , human sexuality , gender studies , sociology
Objective To compare the acceptance of and satisfaction with intracavernosal injection (ICI) therapy with and without sexological counselling in men with erectile dysfunction (ED). Patients and methods In a prospective randomized study, men were alternately assigned to ICI without sexological counselling (−SC) or with sexological counselling (+SC). In all, 70 patients were included, i.e. 35 in each group; 57 (28 −SC, 29 +SC) were interviewed by telephone after a mean follow‐up of 11.3 months to determine their use of ICI and reasons for discontinuing. Results There were no differences between the groups in discontinuation of ICI (overall 30%), in reasons for discontinuing ICI (24% did so because of the return of spontaneous erections) or in sexual functioning. Conclusion There was no positive contribution from additional sexological counselling but extensive information and support by the urologist seems to be sufficient, resulting in a high acceptance rate of ICI. The discontinuation rate (30%) is one of the lowest reported.