Volume 199, Lomiga 4, Faaopoopo, Aperila 2018, Itulau e1004
Pozzi, Edoardo, Paolo Capogrosso, Eugenio Ventimiglia, Filippo Pederzoli, Luca Boeri, Walter Cazzaniga, Francesco Chierigo et alLe Journal of Urology 199, nu. 4 (2018): e1004.
FOLASAGA MA SINI AUTU
O le fa'aletonu o le Erectile (ED) ose fa'asea ua fa'atuputeleina i tama talavou e i lalo ifo o le 40 tausaga le matutua. Na matou faʻamoemoe e iloilo mea e fesoʻotaʻi ma le faʻaletonu o le erectile function (EF) i se vaega o alii talavou o loʻo sailia fesoasoani faʻafomaʻi mo le faʻaleagaina o feusuaiga i se tasi nofoaga faʻaleaʻoaʻoga.
METHODS
O faʻamaumauga faʻapitoa ma sociodemographic na maua mo 307 faʻasologa o gasegase <40 yrs old e faʻatatau i le andrology falema'i a se tasi nofoaga fa'alea'oa'oga mo fa'alavelave fa'afeusuaiga. O faʻamaʻi faʻalesoifua maloloina-taua na maua i le Charlson Comorbidity Index (CCI). O gasegase uma na faʻamaeʻaina le International Index of Erectile Function (IIEF), le Beck's Inventory for Depression (BDI) ma le International Prostatic Symptom Score questionnaire (IPSS). O le mamafa ole ED na fa'avasegaina e tusa ai ma fa'atonuga a Cappelleri. Na matou faʻatusatusa tagata mamaʻi e faʻaleagaina le EF (faʻamatalaina o le IIEF-EF domain <26) faʻatasi ai ma i latou o loʻo lipotia mai masani IIEF-EF togi. Na faʻaaogaina suʻega saʻo a Mann-Whitney ma Fisher e suʻe ai le eseesega i le va o vaega e lua.
TULAFONO
Aotelega, 229 (75%) ma le 78 (25%) gasegase sa masani ma faʻaleagaina le EF; i totonu o tagata mamaʻi ma ED, 90 (29%) sa i ai se sikoa IIEF-EF faʻamaonia mo ED ogaoga (IIEF-EF<11). O maʻi ma le leai o se ED e leʻi eseese tele i le tulaga o le median [IQR] tausaga (32.0 [27.0-36.0] vs. 31.0 [24.0-36.0]), BMI (23.7 [21.9-26.1] vs. 23.4 [22.2-24.6] ), fa'ateleina o toto maualuga (7.5% vs. 2.6%), tulaga lautele o le soifua maloloina (CCI≥1: 4.8 vs. 2.6%), talafaasolopito o le ulaula (29% vs. 31%), fa'aaogaina le ava malosi (88% vs. 88%) ma le sikoa IPSS ( 5 [2-10] vs. 4 [2-8.5]) (uma p>0.2). I se tulaga talitutusa, e leai se eseesega na lipotia mai i tulaga o le serum fomaʻi feusuaʻiga ma le lipid profile i le va o vaega e lua (uma p>0.05). O le faʻamatalaga, o tagata mamaʻi ma ED na lipotia mai le maualalo o le IIEF-Sexual Desire domain scores (7 [6-9] vs. 9 [8-9], p<0.01) ma maualuga BDI scores (7.0 vs. 5.0, p = 0.01) pei fa'atusatusa i latou e iai le EF masani.
FAAIUGA
O nei suʻesuʻega na faʻaalia ai o alii talavou e iai le ED e le eseese i tulaga o faʻasologa o faʻataʻitaʻiga faʻapitoa mai se vaega faʻatusatusa tausaga ma EF masani, ae o loʻo faʻaalia i lalo ifo. manao feusuaiga togi, faʻataʻitaʻiga faʻapitoa e sili atu le ono mafuaʻaga psychogenic o ED. E tatau i fomaʻi ona amanaia lenei mea pe a suʻesuʻeina alii talavou o loʻo faitioina le ED.