J Sex Med. 2019 May; 16 (5): 624-632. doi: 10.1016/j.jsxm.2019.02.014. Epub 2019 Mar 26.
Barbonetti A1, UAndrea S2, Cavallo F3, UMartorella A4, Francavilla S4, Francavilla F4.
Abstract
INTSHAYELELO:
Izifundo ezithelekisekayo kumahluko kwiziphumo zomsebenzi wesondo phakathi kwamadoda athandana nabantu abathandana besini esingafaniyo nesini esingafaniyo zinqabile kwaye azigqibeki.
AIM:
Ukuvavanya ngokucwangcisiweyo ukuba ingaba, kwaye ukuya kuthi ga phi, umahluko obalulekileyo ngokwezibalo ukhona kumathuba e-erectile dysfunction (ED) kunye ne-ejaculation yangaphambi kwexesha (PE) phakathi kwamadoda athandana nesini esinye kunye nesini esingafaniyo.
IINDLELA:
Uphando olucokisekileyo lwe-Medline, SCOPUS, CINAHL, kunye neWebhu yeSayensi yogcino-lwazi lwenziwa ukuze kuchongwe izifundo zolawulo lwamatyala ngokuthelekisa ukuxhaphaka kwe-ED kunye ne-PE kumadoda athandana nesini esingafaniyo nesini esingafaniyo. Umgangatho we-Methodological wezifundo ezibandakanyiweyo zavavanywa kusetyenziswa i-Newcastle-Ottawa Scale. Imilinganiselo ye-Odds (ORs) yokunika ingxelo ye-ED kunye ne-PE yadityaniswa kusetyenziswa imodeli yempembelelo engahleliweyo. UCochrane Q kunye nam2 iimvavanyo zaqhutywa ukuhlalutya phakathi-izifundo heterogeneity. Iziza zefenitshala kunye nohlalutyo lwe-trim-and-fill lusetyenziselwe ukuvavanya ukuthambekela kopapasho.
IINGXELO ZEMISEBENZI:
Ubudlelwane phakathi kokuziphatha ngokwesondo kunye neengxaki ze-ED kunye ne-PE zavavanywa ngokubala ii-OR ezidibeneyo kunye ne-95% CI.
IINKCUKACHA:
Izifundo ezi-4 ezibandakanyiweyo kuhlalutyo lobungakanani ngokudibeneyo zibonelele ngolwazi malunga ne-1,807 yabantu abathandana nabantu abathandana besini esinye kunye ne-4,055 yamadoda athandana nesini esingafaniyo. Ii-OR ezidityanisiweyo zibonise ukuba ukuqhelaniswa kwabantu abathandana besini esifanayo kunxulunyaniswa ne-1.5-ephindwe kabini amathuba aphezulu wokunika ingxelo ED (OKANYE = 1.49, 95% CI = 1.03-2.16; P = .04) kunye ne-28.0% amathuba asezantsi okunika ingxelo nge-PE xa kuthelekiswa ne-heterosexual orientation. (OKANYE = 0.72, 95% CI = 0.52-1.00; P = .05). Nangona kunjalo, ukungafani okubalulekileyo phakathi kwezifundo kwabonwa. Iiplani zefenitshala zibonise upapasho olunokubakho kucazululo lwe-ED kuphela, apho uvavanyo lwe-trim-and-fill lufumene isifundo esilahlekileyo. Nangona kunjalo, naxa uqikelelo oludityanisiweyo lulungelelaniswa kucalucalulo lopapasho, bekukho umngcipheko omkhulu kakhulu we-ED kwiqela labantu abathandana besini esifanayo (ukulungiswa OKANYE = 1.60, 95% CI = 1.10-2.30; P = .01).
IMICELO YEZIKLINICAL:
Ezi ziphumo zinokuqhuba izifundo zexesha elizayo kwiimfuno zesondo kunye neenkxalabo zamadoda athandana nesini esifanayo, ezinokungahambelani ncam nezo zabantu abathandana nesini esahlukileyo.
AMANDLA NEMIDA:
Olu lucazululo lokuqala lwe-meta oluphonononga iyantlukwano ekuxhaphakeni kwe-ED kunye ne-PE phakathi kwamadoda athandana nesini esingafaniyo nesini esingafaniyo. Nangona kunjalo, iziphumo kufuneka zitolikwe ngononophelo, kuba ukwenziwa ngokubanzi kwazo kunokuthintelwa yindalo engabonakaliyo yeesampulu, kunye nokuthambekela komlinganiselo kunokukhokelela ekusetyenzisweni kwezalathi ezingezizo ezisemgangathweni zokungasebenzi kakuhle ngokwesondo.
UKUQINISWA:
Ukuqhelaniswa kwabantu abathandana besini esifanayo kunxulunyaniswa namathuba aphezulu e-ED kunye namathuba asezantsi e-PE xa kuthelekiswa ne-heterosexual orientation. Uphononongo olongezelelekileyo luqinisekisiwe ukuba lucacise ukubaluleka kweklinikhi kwezi ziphumo kunye nokuba zibonakalisa umahluko kwiipatheni zendlela yokuphila ngokwesondo. Barbonetti A, D'Andrea S, Cavallo F, et al. I-Erectile Dysfunction kunye ne-Premature Ejaculation kwi-Homosexual and Heterosexual Men: Uphononongo oluCwangcisiweyo kunye noHlalutyo lwe-Meta yezifundo zokuthelekisa. J Sex Med 2019;16:624-632.
IINKCUKACHA: Ukukhutshwa Kwangoko; Ukungasebenzi kakuhle kweErectile; Ukukhutshwa kwangaphambi kwexesha; Ukwaziswa ngezesondo
PMID: 30926517
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