Umthamo i-199, i-Issue 4, isongezelelo, ngo-Epreli 2018, iphepha e1004
UPozzi, uEdoardo, uPaolo Capogrosso, uEugenio Ventimiglia, uFilippo Pederzoli, uLuca Boeri, uWalter Cazaniga, uFrancesco Chierigo et al.Umbhalo we-Urology 199, hayi. I-4 (2018): e1004.
Intshayelelo kunye IINJONGO
Ukungasebenzi kwe-erectile dysfunction (ED) sisikhalazo esiqhelekileyo esiqhelekileyo phakathi kwabafana abancinci abangaphantsi kweminyaka ye-40. Sijonge ukuvavanya izinto ezinxulumene nomsebenzi wokungasebenzi kakuhle we-erectile (EF) kwigumbi labafana abafuna uncedo kwezonyango kwiziko lemfundo elinye.
IINDLELA
Gcwalisa idatha yeklinikhi kunye nezentlalontle zazifumaneka kwizigulana ezingama-307 ezilandelelanayo <40 yrs ubudala ezibhekisa kwi Andrology ikliniki yeziko elinye lemfundo lokungasebenzi kakuhle ngokwesondo. Iimpawu zempilo ezibaluleke kakhulu zifunyenwe kunye neCharlson Comorbidity Index (CCI). Zonke izigulana zigqibe i-International Index ye-Erectile Function (IIEF), i-Beck's Inventory yoxinzelelo (BDI) kunye nephepha lemibuzo le-International Prostatic Symptom Score (IPSS). Ubukhali be-ED bahlelwa ngokwemiqathango yeCappelleri. Sithelekise izigulana ezine-EF engalunganga (ichazwa njenge-IIEF-EF domain <26) kunye nezo zinika ingxelo ngamanqaku esiqhelo e-IIEF-EF. Uvavanyo oluchanekileyo lukaMann-Whitney noFisher lusetyenziselwe ukuvavanya umohluko phakathi kwala maqela mabini.
IINKCUKACHA
Ngokubanzi, i-229 (75%) kunye ne-78 (25%) yezigulana zazine-EF eqhelekileyo kunye nengalunganga; phakathi kwezigulana ezine-ED, i-90 (29%) inamanqaku e-IIEF-EF acebisayo kwi-ED enzima (IIEF-EF <11). Izigulana ezine-ED ngaphandle nangaphandle azangehlukanga kangako ngokwe-median [IQR] yobudala (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] ), ukwanda kwe xi nzelelo (7.5% vs 2.6%), imeko yezempilo ngokubanzi (CCI≥1: 4.8 vs. 2.6%), imbali yokutshaya (29% vs 31%), ukusetyenziswa kotywala (88% vs. 88%) kunye nenqanaba le-IPSS eliphakathi ( 5 [2-10] vs. 4 [2-8.5]) (zonke p> 0.2). Ngokufanayo, akukho mahluko uxeliweyo ngokwe-serum iihomoni zesini kunye neprofayili ye-lipid phakathi kwala maqela mabini (yonke i-p> 0.05). Qaphela, abaguli abane-ED baxela amanqaku asezantsi e-median IIEF-Sexual Desire domain (7 [6-9] vs. 9 [8-9], p <0.01) kunye namanqaku aphezulu e-BDI (7.0 vs. 5.0, p = 0.01) njenge xa kuthelekiswa nezo zine-EF yesiqhelo.
IMISEBENZI
Ezi ziphumo zibonise ukuba abafana abancinci abane-ED abafani ngokweempawu ezisisiseko zeklinikhi kwiqela elilinganisekayo leqela le-EF, kodwa libonakalisiwe lingezantsi umnqweno wesondo Amanqaku, eklinikhi acebisa ukuba kungangcono kakhulu unobangela we-psychogenic we-ED. Ogqirha kufuneka bayithathele ingqalelo le nto xa kuvavanywa abafana abakhalazayo be-ED.
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