성기능에 관련된 증상을 주소로 내원한 남성들의 임상적 특성

Abstract

Purpose: Recently a marked increase in both clinical and research activity in the field of male sexual dysfunction has led to a better evaluation and more treatment options. The clinical distribution and prevalence of male sexual dysfunction is essential to further improve diagnostic as well as therapeutic options. For the evaluation of clinical characteristics of male sexual dysfunction, we performed this study. Materials and Methods: Two thousands male patients complaining sexual dysfunction visiting our hospital were reviewed. Chief complaints were classified as impotence, premature ejaculation, penile lesion, ejaculatory disorder, and orgasm disorder. We analyzed prior histories of management, associated diseases and treatment in our hospital. Results: In age distribution, patients in their 40s were most common and 31.2% was under 40 years of age. Of the symptoms complained, erectile dysfunction was 61.8% and premature ejaculation with or without erectile dysfunction was 11.7% or 15.0%, respectively. 40.4% had been managed for sexual dysfunction. Of them, 70.3% was managed by nonmedical or oriental means and 29.7% by an physicians. 88.8% had associated diseases for sexual dysfunction. Diabetes was observed in 17.3%, cardiovascular disease in 13.8%, systemic disease in 20.8%. 68.8% was treated at our hospital. Of them, 64.7% was treated pharmacologically. Conclusions: Symptoms of male sexual dysfunction were relatively common in men under 40 years of age comprising nearly one third of the patients complaining sexual dysfunction. Most of patients had prior histories of management by nonmedical means due to lack of insight. Many patients preferred pharmacologic treatment. Future change in patient`s insight will direct the patient to seek care by an urologist.