Erectile Dysfunction in Elderly Men
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Questions and Answers

What is the primary reason why physicians should consider social and psychological aspects of impotence when assessing patients with ED?

  • To better understand the etiology of ED and develop targeted interventions (correct)
  • To reduce the risk of penile prosthesis implantation
  • To improve the effectiveness of oral drug therapy
  • To increase patient expectations of treatment outcomes
  • What percentage of patients with ED may not respond to drug treatments?

  • 25-50% (correct)
  • 10-20%
  • 50-75%
  • 75-90%
  • What is the primary benefit of using Vacuum Suction Devices (VSD) in treating ED?

  • They are a non-invasive treatment option for patients with diabetes (correct)
  • They can improve overall sexual satisfaction in patients with ED
  • They are a cost-effective alternative to oral drug therapy
  • They can produce an erection that can last for several hours
  • What is the main reason why penile prosthesis implantation was not considered for the patient mentioned in the text?

    <p>The patient's young age and concern about maintaining an active lifestyle (A)</p> Signup and view all the answers

    What is the success rate of injection therapy in treating ED?

    <p>35-75% (B)</p> Signup and view all the answers

    What is the estimated percentage of men with ED who reported ED onset while using medications for hypertension?

    <p>7% (A)</p> Signup and view all the answers

    What is the primary focus of most studies on erectile dysfunction in elderly men from Asian countries?

    <p>Examining the common causes and effects of erectile dysfunction across all severity levels (B)</p> Signup and view all the answers

    What is a common emotional response experienced by patients with erectile dysfunction due to organic factors?

    <p>Upset or anger with their partner (A)</p> Signup and view all the answers

    What is the most common psychological problem associated with erectile dysfunction in older patients?

    <p>Depressive symptoms (C)</p> Signup and view all the answers

    What is a unique feature of the AED tool in assessing erectile dysfunction?

    <p>It includes a qualitative component with structured open-ended questions (B)</p> Signup and view all the answers

    What is the primary goal of using a patient-centered and self-directed approach in managing erectile dysfunction?

    <p>To improve self-management of erectile dysfunction (D)</p> Signup and view all the answers

    What is the benefit of using the International Index of Erectile Function (IIEF) in assessing erectile dysfunction?

    <p>It allows for comparison of results across different Asian populations (A)</p> Signup and view all the answers

    Study Notes

    Causes and Effects of Erectile Dysfunction (ED)

    • Organic factors like vascular disease and diabetes can lead to ED, causing patients to lose confidence in their ability to achieve an erection.
    • Psychological problems associated with ED include depressive symptoms, with overt depression often seen in older patients.

    Interpersonal Effects on Male Sexual Function

    • Interpersonal effects on male sexual function include sexual problems with a partner, perceived lack of support from the partner, sexual abuse in childhood, and problems with sexual orientation.

    Study Findings and Tools

    • The International Index of Erectile Function (IIEF) was used to obtain findings across six countries, marking the first in-depth qualitative work on ED in diverse Asian populations.
    • The AED tool features a qualitative component with structured open-ended questions, allowing patients to express how ED affects them in their own words.

    Treatment and Management of ED

    • Education and counseling are important clinical strategies towards improving self-management of ED.
    • Effective clinical practice must consider factors in the wider environment, including life stresses and psychosocial losses.
    • Oral drug therapy is a treatment option that could significantly improve a patient's quality of life.
    • Penile prosthesis is known as a highly effective means of erectile re-establishment.
    • Injection therapy has been shown to be effective in treating various forms of erectile dysfunction, with success rates between 35 and 75%.
    • Vacuum Suction Devices (VSD) are a mechanical way of producing an erection for men who do not want or cannot use drug treatments.

    Prevalence and Drug Non-Responsiveness

    • The prevalence of drug non-responsive ED is unknown, but a survey found that 7% of men reported ED onset while using medications for hypertension.
    • Up to 2000 patients underwent procedures for penile prosthesis implantation between July 1993 and November 2009.

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    Description

    This quiz explores the causes and effects of erectile dysfunction in elderly men, focusing on organic and psychological factors, particularly in Asian countries.

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