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KMID : 0356420040220010011
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Journal of Korean Andrology
2004 Volume.22 No. 1 p.11 ~ p.13
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Sildenafil Compliance after Restoration of Erectile Function
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Son Hwan-Cheol
Shin Jae-Wook
Lim Dae-Jung
Park Kwan-Jin
Kim Soo-Woong
Paick Jae-Seung
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Abstract
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Purpose: Regarding for erectile dysfunction (ED), Sildenafil has produced satisfactory clinical results. However, Some patient discontinue sildenafil treatment for a variety of reasons after successful restoration of erectile function. We investigated the reasons for such discontinuations of sildenafil after restoration of erectile function by sildenafil medication.
Materials and Methods: After sildenafil medication, one hundred fifty six patients whose score of erectile function domain of the 15-item International Index of Erectile Function (IIEF) increased to 26 or more, were included in this study. Six-months after the first sildenafil prescription, compliance to medication and the reason for discontinuity were reviewed by chart or surveyed by telephone.
Results: In 156 successfully treated patients, 54 (34.6%) discontinued sildenafil medication. The 2 most common reasons for discontinuation were trouble in the partners´ or patients´ emotional readiness for restoration of sexual activity after long-term abstinence and fear of possible side effects.
Conclusions: After restoration of erectile function, many patients discontinued the use of sildenafil medication. The reasons for discontinuing the medication were primarily emotional or relationship-oriented issues. The counseling of both partners and education about the effects and side effects of the drugs are recommended to promote the successful recovery of sexual activity.
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KEYWORD
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Erectile dysfunction, Sildenafil
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