title: [Effectiveness and treatment satisfaction in patients with erectile dysfunction in Spain: EDOS study].
abstract: BACKGROUND
  Erectile dysfunction (ED) is a worldwide health problem with an ever increasing prevalence, affecting the quality of life of many patients.
  
  
  OBJECTIVE
  The aim of this study was to describe treatment effectiveness and patient satisfaction with ED treatment in the Spanish cohort of the EDOS study.
  
  
  METHODS
  This observational, pan-European study, assessed treatment effectiveness and patient satisfaction with ED treatment under routine clinical settings, using standard questionnaires. Men > or =18 years about to initiate or change ED treatment were enrolled. Patients were assessed at baseline, 3 and 6 months.
  
  
  RESULTS
  A total of 1,029 patients were analyzed (12.8% of the total European sample). In general, the Spanish population characteristics are consistent with the overall population. At baseline 56.6% of patients received tadalafilo, 16.6% sildenafilo, 19.6% vardenafilo, and 7.2% received other treatments. At 3 months, a higher proportion of patients on tadalafil reported improved erections (GAQ 1: 96.5% tadalafil, 85.7% sildenafil and 87.2% vardenafil), satisfaction with treatment (EDITS: 84.2% tadalafil, 75.0% sildenafil and 76.0% vardenafil), and sexual self confidence (SF-PAIRS: 2.73 tadalafil, 2.39 sildenafil and 2.55 vardenafil), in comparison with sildenafil and vardenafil. At 6 months, differences between treatments were not significant. The mean+/-SD time elapsed from drug intake to sexual intercourse was higher for patients on tadalafil (18.6+/-26.4 h) compared to sildenafil (3.6+/-7.5) and vardenafil (8.6+/-19.4).
  
  
  CONCLUSIONS
  The longer duration of action for tadalafil, and thus, the longer period of time between dosing and sexual intercourse may contribute to enhance sexual spontaneity, patient satisfaction with the treatment and greater self-confidence.
authors.affiliation: Servicio de Urología, Hospital Carlos Haya, Málaga, España. a.martinmorales@uaims.net
authors.forename: A
authors.initials: A
authors.lastname: Martín-Morales
authors.forename: P R
authors.initials: PR
authors.lastname: Gutiérrez Hernández
authors.forename: F
authors.initials: F
authors.lastname: Meijide Rico
authors.forename: J L
authors.initials: JL
authors.lastname: Arrondo Arrondo
authors.forename: C
authors.initials: C
authors.lastname: Turbí Disla
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D007172:Erectile Dysfunction; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010726:Phosphodiesterase Inhibitors / Q000627:therapeutic use*; D011446:Prospective Studies; D013030:Spain; D055815:Young Adult
chemical_list: D010726:Phosphodiesterase Inhibitors