Erectile dysfunction in the cardiology practice-a patients' perspective.
BACKGROUND
Erectile dysfunction (ED) is an independent risk factor for cardiovascular events sharing mutual risk factors with coronary artery disease. Several guidelines for the management of ED in cardiovascular disease have been proposed, recommending cardiologists to routinely inquire about erectile function. However, males' specific needs and wishes regarding sexual health care in cardiology are unknown. We sought to identify male patients' view concerning possible improvements in sexual health care and preferred forms of sexual counseling in the cardiology practice.


METHODS
This is a cross-sectional multicentered survey study among randomly selected males visiting a cardiologist.


RESULTS
Of 388 respondents, 296 questionnaires were eligible for analysis. Mean age of respondents was 62.9 years. Overall, 56% (n = 165) had ED, with up to 86% in patients with heart failure. Mean bother experienced due to ED was 5.93 (±2.57) on a 0 to 10 scale. Most respondents indicated to feel comfortable discussing sexual health with the cardiologists (88%). Of men with ED (n = 165), 46% would like to have a conversation with the cardiologist about possibilities to improve sexual function, 55% would be helped if questions could be asked during consultation with a specialized nurse, and 58% would appreciate written information. Of all respondents (n = 296), 28% ever tried a phosphodiesterase inhibitor; 4% received the prescription of the cardiologists.


CONCLUSIONS
Erectile dysfunction is highly prevalent in patients with a variety of cardiovascular diagnosis and care for sexual function is mandatory. Patients indicated that above consultation with the cardiologist, both consultation with a specialized nurse and written information would be helpful.
Department of Urology, Leiden University Medical Center, Leiden, The Netherlands. Electronic address: mpjnicolai@lumc.nl.
Melianthe P J
MP
Nicolai
Department of Urology, Leiden University Medical Center, Leiden, The Netherlands.
Joyce
J
van Bavel
Department of Cardiology, Cardiology Centers of the Netherlands, Amsterdam, The Netherlands.
G Aernout
GA
Somsen
Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Greetje J
GJ
de Grooth
Department of Cardiology, Cardiology Centers of the Netherlands, Amsterdam, The Netherlands.
Igor I
II
Tulevski
Department of Cardiology, Diaconessen Hospital, Leiden, The Netherlands.
Anouk
A
Lorsheyd
Department of Medical Statistics, Leiden University Medical Center, Leiden, The Netherlands.
Hein
H
Putter
Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Martin J
MJ
Schalij
Department of Urology, Leiden University Medical Center, Leiden, The Netherlands.
Rob C M
RC
Pelger
Department of Urology, Leiden University Medical Center, Leiden, The Netherlands.
Henk W
HW
Elzevier
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002309:Cardiology; D003324:Coronary Artery Disease / Q000453:epidemiology* / Q000209:etiology; D003430:Cross-Sectional Studies; D007172:Erectile Dysfunction / Q000150:complications / Q000453:epidemiology*; D005500:Follow-Up Studies; D019538:Health Care Surveys / Q000379:methods*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D010817:Physician-Patient Relations; D012017:Referral and Consultation; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D011795:Surveys and Questionnaires; D055815:Young Adult