Factors Influencing Patient Satisfaction After 12 Months Tadalafil Treatment: Results From the Detect Study

Perimenis, Petros; Roumeguere, T.; Heidler, H; Roos, Erik; Belger, Mark; Schmitt, H

doi:10.1016/s1569-9056(08)60586-2

Cited by 1 publication

(10 citation statements)

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“…On the other hand, men were less likely to report a relationship problem if their partner was felt to be aware of the consultation ( P = 0.001) and if the relationship was of >10 years' duration ( P = 0.01). In general, patients who had lower expectations of the treatment, as previously reported [15], were more likely to report relationship problems (data not shown).…”

Section: Resultssupporting

confidence: 52%

“…In a previous analysis of this study, partner satisfaction with ED treatment was viewed as a high expectation by patients [15]; further, partner support, satisfaction, and good relationships were factors associated with treatment satisfaction. Restoration of EF is thus not the only factor involved in a successful treatment.…”

Section: Discussionmentioning

confidence: 57%

“…At the initial visit, responses to items of the EF domain of the International Index of Erectile Function (IIEF) questionnaire [39] were collected. Additional patient information was collected regarding treatment history, demographics, concomitant disease, duration and etiology of ED (investigator assessment), relationship history, perceived problems in relationship, partner age, awareness and support of consultation (“Is your partner aware of consultation?”: yes/no; “Does your partner support your consultation?”: yes/no), partner perceived health (“How would you describe the health of your partner”: good/bad), partner sexual problems (“Does your partner have a sexual problem?”: yes/no), and patient treatment expectations (Patient Expectation Questionnaire [15]). Problems in relationships were assessed with a simple question: “Do you consider there are problems in your relationship with your partner?” (yes/no).…”

Section: Methodsmentioning

confidence: 99%

“…Among men who initiate treatment with a phosphodiesterase type 5 (PDE5) inhibitor, compliance to therapy decreases over time [5]. Partner support of the patient with ED has been associated with the patient seeking treatment, and partner satisfaction is also important for continuation of therapy [9–16].…”

Section: Introductionmentioning

confidence: 99%

“…Although men are more likely to emphasize the importance of sexual intercourse within a sexual relationship [32], restoration of erectile function (EF) is not the only factor involved in successful ED treatment. A more holistic view of treatment effectiveness and satisfaction is needed in routine clinical practice that incorporates, not only erectile capacity, but also satisfaction of the patient and his partner [15].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Effects of 12-Month Tadalafil Therapy for Erectile Dysfunction on Couple Relationships: Results from the DETECT Study

Verheyden

Roumeguère

Bitton³

et al. 2009

The Journal of Sexual Medicine

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Introduction Erectile dysfunction (ED) is distressing and can affect a couple’s relationship. Aim To investigate partner awareness of ED, relationship problems, and the effects of tadalafil treatment over 12 months. Methods The Determinants of Continued Use of Tadalafil study is a prospective 12-month European observational study in patients with ED initiating or changing treatment to on-demand tadalafil. A total of 1,900 patients were enrolled in eight countries. Assessments were made on predefined treatment outcomes in a routine clinical setting. Main Outcome Measures At baseline, 1, 6, and 12 months, patients were asked about relationship problems (unspecified), partner awareness and support of consultation, and partner sexual problems. Data were analyzed for patients continuing tadalafil at 12 months. Results At baseline, 96% of patients had a partner, 80% of partners supported an ED consult, and 73% were aware of the consultation. Relationship problems were reported by 17% of patients at baseline. At 12 months, 84% of patients were still taking tadalafil. Of these, 19% reported relationship problems at baseline. After 12 months of treatment with tadalafil, 4% of patients still reported perceived problems. Factors associated with no relationship problems at 12 months were: at baseline, no previous ED treatment, partner in poor health; and at 12 months a lower ED severity. If the partner was felt to have a sexual problem at 12 months, relationship improvement was less likely. Further, 3% of patients developed relationship problems during treatment. Factors associated with developing a relationship problem were: a history of pelvic surgery at baseline, a different partner at 12 months than at baseline, and a partner with a sexual problem at 12 months. Conclusions Improvement of ED with tadalafil was associated with reduced relationship problems, suggesting that problems were associated with ED and resolved with treatment.

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Section: Resultssupporting

confidence: 52%

Section: Discussionmentioning

confidence: 57%