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Can self-administered questionnaires supplant objective testing of erectile function? A comparison between the international index of erectile function and objective studies

International Journal of Impotence Research volume 18, pages 126–129 (2006)Cite this article

Abstract

To determine whether the results of the self-reported International Index of Erectile Function (IIEF) to assess erectile function can overestimate the degree of erectile impairment. A total of 32 consecutive patients seeking treatment for erectile dysfunction (ED) at a urologist's office were evaluated by completion of the erectile function domain of the IIEF. Nocturnal penile tumescence testing using the Rigiscan (Timm Medical Technologies Inc., USA) was performed in these patients after completion of the IIEF. The median IIEF-6 score was 9 of 30 (range, 1–25; mean, 11/30). Rigiscan results were abnormal in six patients (19%), normal in 25 patients (78%), and unable to interpret in one patient (3%). IIEF-6 scores were subdivided by severity along with Rigiscan results. There was no correlation between age, IIEF score, or Rigiscan results. In conclusion, the IIEF is a useful tool and is helpful for follow-up of a patient to evaluate efficacy of treatments for ED, but should not replace objective testing to diagnose the quality of ED.

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References

  1. Fineman KR, Rettinger HI . Development of the male function profile/impotence questionnaire. Psychol Rep 1991; 68: 1151–1175.

    Article  CAS  Google Scholar 

  2. Geisser ME, Murray FT, Cohen MS, Shea PJ, Addeo RR . Use of the Florida Sexual History Questionnaire to differentiate primary organic from primary psychogenic impotence. J Androl 1993; 14: 298–303.

    CAS  Google Scholar 

  3. Speckens AE, Hengeveld MW, Lycklama a Nijeholt GA, van Hemert AM, Hawton KE . Discrimination between psychogenic and organic erectile dysfunction. J Psychosom Res 1993; 37: 135–145.

    Article  CAS  Google Scholar 

  4. Padma-Nathan H, Steers WD, Wicker PA . Efficacy and safety of oral sildenafil in the treatment of erectile dysfunction: a double-blind, placebo-controlled study of 329 patients. Sildenafil Study Group. Int J Clin Pract 1998; 52: 375–379.

    CAS  Google Scholar 

  5. Brock GB, McMahon CG, Chen KK, Costigan T, Shen W, Watkins V et al. Efficacy and safety of tadalafil for the treatment of erectile dysfunction: results of integrated analyses. J Urol 2002; 168: 1332–1336.

    Article  CAS  Google Scholar 

  6. Hellstrom WJ, Gittelman M, Karlin G, Segerson T, Thibonnier M, Taylor T et al. Vardenafil for treatment of men with erectile dysfunction: efficacy and safety in a randomized, double-blind, placebo-controlled trial. J Androl 2002; 23: 763–771.

    CAS  Google Scholar 

  7. Goldstein I, Lue TF, Padma-Nathan H, Rosen RC, Steers WD, Wicker PA . Oral sildenafil in the treatment of erectile dysfunction. Sildenafil Study Group. New Engl J Med 1998; 338: 1397–1404.

    Article  CAS  Google Scholar 

  8. Blander DS, Sanchez-Ortiz RF, Broderick GA . Sex inventories: can questionnaires replace erectile dysfunction testing? Urology 1999; 54: 719–723.

    Article  CAS  Google Scholar 

  9. Corty EW, Althof SE, Kurit DM . The reliability and validity of a sexual functioning questionnaire. J Sex Marital Ther 1996; 22: 27–34.

    Article  CAS  Google Scholar 

  10. Ponhorzer A, Temml C, Mock K, Marszlaek M, Obermayer R, Madersbacher S . Prevalence and risk factors for erectile dysfunction in 2869 men using a validated questionnaire. Eur Urol 2005; 47: 80–86.

    Article  Google Scholar 

  11. Cappelleri JC, Rosen RC, Smith MD, Mishra A, Osterloh IH . Diagnostic evaluation of the erectile function domain on the International Index of Erectile Function. Urology 1999; 54: 346–351.

    Article  CAS  Google Scholar 

  12. Kassouf W, Carrier S . A comparison of the International Index of Erectile Function and erectile dysfunction studies. BJU Int 2003; 91: 667–669.

    Article  CAS  Google Scholar 

  13. Melman A, Tiefer L, Pedersen R . Evaluation of the first 406 patients in a urology department based center for male sexual dysfunction. Urology 1988; 32: 6–10.

    Article  CAS  Google Scholar 

  14. Dow JA, Gluck RW, Golimbu M, Weinberg GI, Morales P . Multiphasic diagnostic evaluation of arteriogenic, venogenic, and sinusoidogenic impotency. Value of noninvasive tests compared with penile duplex ultrasonography. Urology 1991; 38: 402–407.

    Article  CAS  Google Scholar 

  15. Bleustein CB, Eckholdt H, Arezzo JC, Melman A . Quantitative somatosensory testing of the penis: optimizing the clinical neurological examination. J Urol 2003; 169: 2266–2269.

    Article  Google Scholar 

  16. Bleustein CB, Arezzo JC, Eckholdt H, Melman A . The neuropathy of erectile dysfunction. Int J Impot Res 2002; 14: 433–439.

    Article  CAS  Google Scholar 

  17. Benet AE, Rehman J, Holcomb RG, Melman A . The correlation between the new RigiScan plus software and the final diagnosis in the evaluation of erectile dysfunction. J Urol 1996; 156: 1947–1950.

    Article  CAS  Google Scholar 

  18. Davis-Joseph B, Tiefer L, Melman A . Accuracy of the initial history and physical examination to establish the etiology of erectile dysfunction. Urology 1995; 45: 498–502.

    Article  CAS  Google Scholar 

  19. Licht MR, Lewis RW, Wollan PC, Harris CD . Comparison of Rigiscan and sleep laboratory nocturnal penile tumescence in the diagnosis of organic impotence. J Urol 1995; 154: 1740–1743.

    Article  CAS  Google Scholar 

  20. Ogrinc FG, Linet OI . Evaluation of real-time Rigiscan monitoring in pharmacological erection. J Urol 1995; 154: 1356–1359.

    Article  CAS  Google Scholar 

  21. Blander DS, Sanchez-Ortiz RF, Broderick GA . Sex inventories: can questionnaires replace erectile dysfunction testing? Urology 1999; 54: 719–723.

    Article  CAS  Google Scholar 

  22. Rosen RC, Cappelleri JC, Gendrano III N . The International Index of Erectile Function (IIEF): a state-of-the-science review. Int J Impot Res 2002; 14: 226–244.

    Article  CAS  Google Scholar 

  23. Padma-Nathan H . Diagnostic and treatment strategies for erectile dysfunction: the ‘Process of Care’ model. [University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School]. Int J Impot Res 2000; 12(Suppl 4): S119–S121.

    Article  Google Scholar 

  24. Christ GJ . Gene therapy treatments for erectile and bladder dysfunction. Curr Urol Rep 2004; 5: 52–60.

    Article  Google Scholar 

  25. Melman A, Zhao W, Davies KP, Bakal R, Christ GJ . The successful long-term treatment of age related erectile dysfunction with hSlo cDNA in rats in vivo. J Urol 2003; 170: 285–290.

    Article  CAS  Google Scholar 

  26. Melman A, Bar-Chama N, McCullough A, Davies K, Christ G . The first human trial for gene transfer therapy for the treatment of erectile dysfunction: preliminary results. Eur Urol 2005; 48: 314–318.

    Article  CAS  Google Scholar 

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  1. Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA

    A Melman, J Fogarty & J Hafron

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  1. A Melman
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Correspondence to A Melman.

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Melman, A., Fogarty, J. & Hafron, J. Can self-administered questionnaires supplant objective testing of erectile function? A comparison between the international index of erectile function and objective studies. Int J Impot Res 18, 126–129 (2006). https://doi.org/10.1038/sj.ijir.3901361

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