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Table 42 Prevalence of erectile dysfunction by decade of life
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Decade of Life Author Feldman [22] Laumann [24] Braun [25] Chew [26] Kadiri [33] Mahmoud [30] Koskimaki [31] Glina [39] Meuleman [29] M-Morales [34] Rosen [35] DeBoer [37] Ponholzer [38] NA, not available 1998 1999 2000 2000 2000 2000 2000 2000 2000 2001 2004 2004 2005 Country USA USA Germany Australia Morocco Egypt Finland Brazil Netherlands Spain Multinational Netherlands Austria N (total) 1790 1249 4489 1240 646 594 2178 825 1779 2476 27839 2117 2869 30 39 9% 23% 84% 5% 159% 2% 10% 1% 11% 56% 17% 15% 137% 289% 45% 22% 237% 375% 117% 30% 40% 40 49 39% 11% 95% 131% 9% 50 59 48% 18% 157% 335% 67% 16% 60 69 57% NA 344% 515% 567% 357% 76% 27% 534% 692% 83% 49% 78% 37% 419% 712% 70 80 67%
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History and Epidemiology of Male Sexual Dysfunction
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Fig 41 Sexual activities per month in
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age groups 50 to 80 years From Rosen R et al [42]
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lence of concern in men with erectile dysfunction is only about one half of the overall number of men with erectile dysfunction Prevalence studies and pharmaceutical sales data show that only a fraction of men with erectile dysfunction seek and use treatment chronically In the multinational MALES study of 27 839 men between the ages of 20 and 75 years, 16% or about 4450 men, self-reported erectile dysfunction Of these men with self-reported erectile dysfunction, 58% acknowledged that they had discussed erectile dysfunction with a doctor but only 22% had used sildena l more than once and only 157% used sildena l continuously [35] Another study published in 2000 showed that of 4483 German men aged 30 to 80 who responded to a postal questionnaire, 192% reported having erectile dysfunction, but only 68% had urologic treatment for erectile dysfunction [25] This suggests that only about one third of these men with erectile dysfunction were bothered enough to want medical treatment for erectile dysfunction Although another report from The Netherlands showed that two thirds of men with ED were bothered by this disease Interpreting all of these studies broadly, it seems reasonable to conclude that about one half of men with erectile dysfunction are bothered by it and one half are not
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References
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1 Freud S ber die allgemeinste Erniedrigung des Liebeslebens Jahrbuch f r Psychoanalytische und Psychopathologische Forschungen 1912;4(1):40 50 2 Spiegel L Untersuchungen einiger neuer Drogen(I Yohimbeherinde) Chemiker-Zeitung 1886;97:970 971
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3 Wooten JS Ligation of the dorsal vein of the penis as a cure for atonic impotence Tex Med J 1902;16:325 328 4 Lydston GF The surgical treatment of impotency: further observations on the resection of the vena dorsalis penis in appropriate cases of impotence in the male with a record of experiences Am J Clin Med 1908;15:1571 1573 5 Lederer O Vorrichtung zur k nstlichen Erektion des PenisPatentschrift Nr 268874, Klasse 30d, Gruppe 15 Kaiserliches Patentamt 1914 (Available from European patent of ce, Den Haag, The Netherlands, 1914) 6 Kinsey AC, Pomeroy WB, Martin CE, eds Sexual behavior in the human male Philadelphia: W Saunders Co, 1948 7 Masters WH, Johnson VE, eds Human sexual response Boston: Little Brown and Co, 1966 8 Masters WH, Johnson VE, eds Human sexual inadequacy Boston: Little Brown and Co, 1970 9 Michal V, Kramar R, Pospichal J Direct arterial anastomosis to the cavernous body in the treatment of erectile impotence Rozhal Chir 1973;52:587 591 10 Michal V, Kramar R, Pospichal J, et al Arterial epigastricocavernous anastomosis for the treatment of sexual impotence World J Surg 1977;1:515 520 11 Scott FB, Bradley WE, Timm GW Management of erectile impotence Use of implantable in atable prosthesis Urology 1973;2:80 82 12 Small MP, Carrion HM, Gordon JA Small Carrion penile prosthesis Urology 1975;5:479 486 13 Virag R Intracavernous injection of papaverine for erectile failure Lancet 1982;2:938 14 Zorgniotti AW, Le eur RS Autoinjection of the corpus cavernosum with a vasoactive drug combination for vasculogenic impotence J Urol 1985;133:39 41 15 Adaikan PG, Kottegoda SR, Ratnam SS A possible role for prostaglandin E1 in human penile erection In: Abstract Book Second World Meeting on Impotence Abstr26, Prague, 1986
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