Abstract：
To examine the opinions, attitudes and perceptions of patients regarding the diagnosis and treatment protocols of erectile dysfunction (ED) and premature ejaculation (PE) and their interaction with the urology specialists.
Observational, national and multicentric study based on a self-designed online questionnaire in which ED and PE patients described their perception of ED and PE at diagnosis and during treatment and monitoring, the patient-physician relationship and the role of the patient\'s partner in the course of the disease.
306 ED and 70 PE participants were recruited. After the occurrence of the first symptoms, the time elapsed until the patient decided to go to the doctor was 28.6 months for PE and 14.0 months for ED (p<0.001). ED patients saw physicians more frequently (especially those aged between 60 and 69 years: 60.7%, p<0.001) than PE patients (52.1% vs 36.8%, respectively; p<0.001) and discussed this problem with their partner more (34.0% vs 22.8%, p<0.001). These disorders were mainly diagnosed at the urologist\'s office (ED: 74.8% vs 42.5%; PE: 75.7% vs 34.3%; diagnosis vs detection). One third of all participants reported that the sexual problem was not the main reason for the visit. The time elapsed between the first consultation for related symptoms and therapy was 8.7 months (oral drugs) and 7.6 months (dapoxetine) for ED and PE, respectively. ED patients and their partners felt particularly better once treatment had started (p<0.001). PE patients presented the highest degree of sexual dissatisfaction (78%). 50% of the patients agreed with the statement that initiating a discussion about sexual concerns was regarded as taboo and most of them did not say that their partner had encouraged them to seek medical advice.
A concerted effort is called for to expand ED and PE patients\' proactivity in taking care of their own and their partner\'s sexual health. Current therapies would appear to have a benefit in couples\' sexual relationships.
Observational, national and multicentric study based on a self-designed online questionnaire in which ED and PE patients described their perception of ED and PE at diagnosis and during treatment and monitoring, the patient-physician relationship and the role of the patient\'s partner in the course of the disease.
306 ED and 70 PE participants were recruited. After the occurrence of the first symptoms, the time elapsed until the patient decided to go to the doctor was 28.6 months for PE and 14.0 months for ED (p<0.001). ED patients saw physicians more frequently (especially those aged between 60 and 69 years: 60.7%, p<0.001) than PE patients (52.1% vs 36.8%, respectively; p<0.001) and discussed this problem with their partner more (34.0% vs 22.8%, p<0.001). These disorders were mainly diagnosed at the urologist\'s office (ED: 74.8% vs 42.5%; PE: 75.7% vs 34.3%; diagnosis vs detection). One third of all participants reported that the sexual problem was not the main reason for the visit. The time elapsed between the first consultation for related symptoms and therapy was 8.7 months (oral drugs) and 7.6 months (dapoxetine) for ED and PE, respectively. ED patients and their partners felt particularly better once treatment had started (p<0.001). PE patients presented the highest degree of sexual dissatisfaction (78%). 50% of the patients agreed with the statement that initiating a discussion about sexual concerns was regarded as taboo and most of them did not say that their partner had encouraged them to seek medical advice.
A concerted effort is called for to expand ED and PE patients\' proactivity in taking care of their own and their partner\'s sexual health. Current therapies would appear to have a benefit in couples\' sexual relationships.
摘要：
目的：审查意见，患者对勃起功能障碍（ED）和早泄（PE）的诊断和治疗方案及其与泌尿外科专家的互动的态度和看法。
方法：观察性，基于自行设计的在线问卷的国家和多中心研究，其中ED和PE患者描述了他们在诊断以及治疗和监测期间对ED和PE的看法。患者与医生的关系以及患者伴侣在疾病过程中的作用。
结果：招募了306名ED和70名PE参与者。出现最初症状后，直到患者决定去看医生的时间,PE为28.6个月,ED为14.0个月(p<0.001).ED患者看医生的频率更高（尤其是年龄在60至69岁之间的患者：60.7％，p<0.001）比PE患者（52.1%vs36.8%，分别；p<0.001)，并与他们的伴侣讨论了这个问题(34.0%对22.8%，p<0.001)。这些疾病主要在泌尿科医生办公室诊断(ED:74.8%vs42.5%;PE:75.7%vs34.3%;诊断vs检测)。三分之一的参与者报告说，性问题不是访问的主要原因。ED和PE的相关症状和治疗的首次咨询之间的时间为8.7个月（口服药物）和7.6个月（达泊西汀），分别。一旦开始治疗，ED患者及其伴侣感觉特别好（p<0.001）。PE患者的性不满程度最高（78％）。50％的患者同意这样的说法，即开始讨论性问题被视为禁忌，他们中的大多数人并没有说他们的伴侣鼓励他们寻求医疗建议。
结论：需要共同努力，以扩大ED和PE患者在照顾自己和伴侣的性健康方面的积极性。目前的疗法似乎对夫妻的性关系有好处。
方法：观察性，基于自行设计的在线问卷的国家和多中心研究，其中ED和PE患者描述了他们在诊断以及治疗和监测期间对ED和PE的看法。患者与医生的关系以及患者伴侣在疾病过程中的作用。
结果：招募了306名ED和70名PE参与者。出现最初症状后，直到患者决定去看医生的时间,PE为28.6个月,ED为14.0个月(p<0.001).ED患者看医生的频率更高（尤其是年龄在60至69岁之间的患者：60.7％，p<0.001）比PE患者（52.1%vs36.8%，分别；p<0.001)，并与他们的伴侣讨论了这个问题(34.0%对22.8%，p<0.001)。这些疾病主要在泌尿科医生办公室诊断(ED:74.8%vs42.5%;PE:75.7%vs34.3%;诊断vs检测)。三分之一的参与者报告说，性问题不是访问的主要原因。ED和PE的相关症状和治疗的首次咨询之间的时间为8.7个月（口服药物）和7.6个月（达泊西汀），分别。一旦开始治疗，ED患者及其伴侣感觉特别好（p<0.001）。PE患者的性不满程度最高（78％）。50％的患者同意这样的说法，即开始讨论性问题被视为禁忌，他们中的大多数人并没有说他们的伴侣鼓励他们寻求医疗建议。
结论：需要共同努力，以扩大ED和PE患者在照顾自己和伴侣的性健康方面的积极性。目前的疗法似乎对夫妻的性关系有好处。
