Abstract：
ED and PE are the most common male sexual dysfunctions, although they remain underdiagnosed and undertreated.
To ascertain how a group of Spanish urologists currently address ED and PE.
Descriptive study based on a self-designed questionnaire about the clinical practice in ED and PE upon diagnosis, treatment and monitoring, patient-physician relationship and the role of the patient\'s partner.
The survey was completed by 188 experienced urologists. Most patients went to the urologist\'s office without a previous diagnosis (92% of the urologists found <10 PE-diagnosed patients in public settings). The diagnosis of ED and/or PE was mainly carried out by the current urologist and not by another professional, particularly in private centres as opposed to public centres (78.8% vs 57.0% for ED; 82.0% vs 62.6% for PE). Most urologists believed that these disorders are underdiagnosed and deemed them as general health issues. 38% of urologists acknowledged using validated questionnaires to diagnose ED. PE was considered a subjective problem rather than a true disease and the use of PRO-based diagnosis of PE was not generally accepted (14%). Treatment options of both disorders were chosen as expected. Referral to the andrologist is usually scheduled in moderate-to-severe PE or severe ED. The cohort seemed to be mostly neutral (50%-75% for ED and 40%-55% for PE) regarding patient reluctancy to talk about their sexual problem. Patients\' partners play an important role in helping men seeking treatment.
Urologists should show more proactivity during anamnesis and routine visits to improve management of ED and PD.
To ascertain how a group of Spanish urologists currently address ED and PE.
Descriptive study based on a self-designed questionnaire about the clinical practice in ED and PE upon diagnosis, treatment and monitoring, patient-physician relationship and the role of the patient\'s partner.
The survey was completed by 188 experienced urologists. Most patients went to the urologist\'s office without a previous diagnosis (92% of the urologists found <10 PE-diagnosed patients in public settings). The diagnosis of ED and/or PE was mainly carried out by the current urologist and not by another professional, particularly in private centres as opposed to public centres (78.8% vs 57.0% for ED; 82.0% vs 62.6% for PE). Most urologists believed that these disorders are underdiagnosed and deemed them as general health issues. 38% of urologists acknowledged using validated questionnaires to diagnose ED. PE was considered a subjective problem rather than a true disease and the use of PRO-based diagnosis of PE was not generally accepted (14%). Treatment options of both disorders were chosen as expected. Referral to the andrologist is usually scheduled in moderate-to-severe PE or severe ED. The cohort seemed to be mostly neutral (50%-75% for ED and 40%-55% for PE) regarding patient reluctancy to talk about their sexual problem. Patients\' partners play an important role in helping men seeking treatment.
Urologists should show more proactivity during anamnesis and routine visits to improve management of ED and PD.
摘要：
背景：ED和PE是最常见的男性性功能障碍，尽管他们仍然未被诊断和治疗不足。
目的：确定一组西班牙泌尿科医师目前如何处理ED和PE。
方法：基于自行设计的关于诊断后ED和PE临床实践的问卷的描述性研究，治疗和监测，医患关系和患者伴侣的作用。
结果：调查由188名经验丰富的泌尿科医师完成。大多数患者在没有事先诊断的情况下去了泌尿科医生的办公室（92％的泌尿科医生在公共场所发现<10名PE诊断患者）。ED和/或PE的诊断主要由当前的泌尿科医生进行，而不是由其他专业人员进行。特别是在私人中心而不是公共中心(ED为78.8%对57.0%；PE为82.0%对62.6%)。大多数泌尿科医生认为这些疾病未被诊断，并认为它们是一般的健康问题。38％的泌尿科医师承认使用经过验证的问卷来诊断ED。PE被认为是主观问题而不是真正的疾病，并且基于PRO的PE诊断的使用未被普遍接受（14％）。两种疾病的治疗选择如预期的那样进行选择。转诊男科医生通常安排在中度至重度PE或重度ED中。对于患者不情愿谈论他们的性问题，该队列似乎大多是中立的（ED为50％-75％，PE为40％-55％）。患者的伴侣在帮助男性寻求治疗方面发挥着重要作用。
结论：泌尿科医师应在回忆和常规访视期间表现出更多的主动性，以改善ED和PD的管理。
目的：确定一组西班牙泌尿科医师目前如何处理ED和PE。
方法：基于自行设计的关于诊断后ED和PE临床实践的问卷的描述性研究，治疗和监测，医患关系和患者伴侣的作用。
结果：调查由188名经验丰富的泌尿科医师完成。大多数患者在没有事先诊断的情况下去了泌尿科医生的办公室（92％的泌尿科医生在公共场所发现<10名PE诊断患者）。ED和/或PE的诊断主要由当前的泌尿科医生进行，而不是由其他专业人员进行。特别是在私人中心而不是公共中心(ED为78.8%对57.0%；PE为82.0%对62.6%)。大多数泌尿科医生认为这些疾病未被诊断，并认为它们是一般的健康问题。38％的泌尿科医师承认使用经过验证的问卷来诊断ED。PE被认为是主观问题而不是真正的疾病，并且基于PRO的PE诊断的使用未被普遍接受（14％）。两种疾病的治疗选择如预期的那样进行选择。转诊男科医生通常安排在中度至重度PE或重度ED中。对于患者不情愿谈论他们的性问题，该队列似乎大多是中立的（ED为50％-75％，PE为40％-55％）。患者的伴侣在帮助男性寻求治疗方面发挥着重要作用。
结论：泌尿科医师应在回忆和常规访视期间表现出更多的主动性，以改善ED和PD的管理。
