Abstract：
OBJECTIVE: To identify atypical masturbatory behaviors (AMB) and to reveal their effects on both sexual and masturbational erection hardness in men with erectile dysfunction (ED).
METHODS: Patients with ED and healthy controls were questioned about their masturbation habits. Accordingly, \"rubbing in a prone position,\" \"pressure on penis,\" and \"masturbation through clothes\" were included in the traumatic masturbation syndrome (TMS) group. Erection hardness score (EHS) is used to measure the erectile functions during masturbation (mast), foreplay (presex), and sexual intercourse (sex), separately.
RESULTS: The data of 448 participants, 266 (59%) from the patient group, and 182 (41%) from the control group were analyzed. The mean ages were 30 years in both groups (p = 0.734). The rate of \"rubbing in a prone position\" and \"penile pressure\" while masturbating was higher in patients than the controls (10.2% vs. 6%, p = 0.024 and 8.6% vs. 3.3%, p = 0.0002, respectively). Patients had 2.2-fold (odds ratio, 2.21; 95% confidence interval, 1.40-3.47; p = 0.001) increased risks of having at least one AMB, compared with controls. In the secondary analysis, the patient group was divided into 2 subgroups according to having TMS (ED + TMS) or not (ED). The percentage of patients with EHS≥3 during masturbation was higher than those during sex and presex in the \"ED + TMS\" group (60.2%, 38.8%, and 37.2%, respectively, p = 0.0001; n = 98). Comparing the percentage of patients with EHS≥3 during mast, presex, and, sex was found to be similar in the \"ED\" group (58.9%, 56.5%, and 56%, respectively, p = 0.753; n = 168).
CONCLUSIONS: Atypical masturbatory behaviors are more common in young men presenting with erectile dysfunction. These patients have higher erection hardness scores during masturbation compared to partnered sex.
METHODS: Patients with ED and healthy controls were questioned about their masturbation habits. Accordingly, \"rubbing in a prone position,\" \"pressure on penis,\" and \"masturbation through clothes\" were included in the traumatic masturbation syndrome (TMS) group. Erection hardness score (EHS) is used to measure the erectile functions during masturbation (mast), foreplay (presex), and sexual intercourse (sex), separately.
RESULTS: The data of 448 participants, 266 (59%) from the patient group, and 182 (41%) from the control group were analyzed. The mean ages were 30 years in both groups (p = 0.734). The rate of \"rubbing in a prone position\" and \"penile pressure\" while masturbating was higher in patients than the controls (10.2% vs. 6%, p = 0.024 and 8.6% vs. 3.3%, p = 0.0002, respectively). Patients had 2.2-fold (odds ratio, 2.21; 95% confidence interval, 1.40-3.47; p = 0.001) increased risks of having at least one AMB, compared with controls. In the secondary analysis, the patient group was divided into 2 subgroups according to having TMS (ED + TMS) or not (ED). The percentage of patients with EHS≥3 during masturbation was higher than those during sex and presex in the \"ED + TMS\" group (60.2%, 38.8%, and 37.2%, respectively, p = 0.0001; n = 98). Comparing the percentage of patients with EHS≥3 during mast, presex, and, sex was found to be similar in the \"ED\" group (58.9%, 56.5%, and 56%, respectively, p = 0.753; n = 168).
CONCLUSIONS: Atypical masturbatory behaviors are more common in young men presenting with erectile dysfunction. These patients have higher erection hardness scores during masturbation compared to partnered sex.
摘要：
目的：确定非典型自慰行为（AMB），并揭示其对勃起功能障碍（ED）男性的性和自慰勃起硬度的影响。
方法：对ED患者和健康对照者的自慰习惯进行了询问。因此，\"在俯卧位摩擦，阴茎上的压力，创伤性手淫综合征（TMS）组中包括“”和“通过衣服手淫”。勃起硬度评分（EHS）用于测量手淫（桅杆）期间的勃起功能，前戏（presex），和性交（性），分开。
结果：448名参与者的数据，266（59％）来自患者组，分析了对照组的182例（41％）。两组的平均年龄为30岁（p=0.734）。患者自慰时“俯卧位摩擦”和“阴茎压力”的发生率高于对照组（10.2％vs.6%,p=0.024和8.6%与3.3%,分别为p=0.0002)。患者有2.2倍(赔率比，2.21；95%置信区间，1.40-3.47；p=0.001）具有至少一种AMB的风险增加，与对照组相比。在次要分析中，根据患有TMS(ED+TMS)与否(ED)将患者组分为2个亚组.在“ED+TMS”组中，手淫期间EHS≥3的患者的百分比高于性和早产期间的患者（60.2％，38.8%,和37.2%，分别,p=0.0001；n=98）。比较肥大期间EHS≥3的患者百分比，presex,and,在“ED”组中发现性别相似(58.9%，56.5%,56%,分别,p=0.753；n=168）。
结论：不典型的自慰行为在出现勃起功能障碍的年轻男性中更为常见。与伴侣性行为相比，这些患者在手淫期间的勃起硬度评分更高。
方法：对ED患者和健康对照者的自慰习惯进行了询问。因此，\"在俯卧位摩擦，阴茎上的压力，创伤性手淫综合征（TMS）组中包括“”和“通过衣服手淫”。勃起硬度评分（EHS）用于测量手淫（桅杆）期间的勃起功能，前戏（presex），和性交（性），分开。
结果：448名参与者的数据，266（59％）来自患者组，分析了对照组的182例（41％）。两组的平均年龄为30岁（p=0.734）。患者自慰时“俯卧位摩擦”和“阴茎压力”的发生率高于对照组（10.2％vs.6%,p=0.024和8.6%与3.3%,分别为p=0.0002)。患者有2.2倍(赔率比，2.21；95%置信区间，1.40-3.47；p=0.001）具有至少一种AMB的风险增加，与对照组相比。在次要分析中，根据患有TMS(ED+TMS)与否(ED)将患者组分为2个亚组.在“ED+TMS”组中，手淫期间EHS≥3的患者的百分比高于性和早产期间的患者（60.2％，38.8%,和37.2%，分别,p=0.0001；n=98）。比较肥大期间EHS≥3的患者百分比，presex,and,在“ED”组中发现性别相似(58.9%，56.5%,56%,分别,p=0.753；n=168）。
结论：不典型的自慰行为在出现勃起功能障碍的年轻男性中更为常见。与伴侣性行为相比，这些患者在手淫期间的勃起硬度评分更高。
