Combination of Psychological Intervention and Phosphodiesterase‐5 Inhibitors for Erectile Dysfunction: A Narrative Review and Meta‐Analysis

Schmidt, Hannah M. and Munder, Thomas and Gerger, Heike and Frühauf, Sarah and Barth, Jürgen. (2014) Combination of Psychological Intervention and Phosphodiesterase‐5 Inhibitors for Erectile Dysfunction: A Narrative Review and Meta‐Analysis. The Journal of Sexual Medicine, 11 (6). pp. 1376-1391.

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Official URL: http://edoc.unibas.ch/39363/

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Erectile dysfunction (ED) is an increasing health problem that demands effective treatment. There is evidence that phosphodiesterase-5 inhibitors (PDE5-Is) and psychological intervention (PI) are effective treatment options; however, little is known about their comparative efficacy and the efficacy of combined treatments.; The aim of this systematic review and meta-analysis is to evaluate the comparative efficacy of PI, PDE5-Is, and their combination in the treatment of ED.; Primary outcome was ED symptoms, and secondary outcome was sexual satisfaction of the patient.; A systematic literature search was conducted in order to identify relevant articles published between 1998 and 2012. We included randomized controlled trials and controlled trials comparing PI with PDE5-I treatment or one of them against a combination of both.; Eight studies with a total number of 562 patients were included in the meta-analysis. The results of the included studies are inconclusive, though they show a trend towards a larger effect of combined treatment compared with PI or PDE5-I treatment alone. The meta-analysis found that, overall, combined treatment was more efficacious for ED symptoms than PDE5-I treatment or PI alone. Combined treatment was more efficacious than PDE5-I use alone on sexual satisfaction. No differences were found between PDE5-Is and PI as stand-alone treatments. None of the moderators (treatment duration, methodological quality, or researcher allegiance) altered the effects.; The combination of PI and PDE5-Is is a promising strategy for a favorable outcome in ED and can be considered as a first-choice option for ED patients. Stronger RCTs are required to confirm this initial finding.
Faculties and Departments:07 Faculty of Psychology > Departement Psychologie > Forschungsbereich Klinische Psychologie und Neurowissenschaften > Klinische Psychologie und Psychotherapie (Gaab)
UniBasel Contributors:Gerger, Heike
Item Type:Article, refereed
Article Subtype:Research Article
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:05 Feb 2019 18:13
Deposited On:05 Feb 2019 18:11

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