The Effectiveness of Psychological Interventions for the Treatment of Erectile Dysfunction: Systematic Review and Meta-Analysis, Including Comparisons to Sildenafil Treatment, Intracavernosal Injection, and Vacuum Devices

The Effectiveness of Psychological Interventions for the Treatment of Erectile Dysfunction: Systematic Review and Meta-Analysis, Including Comparisons to Sildenafil Treatment, Intracavernosal Injection, and Vacuum Devices

Autor Melnik, Tamara Google Scholar
Soares, Bernardo G. O. Autor UNIFESP Google Scholar
Nasello, Antonia Gladys Google Scholar
Instituição Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Resumo In contrast to the impressive advances in somatic research of erectile dysfunction (ED), scientific literature shows contradictory reports on the results of psychotherapy for the treatment of ED.Authors conducted a meta-analysis to evaluate the effectiveness of psychological interventions for the treatment of ED compared to oral drugs, local injection, vacuum devices, or other psychological intervention.Distinct sources of randomized controlled trials (RCTs) were searched: electronic databases (between 1966 and 2007), cross checking of references, and contact with scientific societies.For dichotomous outcomes the pooled relative risks were calculated and for continuous outcomes mean differences between interventions. Statistical heterogeneity was addressed.Eleven RCTs involving 398 men met the inclusion criteria.There is evidence that group therapy improves ED. Focused sex group therapy showed greater efficacy than control group. Men randomized to receive psychotherapy plus sildenafil showed significant improvement of ED and were less likely than those receiving only sildenafil to drop out. Regarding to the effectiveness of psychological interventions for the treatment of ED compared to local injection and vacuum devices no difference was found. Melnik T, Soares BGO, and Nasello AG. the effectiveness of psychological interventions for the treatment of erectile dysfunction: Systematic review and meta-analysis, including comparisons to sildenafil treatment, intracavernosal injection, and vacuum devices. J Sex Med 2008;5:2562-2574.
Palavra-chave Erectile Dysfunction
Psychotherapy
Therapeutic and Meta-analysis
Psychologic Intervention
Idioma Inglês
Financiador The Cochrane Prostatic Diseases and Urological Cancers Group
Data de publicação 2008-11-01
Publicado em Journal of Sexual Medicine. Oxford: Blackwell Publishing, v. 5, n. 11, p. 2562-2574, 2008.
ISSN 1743-6095 (Sherpa/Romeo, fator de impacto)
Publicador Blackwell Publishing
Extensão 2562-2574
Fonte http://dx.doi.org/10.1111/j.1743-6109.2008.00872.x
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000261068100011
Endereço permanente http://repositorio.unifesp.br/handle/11600/31027

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