Melih BALCI, Ali Ömür AYDIN, Mustafa KAYALI, Yılmaz ASLAN, Altuğ TUNCEL, Ali ATAN

Türk erkeklerinde cinsel fonksiyon bozukluğu taraması: Anket çalışması

Amaç: Sağlıklı genç Türk erkeklerinin cinsel fonksiyon bozukluklarını, cinsel alışkanlıklarını ve cinsellik ile ilgili dü-şüncelerini incelemek.Yöntem ve Gereçler: Çalışmaya sağlıklı 1412 erkek dahil edildi. Yaş, vücut kitle indeksi (VKI), eğitim durumları,ilk elle boşalma yaşı, ilk cinsel deneyim yaşı, penis boyu hakkındaki düşünceleri, cinsel isteksizlik ve erken boşalmaproblemi olup olmadığı sorgulandı. IIEF-5 ile erektil fonksiyon değerlendirilirken kısa semptom envanteri ile anksi-yete ve depresyon değerlendirmesi yapıldı.Bulgular: Anket sorularına katılım en düşük %64.9 (917/1412) ile IIEF5 değerlendirmesinde iken ve ortalama katı-lım %90.5 (1278/1412) idi. Ortalama yaş 20.4 (18-28) yıl, VKI 22.5 kg/m2 idi. İlk elle boşalma yaşı 14.2, ilk cinseldeneyim yaşı 17 yıl olarak bulundu. İlişkide ortalama boşlama süresini 8.3 dakika idi. Katılımcıların 69u (%5.1) pe-nis boyunun küçük, 1171i (%82.9) normal ve 117si (%8.3) büyük olarak değerlendirdi. Katılımcılar gevşek penis vesertleşmiş penis boyu ortalamalarını 8.2 cm ve 16.2 cm olarak düşünüyorlardı. Katılımcıların 116sında (%8.6) cinselisteksizlik, 343ünde (%25.7) erken boşalma ve 658inde (%71.8) herhangi bir derecede ED (IIEF5

Screening for sexual dysfunctionın turkish males: A survey study

Aim: To evaluate sexual dysfunctions, sexual habits and their opinion about sexuality in young healthy Turkish men.Material And Methods: 1412 healthy men were included in this study. Age, body mass index (BMI), educational sta-tus, the frst age of masturbation, the frst age of sexual intercourse, opinions about their penis lengths, presence ofloss of sexual desire and premature ejaculation were asked. Erectile function was evaluated by IIEF-5 while anxietyand depression were evaluated by The Brief Symptom Inventory.Results: The average participation rate of questionnare was 90.5% (1278/1412) and the query with the least partici-pant was IIEF-5 with a rate of 64.9%(917/1412). The mean age was 20.4 (18-28) years, BMI was 22.5 kg/m2. Thefrst masturbation age was 14.2 while the frst sexual intercourse age was 17 averagely. Mean ejaculation time was 8.3minutes. Sixty nine of the participants (5.1%) defned their own penis lengths as small, 1117 of them (82.9%) defned their own penis lengths as normal and 117(8.3%) of them defned their own penis lenghts as big. In participants opini-on faccid and erected penis size averages were 8.2 cm and 16.2 respectively. Loss of sexual desire was identifed in 116of the participants (8.6%), while 343 of them (25.7%) had premature ejaculation and 658 of them (71.8%) had any gra-de of ED. The participants which had loss of sexual desire and premature ejaculation IIEF-5 scores were lower and dep-ression and anxiety scores were higher (p

PDF

___

1. Rosen RC.Prevalans and risk factors of sexual dysfunction in men and women . Curr Psychiatry Rep 2000;2:189-195.
2. Tekdoğan ÜY, Güngör SY, Aslan Y ve ark. Türk erkeklerinde cinsel fonksiyon bozukluğu taraması. Üroloji Bülteni 2003;14:188-192.
3. Atan A, Tekdoğan ÜY, Akbulut Z, ve ark. Üroloji uzmanı olmayan doktorlar, erkek hastada ereksiyon sorgulaması yapıyor mu? Türk Üroloji Dergisi 2005;31:212-216.
4. Derogatis LR, Melisaratos N. The Brief Symptom Inventory: an introductory report. Psychol Med 1983;13:595-605.
5. Santelli JS, Lindberg LD, Abma J, et al. Adolescent sexual beha- vior: estimates and trends from four nationally representative sur- veys. Family Planning Perspectives 2000;32:156165.
6. Montessoro AC, Blixen CE. Public policy and adolescent preg- nancy: a reexamination of the issues. Nurs Outlook 1996;44:31-36.
7. Rademakers J. Sex Education Research in the Netherlands. Paper pre- sented to the European Study Tour. Leiden, Netherlands: NISSO, 1998.
8. Giray H, Kılıc B. Bekar kadınlar ve üreme sağlığı. STED 2004;13:286-289.
9. Gökengin D, Yamazhan T, Ozkaya D, et al. Sexual knowledge, attitudes, and risk behaviors of students in Turkey. J Sch Health 2003;73:258-263.
10. Sahin D, Simsek F, Seyisoğlu H. CETAD Cinsel yasam ve sorun- ları bilgilendirme dosyası. (serial online). 2006. www.cetad.org.tr/ doc/abilgilendirme_dosyasi_1.pdf.
11. Agaçfdan A, Akın L. Türkiye Üreme Sağlığı Programı. Türkiyede Cinsel Yolla Bulaşan Enfeksiyonlar (CYBE) ve HIV/AİDSin Sür- veyans Sistemine İlişkin Durum Analizi. T.C.Sağlık Bakanlığı, Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü, Ed. Pey- man ALTAN, Ankara, 2007.
12. Feldman HA, Goldstein I, Hatzichristou DG, et al. Impotence and its medical and psychosocial correlates: results of the Massachu- setts Male Aging Study. J Urol 1994;151:54-61.
13. Laumann EO, Paik A, Rosen R. Sexual dysfunction in the United States: Prevalence and predictors. JAMA 1999;21:537-544.
14. Kinsey AC, Pomeroy WB, Martin CE. Sexual Behavior in the hu- man male.WB Saunders, Philadelphia 1948; pp 236-237.
15. Laumann EO, Paik A, Rosen RC. The epidemiology of erectile dysfunction: results from the National Health and Social Life Sur- vey. Int J Impot Res 1999;11 Suppl 1:S60-64.
16. Akkus E, Kadıoglu A, Esen A, et al. (Turkish Erectile Dysfunc- tion Prevalence Study Group). Prevalence an corelates of erec- tile dysfunction in Turkey: A Population based Study. Eur Urol 2002;41:298-304.
17. Shabsigh R, Klein LT, Seidman S, et al. Increased incidence of depressive symptoms in men with erectile dysfunction. Urology 1998;52:848852.
18. Latini DM, Penson DF, Wallace KL, et al. Clinical and psychoso- cial characteristics of men with erectile dysfunction: baseline data from ExCEED. J Sex Med 2006;3:1059-1067.
19. Sugimori H, Yoshida K, Tanaka T, et al. Relationships between erectile dysfunction, depression, and anxiety in Japanese subjects. J Sex Med 2005;2:390-396.
20. McMahon CG, Althof S, Waldinger MD, Porst H, Dean J, Sharlip I, el al. An evidence-based defnition of lifelong premature ejacu- lation: report of the International Society for Sexual Medicine Ad Hoc Committee for the defnition of premature ejaculation. BJU Int 2008;102:338-350.
21. Wespes E, Amar E, Eardley I, et al. Guidelines on Male Sexual Dysfunction. European Association of Urology 2010.
22. Waldinger MD. Premature ejaculation. Defnition and treatment. Drugs 2007;67:547-568.
23. Serefoglu EC, Cimen HI, Atmaca AF, et al. The distribution of pa- tients who seek treatment for the complaint of ejaculating prema- turely according to the four premature ejaculation syndromes. J Sex Med 2010;7:810-815.
24. Laumann EO, Nicolosi A, Glasser DB, et al. GSSAB Investigators Group. Sexual problems among women and men aged 40-80 y: prevalence and correlates identifed in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 2005;17:39-57. 25. Porst H, Montorsi F, Rosen RC, et al. The Premature Ejaculation Prevalence and Attitudes (PEPA) survey: prevalence, comorbidi- ties, and professional help-seeking. Eur Urol 2007;51(3):816-823.
26. Dunn KM, Croft PR, Hackett GI. Association of sexual problems with social,psychological, and physical problems in men and wo- men: a cross sectional population survey. . J Epidemiol Commu- nity Health. 1999;53:144-148.
27. Comhaire F.H. Andropause: Hormone replacement therapy in the ageing male. Eur Urol 2000;38: 655-662.
28. Aslan Y, Atan A, Aydın Ö, ve ark. Türkiyede sağlıklı genç erkek- lerde coğrafk bölgelere göre penis boyu: 1,132 vakanın ölçüm bulguları Türk Üroloji Dergisi 2010;36:43-48.
29. Harding R, Golombok SE. Test-retest reliability of the measure- ment of penile dimensions in a sample of gay men. Arch Sex Be- hav 2002; 31:351-357.