Assessment of sexual function in men with idiopathic Parkinson's disease using the International Index of Erectile Dysfunction (IIEF-15)

摘要

OBJECTIVE: to assess the sexual function in men with idiopathic Parkinson's disease. PATIENTS AND METHODS: a cross-sectional study was performed in 35 men, mean age 68 +/- 9 years, with idiopathic Parkinson's disease followed in a single urological department. The 15 questions International Index of the Erectile Function was sent by postal mail. RESULTS: the answer's rate was 42.9% (15 patients). The mean age of the responders was 68.7 +/- 10.0 years. Mean duration of the disease was 10.4 +/- 6.8 years. Sexual dysfunction was the second cause for consultation in urology. Despite a sustained sexual desire, patients had an altered sexual function with low erectile function, orgasmic function, intercourse satisfaction and total satisfaction scores. According to the Cappelleri's classification, the erectile dysfunction was severe in 54% of the cases and moderate in 26.6%. Age, institutionalization and overactive bladder symptoms were associated with erectile, orgasmic function and intercourse satisfaction alteration, sexual desire alteration, intercourse and global satisfaction alteration, respectively. CONCLUSION: men with idiopathic Parkinson's disease had a severe sexual dysfunction. The sexual desire was usually maintained but all the other domains were severely altered.