Abstract Introduction Erectile dysfunction(ED) and premature ejaculation(PE) are the common complaints in patients presenting to a Urologist with andrological problems. In our busy practice we tend to overlook important aspects such as patient’s perspectives about their condition and partner satisfaction with the treatment received Objective To determine patient perspectives and partner satisfaction levels in erectile dysfunction and premature ejaculation among patients presenting to a tertiary care hospital in a developing country Methods Among patients presenting to the Urology out patient department (OPD) with andrological issues, 150 patients with premature ejaculation and 150 with erectile dysfunction were included in the study. They were given a questionnaire with questions about demographics, symptomatic, intellectual, psychosocial, spiritual and goal-oriented dimensions of the disease and its treatment. On subsequent follow up visit, the partners answered questions about demographics, satisfaction levels in sexual and relationship domains. The responses were analysed. Results Most patients (78%) with PE and ED were suffering for more than 6 months. 70% patients belonged to the age group 20-40 years. Though most had received non allopathic treatment, they remained highly symptomatic. Fear of an unknown disease was the reason for delay in seeking treatment. 65% individuals felt that their problem affected intellectual and psychosocial dimensions. Only 5% of these patients had a diagnosed psychiatric condition. All patients were counselled in detail regarding their condition at the out patient visit. Only about 40% of partners visited the OPD and participated in the study. Out of the respondents, 85% and 92% were satisfied in the sexual and relationship domains respectively. Younger women (20-30 years), higher educational status and those women without diagnosed sexual or mental illness showed better satisfaction levels. Conclusions There is still a large population today that delays seeking treatment for their sexual disorders. Patients with ED and PE have significant problems because of their disorder and many of them confess that it affects multiple dimensions of their life. Most times, female partners do not get involved in the treatment pathway. However, with response of PE and ED to treatment, satisfaction levels were high. Hence, patient education about disease through counselling and involvement of partners in treatment pathway should be encouraged Disclosure No
A Hegde (Mon,) studied this question.
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