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IIEF-15: Unsuitable for Assessing Erectile Function of Young Men?

机译：IIEF-15：不适合评估年轻人的勃起功能吗？

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Introduction. The prevalence of erectile dysfunction (ED) is mainly studied in older males, whereas we measured prevalence of ED in young healthy males using a validated questionnaire. Aim. Assessing the prevalence of ED in young adult men using the International Index of Erectile Function (IIEF-15) and creating a benchmark for ED in this young age group for further research. Methods. Male students were randomly asked to participate. Men with history of sexual dysfunction or urologic disease were excluded. Age, having a relationship and the IIEF-15 were filled out anonymously and in private. Outcomes of all domains were separately analysed based on relationship and intercourse frequency. Main Outcome Measures. ED measured by the IIEF-15. Results. One hundred and fifty-one students, aged 21.8 years (17-35, SD 2.98) participated and 14 were excluded. Of 137 students, 81% reported to have an intimate relationship. ED appeared to be present in 46 students (33.6%). The answer "no sexual activity," resulting in a 0-score, was given inconsistently. Outcomes were analysed for students who gave this answer at least once compared with those who never did. Nobody had ED in the group "without 0-scores" (n = 91). All students in the group "with (inconsistent) 0-scores" (n = 46) had ED. Students with a relationship had ED in 24.3% compared with 73.1% in those without a relationship (P< 0.001). Conclusion. When men with inconsistently answered IIEF-15 questionnaires are excluded, a 0% prevalence of ED is found in this age-group. The current scoring method however does not state that these questionnaires should be excluded, and results in a prevalence of ED of 34%. Possibly, the scoring method of the IIEF-15 needs to be reviewed when this questionnaire is used in young, healthy men in order to accurately measure the prevalence of ED.
机译：介绍。勃起功能障碍（ED）的患病率主要是在老年男性中进行的，而我们使用经过验证的问卷调查了年轻健康男性的ED患病率。目标。使用国际勃起功能指数（IIEF-15）评估成年男性中ED的患病率，并为这个年轻年龄组的ED建立基准，以供进一步研究。方法。男学生被随机要求参加。有性功能障碍或泌尿系统疾病病史的男性被排除在外。年龄，恋爱关系和IIEF-15是匿名和私下填写的。根据关系和性交频率分别分析所有领域的结果。主要观察指标。 ED由IIEF-15测量。结果。 151名年龄21.8岁（17-35岁，标准差2.98）的学生参加了比赛，其中14人被排除在外。在137名学生中，有81％的人报告有亲密关系。 ED似乎出现在46名学生中（33.6％）。给出的答案“没有性行为”得分为0。与未曾回答过的学生相比，分析了至少给出一次回答的学生的结局。 “没有0分”组中无ED（n = 91）。 “ 0分（不一致）”（n = 46）组中的所有学生都有ED。有恋爱关系的学生的ED率为24.3％，而没有恋爱关系的学生的ED为73.1％（P <0.001）。结论。如果排除了回答IIEF-15问卷不一致的男性，则该年龄段的ED患病率为0％。但是，当前的评分方法并未声明应排除这些问卷，因此ED的患病率为34％。可能的是，在年轻，健康的男性中使用该问卷时，需要对IIEF-15的评分方法进行审核，以便准确测量ED的患病率。

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