1141 ACCEPT (ASIAN CONSTRAINTS AND CONCERNS IN ED PERCEPTIONS AND TREATMENTS) THE RESULT OF ASIAN'S PERSPECTIVE ON ED AS A MEDICAL CONDITION AND THEIR ATTITUDE TOWARDS TREATMENT WITH PDE5-I AND TCM

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Evaluation I1 Apr 20121141 ACCEPT (ASIAN CONSTRAINTS AND CONCERNS IN ED PERCEPTIONS AND TREATMENTS) THE RESULT OF ASIAN'S PERSPECTIVE ON ED AS A MEDICAL CONDITION AND THEIR ATTITUDE TOWARDS TREATMENT WITH PDE5-I AND TCM Kor Woi Tiang, Yan Ning Neo, Keng Lim Ng, Azad Hassan Razack, and Eng Geap Lee Kor Woi TiangKor Woi Tiang Brisbane, Australia More articles by this author , Yan Ning NeoYan Ning Neo Edinburgh, United Kingdom More articles by this author , Keng Lim NgKeng Lim Ng Kuala Lumpur, Malaysia More articles by this author , Azad Hassan RazackAzad Hassan Razack Kuala Lumpur, Malaysia More articles by this author , and Eng Geap LeeEng Geap Lee Bandar Sunway, Malaysia More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1251AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The attitude and perception towards Erectile Dysfunction (ED) and its treatment options are not well understood, especially in culturally diverse Asia. ACCEPT study conducted in Malaysia, aimed to identify the acceptance level of ED as a medical condition and views on treatment with Phosphodiesterase5-Inhibitors (PDE5-I) vs. Traditional Complementary Medicine (TCM). METHODS Patients attended non-urological clinics in a tertiary teaching hospital were recruited to complete non-validated questionnaires. Participants' opinion of ED as medical, psychological or lifestyle conditions and its associations with cardiac co-morbidities were analyzed. Subjects' views on PDE5-I and TCM in relation to safety, and acceptance were also studied. Sub-analysis of cohort's race, gender, age, income, educational levels and sexual activeness were demonstrated. ACCEPT was conducted in Malaysia as the population represents diversity in Asia. RESULTS Amongst 3372 subjects recruited (2032 males, 1340 females), 75%, 68% and 75% believed ED is a medical, lifestyle and psychological condition, respectively. Overall, 59%, 53% and 50% of participants did not associate ED with respective hyperlipidemia, heart disease and hypertension; while 83% related it to depression. A total of 89% thought ED is treatable with PDE5-I with 82% efficacy; while TCM had 62% treatability and 73% effectiveness on ED. PDE5-I is considered safe in 73% against 57% for TCM, while 33% and 30% believed the options are linked to sudden death, respectively. Forty five percent of the participants assumed PDE5-I to be addictive versus 38% on TCM. PDE5-I is considered trustworthy by 75% of all and 74% are willing to accept it as first line treatment, compared to 54% trusting TCM with 49% acceptability. CONCLUSIONS The acceptance of ED as a medical condition may enable clinician to identify cardiac risk factors at early stages and also determine treatment-seeking behavior in men. ACCEPT study identified conflicting perceptions of ED as medical, as well as lifestyle and psychological conditions. Overall, the association of ED with depression is significantly higher than cardiac risk factors. Despite relatively short availability of PDE5-I in Asia, compared to TCM, our data revealed favorable perception of PDE5-I on efficacy, safety, trustworthiness and acceptability. However, TCM is still widely regarded as an important treatment option. The sub-analysis of the cohort may enable targeted awareness on certain populations. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e462-e463 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kor Woi Tiang Brisbane, Australia More articles by this author Yan Ning Neo Edinburgh, United Kingdom More articles by this author Keng Lim Ng Kuala Lumpur, Malaysia More articles by this author Azad Hassan Razack Kuala Lumpur, Malaysia More articles by this author Eng Geap Lee Bandar Sunway, Malaysia More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...