Abstract
The modern scientific understanding of erectile dysfunction indicates the predominant secondary nature of sexual disorders in relation to the diseases that cause them. This largely applies to male victims of hostilities. The basis of the work was the results of a survey of 298 men injured as a result of combat operations (shrapnel and bullet wounds) using the International Index of Erectile Function-5 (MIEF-5) questionnaires. The research group was divided into two: men aged 20–39 years (group 1) and men aged 40–53 years (group 2). The control group consisted of 48 practically healthy men without complaints of sexual dysfunction or cardiac, neurological or endocrinological pathology. Among the men of the control group were 30 men aged 20–39 years (group 3) and 18 men aged 40–60 years (group 4). It is shown that 196 men of the 1st group aged 20–39 years have a mild form of erectile dysfunction (ED) where a total score was 19.57 ± 0.44. 102 men of the 2nd group aged 40–53 years also had a mild form of ED, but the total score was much lower as well as 17.94 ± 0.41. The indicators of individual 5 components of male sexual function and the erection hardness scale were also lower in patients of the 2nd group. The ED-MIEF-5 domain decreases most significantly with the severity of ED. All domains of the MIEF are significantly reduced in ED compared to a healthy group of respondents, but there is no differentiation according to the severity of ED. That is, with ED of any severity, all other sexual functions simultaneously suffer as well as sexual desire, confidence in erection, firmness and maintenance of erection, pleasure from sexual intercourse and sexual life.
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