Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Sexual rehabilitation for cardiac patients with erectile dysfunction: a randomised clinical trial

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Valve regurgitation in patients surviving endocarditis and the subsequent risk of heart failure

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Alcohol septal ablation in patients with severe septal hypertrophy

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Interaction of ischaemic postconditioning and thrombectomy in patients with ST-elevation myocardial infarction

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Outcome after heart-lung or lung transplantation in patients with Eisenmenger syndrome

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Significantly increased risk of all-cause mortality among cardiac patients feeling lonely

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Dr. Uhre et al. Reply

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Maternal Sildenafil vs Placebo in Pregnant Women With Severe Early-Onset Fetal Growth Restriction: A Randomized Clinical Trial

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

Background Sexual dysfunction is common in patients with either ischaemic heart disease (IHD) or implantable cardioverter defibrillator (ICD) and has a negative impact on quality of life. Non-pharmacological treatment options are lacking. The purpose of this trial was to assess the effect of sexual rehabilitation versus usual care for males with erectile dysfunction and either IHD and/or ICD. Methods Participants with erectile dysfunction and IHD and/or ICD were randomised to 12 weeks of sexual rehabilitation consisting of physical exercise training, pelvic floor exercise and psychoeducation, or usual care. Primary outcome: Sexual function by the International Index of Erectile Function (IIEF). Secondary outcome: Sexual function by the Psychosocial Adjustment to Illness Scale. Exploratory outcomes: Exercise capacity, pelvic floor strength/endurance, self-reported health and mental health. Results 154 participants were included, mean age 61.6 years (SD 6.1). Sexual rehabilitation compared with usual care improved sexual function with a mean difference IIEF score of 6.7 (95% CI 3.1 to 10.4, p<0.0003) at 4 months between groups (unadjusted IIEF mean scores 36.4 vs 31.3) and a mean difference of 6.7, 95% CI 3.2 to 10.1 (p<0.0002) at 6 months between groups (unadjusted mean scores IIEF 37.1 vs 32.2). No effects were seen on the secondary outcome. Sexual rehabilitation improved exercise capacity on cycle ergometer measured by Watt max with a mean difference of 10.3, 95% CI 3.6 to 16.9 (p<0.003) and pelvic floor strength (p<0.01). No differences were seen on self-reported health and mental health. Conclusion Sexual rehabilitation compared with usual care improves sexual function and exercise capacity.

OriginalsprogEngelsk
TidsskriftHeart (British Cardiac Society)
Vol/bind105
Udgave nummer10
Sider (fra-til)775-782
Antal sider8
ISSN1355-6037
DOI
StatusUdgivet - 2019

ID: 56237310