Marshania Zurab, Chochnidze Nino, Injgia Marika, Samteladze Mariam

(86) IS PSYCHODIAGNOSTIC THE USEFUL INSTRUMENT FOR DIFFERENTIAL DIAGNOSIS BETWEEN PSYCHOGENIC AND ORGANIC FORMS OF ERECTILE DYSFUNCTION?

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health
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Abstract Objectives Erectile Dysfunction (ED) is a fairly common problem, affecting millions of men depending on their age group. It is a common difficulty to differentiate between different forms of ED. When we say about the psychogenic form of ED, we should remember that the ways that people think, feel, and behave - can powerfully affect their erectile response. Consequently, objective assessment of psychogenic factors can help physicians in the correct diagnostic and treatment of patients with ED. Methods In our study, participants were 109 men with ED aged 25 to 45. All patients had some emotional problems, due to which a psychodiagnostic. For assessment of psycho condition, we used four diagnostic tests: MMPI-I, STAI (State-trait Anxiety Inventory), Beck's Depression Inventory, and OCI-R (Obsessive-compulsive-inventory-revised). Results As the result of the examination, we detected anxiety disorder in 38 patients. 10 patients had dysthymia, and 14 had depression. Five patients had Obsessive-compulsive disorder. In 43 men with ED, we could not find any psychogenic problems. Psychodiagnostic allowed us to suppose that 66 patients (60%) had psychogenic ED and 43 (40%) had organic ED. Together with PDE 5 – inhibitors, all 66 patients with psychogenic ED received Serotonin and Dopamine Selective reuptake Inhibitors (SSRI). 100 mg Trazodone per day had received in 43 patients. 19 patients received 30 mg Duloxetine per day, and four received 10 mg. Citalopram per day. The treatment mentioned above was very successful. After several months of treatment, erectile function had been restored. Also, anxiety and depression decreased. The well-being and quality of sexual life improved. Conclusions The psychodiagnostic examination we used in our study is quite an effective objective method for differential diagnoses between the psychogenic and organic forms of ED among 25-45 aged men. It can be considered a simple and routine tool in the algorithm for diagnosing and treating ED. Conflicts of Interest There is no conflict of interest.

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