The results of the included studies are inconclusive , though they show a trend towards a larger effect of combined treatment compared with PI or PDE5-I treatment alone .
The meta- analysis found that , overall , combined treatment was more efficacious for ED symptoms than PDE5-I treatment or PI alone .
Combined treatment was more efficacious than PDE5-I use alone on sexual satisfaction .
No differences were found between PDE5-Is and PI as st and -alone treatments .
The combination of PI and PDE5-Is is a promising strategy for a favorable outcome in ED and can be considered as a first-choice option for ED patients .
INTRODUCTION Erectile dysfunction ( ED ) is an increasing health problem that dem and s effective treatment .
There is evidence that phosphodiesterase-5 inhibitors ( PDE5-Is ) and psychological intervention ( PI ) are effective treatment options ; however , little is known about their comparative efficacy and the efficacy of combined treatments .
AIM The aim of this systematic review and meta- analysis is to evaluate the comparative efficacy of PI , PDE5-Is , and their combination in the treatment of ED .
MAIN OUTCOME MEASURES Primary outcome was ED symptoms , and secondary outcome was sexual satisfaction of the patient .
[Therapeutic choices of penile erectile dysfunction].
OBJECTIVES To discuss the therapeutic choices of erectile dysfunction ( ED ) and to improve the therapeutic efficacy for different ED cases . METHODS Two hundred and twenty-seven patients with ED were treated repectively with psychological treatment(31 cases ) , oral testosterone(30 cases ) , Viagra(121 cases ) , psychological treatment + Viagra ( 16 cases ) , intraurethral PGE1 ( 8 cases ) and intracavemous injection(21 cases ) . RESULTS Among those ED patients , 142 ( 62.6 % ) cases reported improved erections after they had undergone above-mentioned therapies . The improved patients include 12 cases(38.7 % ) with psychological treatment , 9 cases ( 30.0 % ) with oral testosterone , 91 cases ( 75.2 % ) with Viagra , 13 cases ( 81.3 % ) with psychological and Viagar , 2 cases ( 25.0 % ) with intraurethral PGE1 and 21 cases ( 71.4 % ) with intracavemous injection . CONCLUSIONS ED is a highly individualized disease , therapeutic choices of ED based on patient 's situation can benefit those patients
The results of the included studies are inconclusive , though they show a trend towards a larger effect of combined treatment compared with PI or PDE5-I treatment alone .
The meta- analysis found that , overall , combined treatment was more efficacious for ED symptoms than PDE5-I treatment or PI alone .
Combined treatment was more efficacious than PDE5-I use alone on sexual satisfaction .
No differences were found between PDE5-Is and PI as st and -alone treatments .
The combination of PI and PDE5-Is is a promising strategy for a favorable outcome in ED and can be considered as a first-choice option for ED patients .
INTRODUCTION Erectile dysfunction ( ED ) is an increasing health problem that dem and s effective treatment .
There is evidence that phosphodiesterase-5 inhibitors ( PDE5-Is ) and psychological intervention ( PI ) are effective treatment options ; however , little is known about their comparative efficacy and the efficacy of combined treatments .
AIM The aim of this systematic review and meta- analysis is to evaluate the comparative efficacy of PI , PDE5-Is , and their combination in the treatment of ED .
MAIN OUTCOME MEASURES Primary outcome was ED symptoms , and secondary outcome was sexual satisfaction of the patient .