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 .
The male sexual quotient: a brief, self-administered questionnaire to assess male sexual satisfaction.
INTRODUCTION Sexual satisfaction is an important aspect of overall life satisfaction . The Male Sexual Quotient ( MSQ ) was design ed to provide a versatile , user-friendly instrument to measure various aspects of male sexual function and satisfaction . AIM Assess responses to the MSQ in men with sexual dysfunction ( SD ) . METHODS Items for inclusion in the MSQ were developed through interviewing 612 r and omly recruited men in São Paulo , Brazil , about factors considered to influence sexual quality of life . Validation of the MSQ was conducted in two phases in men with and without SD . MAIN OUTCOME MEASURE The correlation between patients ' total MSQ score and scores on the Sexual Health Inventory for Men ( SHIM ) . RESULTS The result ing MSQ question naire contains 10 items that address sexual function and satisfaction and is scored on a 100-point scale , with higher scores indicating greater sexual function and satisfaction with such function . Patients ' scores on the MSQ  were positively correlated with scores on the SHIM ( r = 0.86 ; P < 0.0001 ) . Scores on  MSQ item 8 , which assesses ejaculatory control , indicated that 46 % of patients may have premature ejaculation ( PE ) . The mean time for patients to complete the MSQ was 11 minutes . CONCLUSIONS The MSQ is a brief , comprehensive , and easily self-administered tool design ed to help men identify aspects of their sexual experience that could be improved through partner dialogue , physician consultation , and appropriate treatment .  MSQ scores correlated well with SHIM scores , and scores were inversely related to the severity of erectile dysfunction or PE and other male SDs . These preliminary findings suggest that the MSQ possesses good convergent validity . Nearly half of men reported problems with ejaculatory control , indicating an association between PE and other SD . Further validation of the MSQ in a double-blind trial is needed . The MSQ may aid in decision making for the treatment of SD
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 .