Consultations Reason for Genital, Urinary or Psychological Humans in General Practice

Study Overview
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Brief Summary
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Many male patients complain about their ejaculation: 21-30% of men aged between 18 and 59 have admitted suffering from a decrease in, or loss of control of, their ejaculation. The quality of life of patients and their partners is impaired compared to men not suffering from premature ejaculation. Economically, the impact of the disease are significant. In the year preceding the detection of premature ejaculation patients visit twice their physician. The majority of men interviewed anonymously, in their General Practitioner's ( GP's) waiting room, considered it important to talk with their GP about their sexual concerns. Almost half of them preferred that their GP initiate any discussions about sexuality. More than two thirds of the respondents would have liked their GP to signal his or her open-mindedness by directly addressing sexual topics during the consultation. In 2008 a qualitative study brought to the fore the strategies used by GPs to initiate the discussion on premature ejaculation . GPs who mentioned premature ejaculation with their patient described three attitude-related strategies and three investigative strategies.

Official Title
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Consultations Reason for Genital, Urinary or Psychological Humans in General Practice

Conditions
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Premature Ejaculation

Intervention / Treatment
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* Other: Questionary SF12 and PEDT (Premature Ejaculation Diagnostic Tool)
* Other: Total attention
* Other: Humour
* Other: Take the drama out
* Other: Question about premature ejaculation
* Other: Symptoms of premature ejaculation
* Other: Help to verbalize


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male patients overbetween 18 and 80 years old and Patients consulting for a sexual, urogenital or psychological reason according to Interntational Classification of Primary Care (ICPC-2) will be included. Exclusion Criteria: Patients consulting for Aanother reason for visiting thethan urogenital pattern, sexual or psychological Nonunderstanding of the French language Patients with psychiatric disorders affecting judgement Patient refusal to participate in the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: This study is a multicenter trial. Patients will be followed either by GPs from the interventional group who trained in communication skills or by the control group who never participated. The distribution of general practitioners in the groups is done thanks random draw .
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Interventional GP : GP trainned in communication skills<br>The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. Then the interventional GP group must use one of the six strategies to approach the subject of premature ejaculation. There three strategies of attitude (Total attention, Humour, Take the drama out) and three investigative strategies (Question about premature ejaculation, Symptoms of premature ejaculation, Help to verbalize). | Other: Questionary SF12 and PEDT (Premature Ejaculation Diagnostic Tool)<br>* The SF-12 was designed to measure general health status from the patient's point of view (12 questions are asking to the patients) and the PEDT questionnaire is a self-assessment questionnaire to diagnose premature ejaculation (5 questions are asking to the patients).<br>Other: Total attention<br>* Total attention of the GP to approach the subject of premature ejaculation during all the consultation<br>Other: Humour<br>* Use the humour to approach the subject of premature ejaculation<br>Other: Take the drama out<br>* Take the drama out to approach the subject of premature ejaculation<br>Other: Question about premature ejaculation<br>* Question about premature ejaculation during the GP consultation<br>Other: Symptoms of premature ejaculation<br>* GP's observation about signs of premature ejaculation<br>Other: Help to verbalize<br>* Help for the patient to speak about premature ejaculation<br>|
| Other: Usual care : GP did not trainnd in communication skills<br>The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. This classical GP group make a classical consultation like each day without use any strategies to speak about | Other: Questionary SF12 and PEDT (Premature Ejaculation Diagnostic Tool)<br>* The SF-12 was designed to measure general health status from the patient's point of view (12 questions are asking to the patients) and the PEDT questionnaire is a self-assessment questionnaire to diagnose premature ejaculation (5 questions are asking to the patients).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The impact of training general practitioners in communication skills | The impact of training general practitioners in communication skills on the rate of patients bringing up the topic of premature ejaculation with their GP. To measure the proportions of patients bringing up the topic of premature ejaculation with their GP, the GPs in the two groups were asked to fill in a questionnaire after the consultation on whether the topics tackled were genital, urinary or psychological. The aim of detailing the different topics broached was to avoid contamination bias in the control group. | Day 0 - 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of quality of life | The quality of life will be evaluated with the SF-12 health assessment scale. The SF-12 was designed to measure general health status from the patient's point of view. The SF-12 includes 8 concepts commonly represented in health surveys: physical functioning, role functioning physical, bodily pain, general health, vitality, social functioning, role functioning emotional, and mental health. | Day 0 - 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Premature ejaculation, general practice, sexual dysfunction