Among the 16,573 surveys that included data around the use of erectile aids, 15% reported the use of erectile aids, predominantly injections (89%). A simple modeling analysis showed that before a question around the use of erectile aids was introduced, some men would report their level of erectile function using the aids; others would assess their erectile function without the use of aids.
Among men who stated they were not having sexual intercourse, 46% gave reasons other than ED for the absence of sexual activity, including lack of a partner, sexual orientation, sexual preference, and health problems of the female partner. In men who were having sexual intercourse, doubling the first three questions on the survey resulted in almost perfect scores compared with the full IIEF-6.
In the 251 men who reported not having sexual activity, 13% reported they continued to have erections sufficient for sexual activity. Meanwhile, 5.6% reported scores of at least 65 on the EPIC sexual function domain.
Adjusting the survey to provide more detailed and informative insight into the erectile function of men who have undergone radical prostatectomy “is an easy fix,” Dr. Vickers said.
“The problem is not in calculating a group average. The problem is in working with individual patients,” he added.
It’s also important to ensure patients understand what is meant by the word “intercourse,” Dr. Vickers said.
“Some men think ‘sex’ means ‘intercourse’ [only],” he said.