Erectile Dysfunction Clinical Trial
Official title:
The Effect of Treatment for ED on Quality of Life and Satisfaction in a Group of Patients Without Prior Complaints of Sexual Dysfunction
In clinical practice it is quite common to have sexually active male patients with
mild/normal erectile function that are not satisfied with their sexual function. The aim of
this study is to evaluate the effect of sildenafil on the quality of sexual function in this
group of patients.
The endpoint of this study is to define another, different group of patients that may
respond positively to treatment with sildenafil.
This will be a prospective, placebo-controlled, double blind crossover study. One hundred
males between 35-70 years of age in good general health will be included. Recruitment of
patients will be done through patient referral to the “male sexual dysfunction clinic” at
Rambam Medical Center, as well as by other necessary ways for optimal and rapid recruitment
(media advertisement, direct contact with primary clinics etc.).
For each patient, the study will terminate after a maximal period of 4 months from
initiation and will include 4 visits:
On inclusion (Visit I), a thorough explanation will be given to each patient on the aims and
course of the study, as well as a full explanation on dosage, mode of administration, safety
and efficacy of Viagra. After reading and signing an informed consent, each patient will be
asked to fill a questionnaire regarding his sexual function (IIEF-ED Domain). If the patient
fits inclusion criteria, he will be referred to the urologist to initiate the study. On the
second encounter (Visit II), medical history and physical exam will be performed. The
subject will then fill out 3 questionnaires: IIEF (full version), QVS (quality of sexual
life questionnaire) and the SEARS questionnaire. Administration of medication will be
performed in a double-blinded crossover fashion. Each patient will be provided, at random
either 6 tablets of placebo or Viagra 50mg. The patient will be advised to use them on
demand. After consuming all 6 tablets, a third visit will be scheduled. On the third visit
(Visit III) each patient will be provided with new IIEF (full version), QVS (quality of
sexual life questionnaire), the SEARS questionnaire and an EDITS questionnaire. A few other
questions on satisfaction will be asked and recorded (questions on the quality of the
erection, duration of intercourse, number of sexual acts per night, frequency of
intercourse/week, satisfaction from intercourse etc). Each subject will receive another 6
tablets (Viagra/ placebo). Finally, at the last visit (Visit IV) subjects will again fill
out the same questionnaires as on visit III. At the end of the study, double-blind codes
will be opened and multi-variant analysis of the data will be performed using chi square and
annova.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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