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Erectile Dysfunction (ED) Management in Leeds. Amar Mohee, Ayisha Khan, Anne Storey, Ian Eardley. Methods. Severe Distress. GP. DNA. RESULTS. Database set up in 2000 Cohort: n= 1933 (up to April 2011) Mean Age: 60.2 years (min 23, max 90) Mean time on treatment to date: 50.8 months
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Erectile Dysfunction (ED) Management in Leeds Amar Mohee, Ayisha Khan, Anne Storey, Ian Eardley
Methods Severe Distress GP DNA
RESULTS • Database set up in 2000 • Cohort: n= 1933 (up to April 2011) • Mean Age: 60.2 years • (min 23, max 90) • Mean time on treatment to date: 50.8 months • (Min 1, max 127)
Results FOLLOW-UP Switching between therapies (12.3%) Most used: Cialis (54.0%) Least used: Alprostadil (4.3%) 1 in 5 on Levitra switches 1 in 3 switches to Cialis 6.7% switches > once • 18.0% stopped scheme • DNA, moved, GP • 25.0% Poor compliance • DNA at least once • Severely distressed?
DISCUSSION WHY CIALIS? ED SCHEME Low drop-out rate (10.6%) Centralised system Long-term follow-up • Fast-acting, efficacy for longer (36hrs) • Consultant preference • Better side-effect profile?