Prescription of Sildenafil at “Manuel Fajardo Rivero” teaching polyclinic

Abstract

Background: sexuality is widely accepted as an important and integral part of the physical and emotional well-being, a marker of health status and quality of life of patients. On the territory there are no studies that characterize Sildenafil treatment of patients with erectile sexual dysfunction.

Objective: to characterize the prescription of sildenafil in patients diagnosed with erectile sexual dysfunction, belonging to the health area of "Manuel Fajardo Rivero" Polyclinic in Las Tunas municipality, from January 5 to April 30, 2015.

Methods: an observational, descriptive and cross-sectional study was carried out in patients diagnosed with erectile sexual dysfunction, belonging to the health area and during the time period referred to in the objective. For the selection of patients, the consecutive non-probabilistic sampling was taken, getting those patients who came to the office to renew their prescription of Sildenafil into the database.

Results: the age group from 70 to 79 years old prevailed. There were deficiencies in the components to be assessed for diagnosis, with a brief medical history, inadequate physical examination, without reference to sexual history or psychosocial history, with few indications of laboratory tests. Classification was unknown and the possible cause was not assessed. Hypertension, linked to type 2 diabetes mellitus, was the most referred past health histories. The most reported contraindication was isosorbide dinitrate consumption. Enalapril, Cimetidine and Amlodipine were the most common drugs that caused drug interactions with sildenafil.

Conclusions: there are deficiencies in the diagnostic evaluation of erectile sexual dysfunction, which must be multidisciplinary. Treatment must be phased, taking into account the cost / risk / benefit depending on the general health of the patient and his aspirations.