Biomedical subjects

C P Broekman

Publications and source records attributed to C P Broekman.

3 recordsLinked to original sources

PubMed1994

The patient with erection problems and his general practitioner.

Ninety general practitioners (GPs) interviewed about 136 of their latest patients and 38 of these patients participated in a study on the diagnosis and treatment of erectile dysfunction (ED). On average one GP saw 4 patients with ED in one year. About half of these patients were 60 years or over, nearly all had steady relationships, and their level of education seemed to be above average. There was a median patient delay of about one year between the onset and presentation of the complaint. Doctors and patients differed markedly in their reports on the diagnosis and the treatment outcome. Doctors favoured a psychosocial cause, patients a somatic cause. In general, doctors had a more positive view on the results of treatment, while patients were often disappointed. Nevertheless, a much higher proportion of the patients than was expected by the doctors wished to renew contact with their doctor.

Adult↗

PubMed1994

An investigation into the management of patients with erection problems in general practice.

In a study on the diagnosis and treatment of erectile dysfunction (ED) in general practice, a self-selected sample of 90 general practitioners (GPs) (76 males, 14 females) from a predominantly urban population of 525 GPs were interviewed. It appeared that 59% would not actively interrogate a patient when an erection problem was suspected, either because of lack of time or lack of competence. A specific strategy for the management of erection problems was reported by 60% of the GPs. In practice, most GPs treated their own patients. About 60% of the GPs tried to keep up to date through reading and postgraduate courses. Impediments acknowledged in the interaction with patients were the experience of lack of knowledge and skills (63%) and emotional inhibitions to detailed questioning (49%). None of the GPs in this study had as yet utilized more recent treatment methods such as intracavernous drug injections and vacuum constriction devices. It is recommended that in postgraduate training courses GPs receive practical training in proper history taking and in the application of modern treatment methods.

Adult↗

PubMed1992

Bisoprolol and hypertension: effects on sexual functioning in men.

OBJECTIVES: To investigate prospectively the effects of the selective beta 1 adrenoceptor blocker bisoprolol on sexuality of men with hypertension. DESIGN: In newly diagnosed patients (group I): double-blind, crossover, placebo controlled. In men with hypertension on antihypertensive treatment (group II): crossover design. SETTING: Large area in and around Rotterdam, The Netherlands. PATIENTS: Twenty-six men (criteria: between 25 and 70; no disease etc. known to affect sexual functioning) were recruited through their general practitioners. Group I (n = 13) fulfilled the selection criteria, sitting blood pressure systolic > or = 160 mm Hg and/or diastolic > or = 95 mm Hg, measured on 3 different days. Group II (n = 13) patients already on antihypertensive treatment. MAIN OUTCOME MEASURES: Data on blood pressure. Qualitative and quantitative data on sexuality through questionnaires, including personal and sexual history, sexual functioning, sexual satisfaction and erectile difficulties. RESULTS: Bisoprolol is an effective antihypertensive drug with no detrimental effects on sexuality in newly diagnosed men with hypertension. In men already on antihypertensive medication bisoprolol improved sexuality in some parameters, i.e. firmness of erection during coitus, contentedness with sexual functioning and satisfaction with own sexuality. CONCLUSION: Bisoprolol is an effective antihypertensive agent with no sexual side effects.

Adult↗