Biomedical subjects
Publications and source records attributed to Grace Dorey.
Three successful case studies of men receiving treatment for erectile dysfunction and postmicturition dribble are presented to alert nurses to the possible benefits of pelvic floor muscle exercises.
Research findings from two earlier literature reviews were examined to determine if there may be an association between erectile dysfunction and postmicturition dribble. From the review, bulbocavernosus and ischiocavernosus muscle dysfunction may be responsible for both erectile and ejaculatory dysfunction, as well as a cause of postmicturition dribble and loss of the postvoid milking reflex. Pelvic floor muscle exercises may help to improve these conditions. However, research to investigate the conclusions proposed following the literature review is necessary for an association or relationship to be stated conclusively.
A test-retest design was used to assess within-day and day-to-day reliability of anal manometric measurements in a group of men with erectile dysfunction. Results indicate that reliable measures of anal pressure are obtainable under clinical conditions.
This article describes and evaluates critically the outcome measures available for the assessment of the conservative treatment of erectile dysfunction (ED). The literature review identified 26 outcome measures. Of these, 14 were subjective and 12 were objective. Objective measures can provide more accurate information. However, owing to the sensitive nature of the problem, questionnaires which are reliable and sensitive to change can provide valuable data. Different outcome measures were needed for each of the separate components of ED. These components were found to be rigidity, vascular flow, nerve conductivity, intracavemosal pressure, ischiocavernosus muscle power, partner satisfaction and quality of life. An evaluation of outcome measures for each component of ED is provided in the second part of this article. Quick, simple, inexpensive and efficient outcome measures can be used by nurses to evaluate the impact of conservative treatment for ED.
This article, the second of two parts, discusses and evaluates the range of outcome measures for erectile dysfunction (ED) identified from the literature review in part one (Vol 11(1): 54-64). The literature review identified 14 subjective and 12 objective measures. These outcome measures are needed for the components: rigidity, vascular flow, nerve conductivity, intracavernosus muscle power, partner satisfaction and quality of life. Instruments selected should provide good validity, reliability and responsiveness. Quick, simple, inexpensive and efficient outcome measures can be used by nurses.
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