Cognitive changes predict continued recovery of erectile functioning versus relapse after discontinuation of @entity7855 treatment for XXXX .

@entity7855 @entity1 @entity323
OBJECTIVE: To examine whether erectile functioning after termination of @entity7855 intake in @entity1 with psychogenic @entity323 ( @entity323 ) can be predicted with psychological measures. METHOD: The subjects in a nonrandomized controlled trial were 65 heterosexual @entity1 with acquired psychogenic @entity323 , aged 54.2 +/- 11 years. @entity7855 medication was taken as required before sexual activity, up to two times per week. Response to a global end point question ("Did the treatment you took during the study improve your physical response during sexual activity in the last 4 weeks?") was recorded after 6 weeks of @entity7855 use and, subsequently, 6 weeks without medication. Other measures of sexual functioning and cognitive predictor measures were also administered. RESULTS: Of the 65 @entity1 who commenced @entity7855 treatment, 37% withdrew from the study before follow-up assessment. At posttreatment, 89% of @entity1 reported that treatment had improved or cured their erectile functioning. At follow-up, 66% of @entity1 had maintained posttreatment gains. Response at follow-up could be predicted (p <.001) with 96% sensitivity and 50% specificity by entering changes in sexual self-confidence and the @entity1 's rating of his partner's wish to continue treatment in a logistic regression model. Higher odds for recovery of erectile functioning were found in @entity1 reporting increased sexual self-confidence and the estimation that their partner wanted them to continue @entity7855 use. High pretreatment sexual desire was found to further increase the odds for positive responding at follow-up. CONCLUSIONS: The present results indicate that continued improvement of erectile functioning is possible after discontinuation of @entity7855 use in @entity1 with psychogenic @entity323 . Maintenance of gains can be predicted from cognitive changes before medication is withdrawn.
