ОБІЗНАНІСТЬ ЛІКАРІВ-УРОЛОГІВ ЩОДО ПИТАНЬ СЕКСУАЛЬНОГО ЗДОРОВ’Я ЧОЛОВІКІВ

Le résumé fourni par la source

Sexual health is an important aspect of quality of life and overall health. That is why international experts recommend that patient-centered healthcare systems, based on a comprehensive approach to medical care, provide a holistic assessment of sexual health and allocate resources to address sexual problems. In order to study the awareness of urologists on the prevention and organization of medical care for men with sexual dysfunction, in 2025, based on a questionnaire developed by us, we surveyed 55 urologists in 12 public and 4 private healthcare institutions in the Ivano-Frankivsk region. Among those surveyed, 78.2 % were men and 21.8 % were women, 30.9 % of respondents had the highest qualification category, 27.3 % had the first category, 10.9 % had the second category, and 30.9 % were not certified. It has been established that most urologists are not sufficiently knowledgeable about men's sexual health issues and acknowledge this themselves through self-assessment of their knowledge (18.2 % confirmed a complete lack of knowledge, 45.5% confirmed partial knowledge) and the need to acquire it (94.5 %), particularly regarding communication with patients (80.0 %). It has been established that the consequences of this insufficient knowledge are non-compliance with preventive technologies by urologists, namely: inadequate assessment of the sexual health of male patients (80.0 % only when complaints are present), failure to recommend that male patients visit a urologist-sexologist for preventive purposes (63.6 %), lack of understanding of the need for their participation in the process of identifying pathology (34.5 %), consultation (23.6 %), treatment (40.0 %), and dynamic observation of men with sexual dysfunctions (49.1 %), as well as other doctors, in particular primary care physicians and psychologists at each stage of such a patient's pathway. Half of the urologists surveyed (52.7 %) attributed the function of detecting sexual disorders to primary care physicians, slightly more than a third to urologists-andrologists (41.8 %) and sexologists (38.2%), 23.6 % attributed it to mental health specialists and cardiologists (14.5 %). The leading roles in counseling such patients were given by the surveyed urologists to sexologists (67.3 %) and urologists-andrologists (60.0 %). Only one in four of those surveyed (25.5 %) knew that men with sexual dysfunction need to consult a psychiatrist or psychologist, and only 12.7 % knew that they need to consult a cardiologist. Respondents gave priority in the dynamic observation of such patients to sexologists (47.3 %) and urologists-andrologists (41.8 %), without understanding the important role of primary care physicians (9.1 %) at this stage of the patient's pathway. Although the surveyed urologists demonstrated good awareness of the risk factors for male sexual dysfunction. Most were aware of the negative role of smoking (89.1 %), excessive body weight (80.0 %), alcohol abuse (78.2 %), the relationship with cardiovascular diseases (74.5 %), and physical inactivity (70.9 %) in the development of the pathology. It has been found that when examining men with sexual dysfunctions, urologists mainly pay attention to hormonal status (88.7 %), subjective manifestations (54.7 %), and instrumental examination data (49.1 %), and much less often on blood biochemical parameters (35.8 %), the state of the cardiovascular system (30.2 %), and lipid profile parameters (26.4 %).

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.