Is troubled sexual health part of interventional radiologists' patient-management? Igls-Vienna-SexMed-Survey-Program: Health professionals' self-assessment-results at the annual Three-Nations-Conference of the Interventional Radiological Societies, IROS, (AUT-GER-CH), Salzburg, 2018
Ucsnik, L1; Kottmel, A2; Bitzer, J3; Teleky, B4; Schoder, M5
1: Medical University Vienna, Austria; 2: Private Practice for Gynecology and Sexual Medicine; 3: Private Practice for Gynecology, Basel; 4: Medical University Vienna, Dpt for Surgery; 5: Medical University Vienna, Dpt of Biomedical Imaging and Image-guided Therapy, Div. of Cardiovascular and Interventional Radiology
Introduction: Interventional radiological techniques are a therapeutic option in vascular medicine including arterial and venous interventions in the pelvic area. Thus, interventional radiologists and radiographers were integrated in the Igls-Vienna-SexMed-Survey, started in 2017, Medical University Vienna, Department of Surgery
Method: At the annual Three-Nations-Conference of the Interventional Radiological Societies of Germany, Austria and Switzerland in Salzburg, January 2018, participants were asked to self-assess if they address sexual problems in their therapies in a 3-parted questionnaire. 49 of 212 distributed questionnaires were returned (24,11%); 38 from medical doctors and 11 from radiographers. The sessions chosen for distribution were “Reconstruction of the aorta“ (n=189) and “Patient management in radiology” (n=70).
Results: 55% of the participants were male, 27% female and in 18% this was not given. 33% were aged between 31-40, 16% between 41-50 and 20% between 51-60 years. 24% performed interventional procedures between 6-10, 16% between 11-20 and 12% more than 21 years. 76% of them are employed by public hospitals and 16% by university clinics. 49% of participants did not ask their patients about sexual health issues and 29% asked up to 20% of their patients. 35% of the participants were not asked about sexual problems by their patients and 51% of them were asked by up to 20% of patients about these health issues. 39% of the participants assumed sexual health problems in their patients without asking actively. 61% of participants assessed “other issues more important” and 29% “lack of time” being the main reasons for patients not asking. 61% rated “concrete diagnoses” and 43% “preventive programs”, 29% “before surgery” and 29% “internal medicine consultations” being occasions to address sexual health issues actively. For reasons of treatment failure, 37% of participants assessed the patient’s age and 29% a lack of sexual medicine competence. 24% of participants refer patients with sexual problems to urologists.
Conclusion: In spite participants were clinically experienced, 80% of patients were not asked about sexual health issues. The result can be explained by the kind of performed procedures, however, there might be a need also in the field of interventional radiology for raising awareness towards sexual health and for sexual medical training concepts.
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