<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<?xml-stylesheet type="text/xsl" href="ViewNLM-v2.3.xsl"?>
<article xml:lang="KO" article-type="research-article">

<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Korean J Urol</journal-id>
<journal-id journal-id-type="publisher-id">KJU</journal-id>
<journal-title>Korean Journal of Urology</journal-title>
<issn pub-type="ppub">0494-4747</issn>
<publisher>
<publisher-name>The Korean Urological Association</publisher-name>
</publisher>
</journal-meta>

<article-meta>

<article-id pub-id-type="doi">10.4111/kju.2006.47.9.987</article-id>

<article-categories>
<subj-group>
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Evaluation of Complementary and Alternative Medicine for Treating Patients with Erectile Dysfunction</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author">
<name>
<surname>Park</surname>
<given-names>Bong Hee</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Soo Woong</given-names>
</name>
<xref ref-type="aff" rid="A2">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Sae Woong</given-names>
</name>
<xref ref-type="aff" rid="A3">2</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Je Jong</given-names>
</name>
<xref ref-type="aff" rid="A4">3</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Hong Sik</given-names>
</name>
<xref ref-type="aff" rid="A5">4</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Min</surname>
<given-names>Kweon Sik</given-names>
</name>
<xref ref-type="aff" rid="A6">5</xref>
</contrib>

<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-8827-162X</contrib-id>
<name>
<surname>Park</surname>
<given-names>Kwangsung</given-names>
</name>
<xref ref-type="aff" rid="A7">6</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Park</surname>
<given-names>Nam Cheol</given-names>
</name>
<xref ref-type="aff" rid="A8">7</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Sung Won</given-names>
</name>
<xref ref-type="aff" rid="A9">8</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Chung</surname>
<given-names>Woo Sik</given-names>
</name>
<xref ref-type="aff" rid="A10">9</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Hong</surname>
<given-names>Jun Hyuk</given-names>
</name>
<xref ref-type="aff" rid="A11">10</xref>
</contrib>

<contrib contrib-type="author" corresp="yes">
<name>
<surname>Park</surname>
<given-names>Jong Kwan</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>

</contrib-group>

<aff id="A1">Department of Urology, Chonbuk National University Medical School, and The Institute for Medical Sciences, and The Research Institute of Clinical Medicine of Chonbuk National University Hospital, The Regional Research Centers Program of the Korean Ministry of Education &#x0026; Human Resources Development through the Center for Healthcare Technology Development, Jeonju, Korea.</aff>
<aff id="A2"><label>1</label>Department of Urology, Seoul National University, Seoul, Korea.</aff>
<aff id="A3"><label>2</label>Department of Urology, The Catholic University of Korea, Seoul, Korea.</aff>
<aff id="A4"><label>3</label>Department of Urology, Korea University, Seoul, Korea.</aff>
<aff id="A5"><label>4</label>Department of Urology, Chungnam National University, Daejeon, Korea.</aff>
<aff id="A6"><label>5</label>Department of Urology, Inje University, Busan, Korea.</aff>
<aff id="A7"><label>6</label>Department of Urology, Chonnam National University Medical School, Gwangju, Korea.</aff>
<aff id="A8"><label>7</label>Department of Urology, Pusan National University, Busan, Korea.</aff>
<aff id="A9"><label>8</label>Department of Urology, Sungkyunkwan University, Seoul, Korea.</aff>
<aff id="A10"><label>9</label>Department of Urology, Ewha Womens University, Seoul, Korea.</aff>
<aff id="A11"><label>10</label>Department of Urology, Ulsan University, Seoul, Korea.</aff>

<author-notes>
<corresp>
Corresponding author (<email>rain@chonbuk.ac.kr</email>)
</corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>09</month>
<year>2006</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2006</year>
</pub-date>
<volume>47</volume>
<issue>9</issue>
<fpage>987</fpage>
<lpage>993</lpage>
<history>
<date date-type="received">
<day>10</day>
<month>04</month>
<year>2006</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>07</month>
<year>2006</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2006 The Korean Urological Association</copyright-statement>
<copyright-year>2006</copyright-year>
</permissions>

<abstract>
<sec>
<title>Purpose</title>
<p>The aim of this study was to evaluate complementary and alternative medicines (CAM) employed for treating patients with erectile dysfunction.</p>
</sec>
<sec>
<title>Materials and Methods</title>
<p>A total of 204 patients with erectile dysfunction who completed a questionnaire between January and June 2005 were evaluated. The questionnaire was composed of 13 questions. This survey employed a broad definition for CAM, including acupuncture, biofeedback, folk remedies, chiropractic, homeopathy, hypnosis, massage, psychotherapy, relaxation, energy healing, imagery, special diet, spiritual healing and herbal medicine. The CAMs used by the patients with erectile dysfunction were divided into processed health foods, natural health foods and other therapies, and these were all analyzed.</p>
</sec>
<sec>
<title>Results</title>
<p>The mean age was 57.9&#x00B1;10.1 years. 78 of the total patients with erectile dysfunction had employed at least one CAM. CAM users were more likely to be high school educated, nonsmokers and exercisers. The CAMs used were processed health foods 62&#x0025; (48/78), natural health foods 15&#x0025; (12/78), and other therapies 66&#x0025; (52/78). The processed health foods were soy 25&#x0025;, ginseng 23&#x0025; and mushroom 19&#x0025;. Of the natural health foods, tomato was 42&#x0025;, soy was 25&#x0025; and ginseng was 17&#x0025;. Of the other therapies, herbal medicine was 45&#x0025;, acupuncture was 25&#x0025;, moxibustion and cupping a boil were 17&#x0025;. 35&#x0025; (27/78) of the patients with erectile dysfunction had employed more than one of the processed health foods, natural health foods and other therapies.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Patients with erectile dysfunction had mainly employed processed health foods more than the natural health foods, herbal medicine and acupuncture. We think that more research is required about the effects and benefits of CAM in association with ED.</p>
</sec>
</abstract>

<kwd-group>
<kwd>Erectile dysfunction</kwd>
<kwd>Complementary medicine</kwd>
<kwd>Alternative medicine</kwd>
</kwd-group>

</article-meta>
</front>

<back>

<ref-list>
  <ref id="B1">
    <label>1</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Goldstein</surname>
          <given-names>I</given-names>
        </name>
        <name>
          <surname>Lue</surname>
          <given-names>TF</given-names>
        </name>
        <name>
          <surname>Padma-Nathan</surname>
          <given-names>H</given-names>
        </name>
        <name>
          <surname>Rosen</surname>
          <given-names>RC</given-names>
        </name>
        <name>
          <surname>Steers</surname>
          <given-names>WD</given-names>
        </name>
        <name>
          <surname>Wicker</surname>
          <given-names>PA</given-names>
        </name>
      </person-group>
      <article-title>Oral sildenafil in the treatment of erectile dysfunction 1998</article-title>
      <source>J Urol</source>
      <year>2002</year>
      <volume>167</volume>
      <fpage>1197</fpage>
      <lpage>1203</lpage>
    </nlm-citation>
  </ref>

  <ref id="B2">
    <label>2</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Algier</surname>
          <given-names>LA</given-names>
        </name>
        <name>
          <surname>Hanoglu</surname>
          <given-names>Z</given-names>
        </name>
        <name>
          <surname>Ozden</surname>
          <given-names>G</given-names>
        </name>
        <name>
          <surname>Kara</surname>
          <given-names>F</given-names>
        </name>
      </person-group>
      <article-title>The use of complementary and alternative (non-conventional) medicine in cancer patients in Turkey</article-title>
      <source>Eur J Oncol Nurs</source>
      <year>2005</year>
      <volume>9</volume>
      <fpage>138</fpage>
      <lpage>146</lpage>
    </nlm-citation>
  </ref>

  <ref id="B3">
    <label>3</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Park</surname>
          <given-names>HC</given-names>
        </name>
        <name>
          <surname>Park</surname>
          <given-names>HJ</given-names>
        </name>
        <name>
          <surname>Park</surname>
          <given-names>NC</given-names>
        </name>
      </person-group>
      <article-title>The clinical trial of apomorphine hydrochloride SL (Uprima&#x00AE;) in patients with erectile dysfunction</article-title>
      <source>Korean J Urol</source>
      <year>2003</year>
      <volume>44</volume>
      <fpage>1038</fpage>
      <lpage>1044</lpage>
    </nlm-citation>
  </ref>

  <ref id="B4">
    <label>4</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Kennedy</surname>
          <given-names>J</given-names>
        </name>
      </person-group>
      <article-title>Herb and supplement use in the US adult population</article-title>
      <source>Clin Ther</source>
      <year>2005</year>
      <volume>27</volume>
      <fpage>1847</fpage>
      <lpage>1858</lpage>
    </nlm-citation>
  </ref>

  <ref id="B5">
    <label>5</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Ernst</surname>
          <given-names>E</given-names>
        </name>
        <name>
          <surname>Cassileth</surname>
          <given-names>BR</given-names>
        </name>
      </person-group>
      <article-title>The prevalence of complementary/alternative medicine in cancer: a systematic review</article-title>
      <source>Cancer</source>
      <year>1998</year>
      <volume>83</volume>
      <fpage>777</fpage>
      <lpage>782</lpage>
    </nlm-citation>
  </ref>

  <ref id="B6">
    <label>6</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Gunther</surname>
          <given-names>S</given-names>
        </name>
        <name>
          <surname>Patterson</surname>
          <given-names>RE</given-names>
        </name>
        <name>
          <surname>Kristal</surname>
          <given-names>AR</given-names>
        </name>
        <name>
          <surname>Stratton</surname>
          <given-names>KL</given-names>
        </name>
        <name>
          <surname>White</surname>
          <given-names>E</given-names>
        </name>
      </person-group>
      <article-title>Demographic and health-related correlates of herbal and specialty supplement use</article-title>
      <source>J Am Diet Assoc</source>
      <year>2004</year>
      <volume>104</volume>
      <fpage>27</fpage>
      <lpage>34</lpage>
    </nlm-citation>
  </ref>

  <ref id="B7">
    <label>7</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Lambert</surname>
          <given-names>BL</given-names>
        </name>
        <name>
          <surname>Butin</surname>
          <given-names>DN</given-names>
        </name>
        <name>
          <surname>Moran</surname>
          <given-names>D</given-names>
        </name>
        <name>
          <surname>Zhao</surname>
          <given-names>SZ</given-names>
        </name>
        <name>
          <surname>Carr</surname>
          <given-names>BC</given-names>
        </name>
        <name>
          <surname>Chen</surname>
          <given-names>C</given-names>
        </name>
        <etal/>
      </person-group>
      <article-title>Arthritis care: comparison of physicians' and patients' views</article-title>
      <source>Semin Arthritis Rheum</source>
      <year>2000</year>
      <volume>30</volume>
      <fpage>100</fpage>
      <lpage>110</lpage>
    </nlm-citation>
  </ref>

  <ref id="B8">
    <label>8</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Gozum</surname>
          <given-names>S</given-names>
        </name>
        <name>
          <surname>Tezel</surname>
          <given-names>A</given-names>
        </name>
        <name>
          <surname>Koc</surname>
          <given-names>M</given-names>
        </name>
      </person-group>
      <article-title>Complementary alternative treatments used by patients with cancer in eastern Turkey</article-title>
      <source>Cancer Nurs</source>
      <year>2003</year>
      <volume>26</volume>
      <fpage>230</fpage>
      <lpage>236</lpage>
    </nlm-citation>
  </ref>

  <ref id="B9">
    <label>9</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Moyad</surname>
          <given-names>MA</given-names>
        </name>
        <name>
          <surname>Barada</surname>
          <given-names>JH</given-names>
        </name>
        <name>
          <surname>Lue</surname>
          <given-names>TF</given-names>
        </name>
        <name>
          <surname>Mulhall</surname>
          <given-names>JP</given-names>
        </name>
        <name>
          <surname>Goldstein</surname>
          <given-names>I</given-names>
        </name>
        <name>
          <surname>Fawzy</surname>
          <given-names>A</given-names>
        </name>
      </person-group>
      <article-title>Prevention and treatment of erectile dysfunction using lifestyle changes and dietary supplements: what works and what is worthless, part I</article-title>
      <source>Urol Clin North Am</source>
      <year>2004</year>
      <volume>31</volume>
      <fpage>249</fpage>
      <lpage>257</lpage>
    </nlm-citation>
  </ref>

  <ref id="B10">
    <label>10</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Tamaoki</surname>
          <given-names>J</given-names>
        </name>
        <name>
          <surname>Nakata</surname>
          <given-names>J</given-names>
        </name>
        <name>
          <surname>Kawatani</surname>
          <given-names>K</given-names>
        </name>
        <name>
          <surname>Tagaya</surname>
          <given-names>E</given-names>
        </name>
        <name>
          <surname>Nagai</surname>
          <given-names>A</given-names>
        </name>
      </person-group>
      <article-title>Ginsenoside-induced relaxation of human bronchial smooth muscle via release of nitric oxide</article-title>
      <source>Br J Pharmacol</source>
      <year>2000</year>
      <volume>130</volume>
      <fpage>1859</fpage>
      <lpage>1864</lpage>
    </nlm-citation>
  </ref>

  <ref id="B11">
    <label>11</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Hong</surname>
          <given-names>B</given-names>
        </name>
        <name>
          <surname>Ji</surname>
          <given-names>YH</given-names>
        </name>
        <name>
          <surname>Hong</surname>
          <given-names>JH</given-names>
        </name>
        <name>
          <surname>Nam</surname>
          <given-names>KY</given-names>
        </name>
        <name>
          <surname>Ahn</surname>
          <given-names>TY</given-names>
        </name>
      </person-group>
      <article-title>A double-blind crossover study evaluating the efficacy of Korean red ginseng in patients with erectile dysfunction: a preliminary report</article-title>
      <source>J Urol</source>
      <year>2002</year>
      <volume>168</volume>
      <fpage>2070</fpage>
      <lpage>2073</lpage>
    </nlm-citation>
  </ref>

  <ref id="B12">
    <label>12</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Guirguis</surname>
          <given-names>WR</given-names>
        </name>
      </person-group>
      <article-title>Oral treatment of erectile dysfunction: from herbal remedies to designer drugs</article-title>
      <source>J Sex Marital Ther</source>
      <year>1998</year>
      <volume>24</volume>
      <fpage>69</fpage>
      <lpage>73</lpage>
    </nlm-citation>
  </ref>

  <ref id="B13">
    <label>13</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Moyad</surname>
          <given-names>MA</given-names>
        </name>
      </person-group>
      <article-title>Dietary supplements and other alternative medicines for erectile dysfunction. What do I tell my patients?</article-title>
      <source>Urol Clin North Am</source>
      <year>2002</year>
      <volume>29</volume>
      <fpage>11</fpage>
      <lpage>22</lpage>
    </nlm-citation>
  </ref>

  <ref id="B14">
    <label>14</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Moyad</surname>
          <given-names>MA</given-names>
        </name>
        <name>
          <surname>Hathaway</surname>
          <given-names>S</given-names>
        </name>
        <name>
          <surname>Ni</surname>
          <given-names>HS</given-names>
        </name>
      </person-group>
      <article-title>Traditional Chinese medicine, acupuncture, and other alternative medicines for prostate cancer: an introduction and the need for more research</article-title>
      <source>Semin Urol Oncol</source>
      <year>1999</year>
      <volume>17</volume>
      <fpage>103</fpage>
      <lpage>110</lpage>
    </nlm-citation>
  </ref>

  <ref id="B15">
    <label>15</label>
    <nlm-citation citation-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Engelhardt</surname>
          <given-names>PF</given-names>
        </name>
        <name>
          <surname>Daha</surname>
          <given-names>LK</given-names>
        </name>
        <name>
          <surname>Zils</surname>
          <given-names>T</given-names>
        </name>
        <name>
          <surname>Simak</surname>
          <given-names>R</given-names>
        </name>
        <name>
          <surname>Konig</surname>
          <given-names>K</given-names>
        </name>
        <name>
          <surname>Pfluger</surname>
          <given-names>H</given-names>
        </name>
      </person-group>
      <article-title>Acupuncture in the treatment of psychogenic erectile dysfunction: first results of a prospective randomized placebo-controlled study</article-title>
      <source>Int J Impot Res</source>
      <year>2003</year>
      <volume>15</volume>
      <fpage>343</fpage>
      <lpage>346</lpage>
    </nlm-citation>
  </ref>
</ref-list>

</back>

<floats-wrap>

<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption>
  <p>Socio-demographical characteristics of the patients with ED<sup>&#x002A;</sup></p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kju-47-987-i001" alt-version="no"></graphic>
<table-wrap-foot>
<fn>
  <p><sup>&#x002A;</sup>ED: erectile dysfunction, <sup>&#x2020;</sup>CAM: complementary and alternative medicine</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption>
  <p>The processed health foods employed by the patients with ED<sup>&#x002A;</sup></p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kju-47-987-i002" alt-version="no"></graphic>
<table-wrap-foot>
<fn>
  <p><sup>&#x002A;</sup>ED: erectile dysfunction</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption>
  <p>The natural health foods employed by the patients with ED<sup>&#x002A;</sup></p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kju-47-987-i003" alt-version="no"></graphic>
<table-wrap-foot>
<fn>
  <p><sup>&#x002A;</sup>ED: erectile dysfunction</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption>
  <p>The other therapies employed by patients with ED<sup>&#x002A;</sup></p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kju-47-987-i004" alt-version="no"></graphic>
<table-wrap-foot>
<fn>
  <p><sup>&#x002A;</sup>ED: erectile dysfunction</p>
</fn>
</table-wrap-foot>
</table-wrap>

</floats-wrap>

</article>