[In-patient hospital care of selected sexual disorders : An analysis of data from the German Federal Statistical Office from 2000 to 2014].

Abstract

BACKGROUND:

Patients with the ICD-10 sexual disorders F52, F64, F65, and F66 are treated by a variety of medical disciplines. Until now, there has been a paucity of data regarding which sexual disorders are treated by means of in-patient hospital care and whether changes have occurred over time.

OBJECTIVES:

The aim of this study is to examine how many patients with sexual disorders that are classified by ICD-10 chapter V (F) as "mental" are treated as in-patients.

METHODS:

Diagnosis data regarding German hospital care, which have been published annually since 2000 by the German Federal Statistical Office (Destatis), are analysed.

RESULTS:

Since 2000, the number of in-patients with disorders of gender identity (F64) has increased 2.6-fold. Hospital treatment of sexual dysfunctions (F52) as a primary diagnosis is decreasing, whereas a significantly higher number of in-patients are treated with F52 as a secondary diagnosis. In-patients with F64 are mostly treated in urology and gynaecology departments or by surgeons, and 76.0-81.1% of F52 cases in urology. In-patients with paraphilic disorders (F65) or psychological and behavioral disorders associated with sexual development and orientation (F66) are rarely but almost exclusively treated in psychiatric or psychotherapeutic departments.

DISCUSSION:

The data indicate that most in-patient hospital treatment for primary diagnoses of sexual disorders are somatic treatments for erectile dysfunction (F52.2) and transsexualism (F64.0). Owing to a steady increase in cases with F64.0 diagnoses, a growth in demand for competence in sexual medicine can be noted, especially in the surgical disciplines. Causes of the distribution and the increase in in-patient numbers are discussed. Further research is required, particularly concerning the treatment of in-patients with F52 and F64 secondary diagnoses.

• Authors: Franziska Brunner, Thula Koops, Timo O Nieder, Geoffrey M Reed, Peer Briken
• Journal: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz (Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz) Vol. 60 Issue 9 Pg. 987-998 (Sep 2017) ISSN: 1437-1588 [Electronic] Germany
• Vernacular Title: Stationäre Krankenhausbehandlungen ausgewählter sexueller Störungen : Eine Analyse der Daten des Statistischen Bundesamts von 2000 bis 2014.
• PMID: 28762121 (Publication Type: Journal Article)

Topics

• Adult
• Cross-Sectional Studies
• Data Interpretation, Statistical
• Female
• Germany
• Humans
• Interdisciplinary Communication
• International Classification of Diseases
• Intersectoral Collaboration
• Male
• Patient Admission (statistics & numerical data)
• Sex Factors
• Sexual Dysfunctions, Psychological (diagnosis, epidemiology, psychology, therapy)