Abstract
background Patients with the sexual medicine-relevant ICD-10 diagnoses F52, F64, F65 and F66 are treated by various medical disciplines. To date, there is a lack of data on which of these sexual disorders are treated as inpatients in hospitals and whether changes are apparent over time. question The aim of the study is to investigate how frequently sexual disorders classified as psychological in Chapter V (F) of the ICD-10 are treated as inpatients. Method The diagnostic data from the hospital statistics of the Federal Statistical Office (Destatis), published annually since 2000, were analyzed. Results The number of patients treated as inpatients with a disorder of gender identity (F64) has increased 2.6-fold since 2000. There has been a decline in inpatient treatments for sexual dysfunction (F52) as the main diagnosis, although a much higher number of hospital patients have an F52 secondary diagnosis. Patients with F64 are predominantly treated in the urological, gynecological and surgical departments, 76.0–81.1% of cases with F52 in urology. Paraphilic disorders (F65) and mental and behavioral disorders related to sexual development and orientation (F66) are only very rarely and almost exclusively treated as inpatients with psychiatric or psychotherapeutic treatment. discussion The data indicate that the majority of inpatient treatments due to a sexual disorder as the main diagnosis are physical medical treatments for erectile dysfunction (F52.2) and transsexualism (F64.0). Sexual medical expertise is particularly in demand in surgical disciplines due to the steadily increasing number of cases due to F64.0. The reasons for the distribution and development of the number of cases are discussed. Further research is needed, particularly with regard to inpatients with F52 and F64 secondary diagnoses.
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