Is Multidisciplinary Approach Necessary to Erectile Dysfunction Patients?

Abstract

Aim: To investigate the effects of hormonal, metabolic and demographic variables on male sexual health and to discuss these relationships in a multidisciplinary context. Material and Methods: Erectile function, mean age, body mass index (BMI), comorbidities, medications, smoking and alcohol use of 286 male patients and 49 healthy participants who were admitted to the andrology clinics of Zonguldak Bulent Ecevit University and Samsun Gazi State Hospital were recorded. The erectile functions of a total of 335 participants were classified into 5 categories as; Category-1 (Normal), Category-2 (Mild), Category-3 (Mild-moderate), Category-4 (Moderate), Category-5 (Severe) erectile function using the International Index of Erectile Function (IIEF 1-5,15). Participants were grouped as; non-ED group, group A (n=49) and ED group as, group B (n=286). Patients in Group B with mild and moderate ED were grouped as Group BI (n=140), and those with moderate and severe ED were grouped as Group BII (n=146). The demographic, hormonal and metabolic characteristics of the cases in each category were statistically calculated and the groups were compared categorically. Results: The mean age of the patients in group A and group B were 50.2±8.6 and 52.3±10.1 years, respectively (p=0.185). In group A and group B, mean BMI values were 26.7 and 28.4 kg/m2, belly circumference 100cm and 103.3cm (Table 1). The prevalence of diabetes mellitus in Group A and B was 6.1% and 20.6% (p=0.001). Mean age and BMI values of group BI were 51.5±10.9 years and 28.2 ± 4.2 kg/m2, while it was calculated as 53.1±9.3 years and 29.0±3.9 kg/m2, respectively, in group BII. The mean umbilical circumference of the patients in groups BI and BII was calculated as 101.1±10.9 cm and 105.5±11.0 cm, respectively (p=0.001). Conclusion: Patients who apply to the andrology outpatient clinic with erectile dysfunction should be evaluated especially in terms of comorbidities such as diabetes, hypertension and obesity, and cases with coexistence should be treated with a multidisciplinary approach.

Keywords

• Diabetes, Erectile dysfunction, Comorbidity, Multidisciplinary treatment, Obesity

Project Number

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Erektil Disfonksiyon Hastalarına Multidisipliner Yaklaşım Gerekir mi?

Abstract

Amaç: Hormonal, metabolik ve demografik değişkenlerin erkek cinsel sağlığı üzerine etkilerini araştırmak ve varsa bu ilişkileri multidisipliner çerçevede tartışmaktır. Gereç ve Yöntemler: Zonguldak Bülent Ecevit Üniversitesi ve Samsun Gazi Devlet Hastanesi Üroloji kliniklerine cinsel işlev bozuklukları nedeniyle başvuran 286 erkek hastanın ve sağlıklı 49 katılımcının erektil fonksiyonları ile ortalama yaş, vücut kütle indeksi (VKİ), ek hastalıkları, kullandıkları ilaçlar, sigara içme süresi, alkol alışkanlıkları kaydedildi. Toplam 335 katılımcının erektil fonksiyonları Uluslararası Erektil Fonksiyon İndeksi (IIEF 1-5,15) kullanılarak Kategori-1 (Normal), Kategori-2 (Hafif erektil disfonksiyon (ED)), Kategori-3 (Hafif-orta ED), Kategori-4 (Orta ED), Kategori-5 (Şiddetli (ED)) olarak 5 kategoride sınıflandırıldı. Katılımcılar; ED olmayanlar grup A (n=49) ve olanlar grup B (n=286) olarak gruplandırıldı. Grup B’de yer alan hastalardan hafif ve hafif-orta şiddette ED’u olanlar Grup BI (n=140), orta ve şiddetli derecede ED’u olan hastalar ise Grup BII (n=146) olarak gruplandırıldı. Her bir kategorideki olguların demografik, hormonal ve metabolik özellikleri istatistiksel olarak hesaplandı ve gruplar kategorik olarak karşılaştırıldı. Bulgular: Grup A ve grup B’de yer alan hastaların yaş ortalamaları sırasıyla 50,2±8,6 ve 52,3±10,1 yıldı (p=0,185). Grup A ve grup B’de ortalama VKİ değerleri sırasıyla 26,7 ve 28,4 kg/m2, göbek çevresi 100 cm ve 103 cm (p=0,020) (Tablo 1). Grup A ve B’de diyabetes mellitus prevalansı %6,1 ve %20,6 bulundu (p=0,001). Grup BI’in yaş ortalaması ve VKİ değerleri sırasıyla 51,5±10,9 yıl ve 28,2±4,2 kg/m2, grup BII’nin 53,1±9,3 yıl ve 29,0±3,9 kg/m2 olarak hesaplandı (p>0,05). Grup BI ve BII’de yer alan hastaların ortalama göbek çevreleri sırasıyla 101,1±10,9 cm ve 105,5±11,0 cm olarak hesaplandı (p=0,001). Sonuç: Androloji polikliniğine erektil disfonksiyon nedeniyle başvuran hastalar, özellikle diyabet, hipertansiyon, obezite gibi komorbiditeleri bakımından multidisipliner yaklaşımla değerlendirilmeli, bu olgular eşgüdümle takip ve tedavi edilmelidir.

Keywords

• Diyabet
• Erektil Disfonksiyon
• Komorbidite
• Multidisipilner Yaklaşım
• Obezite

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