Organik kaynaklı erektil disfonksiyon tanısı konulan hastalarda risk faktörlerinin analizi

Abstract

Amaç: Erektil Disfonksiyon ED tüm dünyada yaşam kalitesini bozan önemli bir sorundur. Ayrıca ED bazı sistemik hastalıkların sonucu olarak ortaya çıkması ve bu hastalıkların sistemik bazı komplikasyonlarının habercisi olması açısından da önemli bir sağlık sorunudur. Bu çalışmada organik kaynaklı ED tanısı konulmuş olan hastalarda en önemli etyolojik risk faktörlerinin belirlenmesi amaçlanmıştır .Gereç ve Yöntemler: İstanbul Medeniyet Üniversitesi Tıp Fakültesi Androloji polikliniği’ne başvuran ve organik kaynaklı erektil disfonksiyon tanısı konulmuş 273 hasta ve ED dışı bir nedenle genel üroloji polikliniklerine başvuran benzer yaş grubundaki 110 kişilik kontrol grubu çalışmaya dahil edilmiştir. Tüm hastaların fizik muayene bulguları, özgeçmişleri, International Index of Erectile Function Questionnaire IIEF-5 skorları ve laboratuar bulguları incelenmiştir. Sigara kullanımı, hiperlipidemi HL , hipertansiyon HT , diabetes mellitus DM , koroner kalp hastalığı KAH , geçirilmiş pelvik cerrahi gibi risk faktörlerinin ED predispozisyonundaki önemi univariate ve multivariate analiz yapılarak en önemli risk faktörleri belirlenmiştir. Bulgular: Univariate analiz sonucu sigara kullanımı, HL, HT, DM, KAH ve geçirilmiş pelvik cerrahi ED için istatistiksel olarak anlamlı risk faktörleri olarak belirlenmiştir p

Keywords

• organik erektil disfonksiyon,risk faktörleri,iief-5

Analysis of risk factors in patients with organic erectile dysfunction

Abstract

Objectives: Erectile Dysfunction ED is an important problem that decreases the quality of life all over the world. In addition, it is an important health problem because it occurs as a result of systemic diseases and/or it is a precursor of some of the complications of systemic diseases. In this study, we aim to determine the most important etiologic risk factors in patients with a diagnosis of organic ED. Material and Methods: A total of 273 male patients with a clinical diagnosis of organic ED from andrology outpatient clinics and 110 agematched control group with any reason except the ED from general urology outpatient clinics enrolled in this study at Istanbul Medeniyet Universty Faculty of Medicine. Physical examination, medical history, the International Index of Erectile Function Questionnaire IIEF5 scores and laboratory findings of all patients have been examined. The importance of risk factors smoking, hyperlipidemia HL , hypertension HT , diabetes mellitus DM , coronary artery disease CAD , previous pelvic surgery predisposing to ED have been identified via univariate and multivariate analysis models.Results: Smoking, HL, HT, DM, CAD, and previous pelvic surgery were found to be a statistically significant risk factors for ED in the univariate model p

Keywords

• organic erectile dysfunction,risk factors,iief-5

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