The Effect of Genital Warts on Men’s Depression and Sexual Functions

Yıl 2023, Cilt: 15 Sayı: 3, 139 - 145, 30.09.2023

Nihat Türkmen Cemil Kutsal

https://doi.org/10.54233/endouroloji.20231503-1346724

Öz

Objective: This study was designed to observe how the depressive state due to human papilloma virus
infection affects sexual functions in sexually active men.
Material and Methods: Between 2020-2022, 77 primary male patients who applied to the XXX Hospital
and diagnosed with genital warts (GW) by physical examination were included in the study. The patients
were divided into two groups according to the number and the size of the warts (small size vs. larger size).
The patients were asked to fill out the Hospital Anxiety Depression (HAD) scale and International Index of
Erectile Function (IIEF-5) forms. The data of the two groups were compared and analyzed.
Results: The mean age was 39.7±10.3, BMI kg/m2 27.0±7.2. Patients divided into 2 groups in terms of wart
sizes showed normal distribution. The HAD scale part was found to be abnormal in 13% of patients in small
wart size group and 52.5% of 21 patients in larger wart size group (p<0.0001). According to the evaluation
of the IIEF-5 scale, it was observed that 13.5% of 5 patients in small size group and 47.5% of 19 patients in
larger size group had severe sexual functions (p<0.0001). No significant difference was observed between
the 2 groups with chronic diseases (p=0.263).
Conclusion: Anxiety and depression appear and become evident in patients diagnosed with GWs from
the moment of diagnosis. It may be necessary to examine this issue carefully and to involve psychiatry
consultations in the management when necessary.

Anahtar Kelimeler

genital wart, anxiety, depression, sexual function

Genital Siğillerin Erkeklerin Depresyonu ve Cinsel İşlevleri Üzerindeki Etkisi

Öz

Amaç: Bu çalışma, insan papilloma virüsü enfeksiyonuna bağlı depresif durumun cinsel olarak aktif
erkeklerde cinsel işlevleri nasıl etkilediğini gözlemlemek için tasarlanmıştır.
Gereç ve Yöntemler: 2020-2022 yılları arasında XXX Hastanesine başvuran ve fizik muayene ile genital siğil
(GS) tanısı alan 77 primer erkek hasta çalışmaya dahil edildi. Hastalar siğillerin sayısı ve büyüklüğüne göre
(küçük boy ve büyük boy) iki gruba ayrıldı. Hastalardan Hastane Anksiyete Depresyonu (HAD) ölçeği ve
Uluslararası Erektil Fonksiyon İndeksi (IIEF-5) formlarını doldurmaları istendi. İki grubun verileri karşılaştırıldı
ve analiz edildi.
Bulgular: Yaş ortalaması 39,7±10,3, VKİ kg/m2 27,0±7,2 idi. Siğil boyutlarına göre 2 gruba ayrılan
hastalar normal dağılım gösterdi. Küçük siğil boyutu grubundaki hastaların %13’ünde ve büyük siğil
boyutu grubundaki 21 hastanın %52,5’inde HAD skala kısmı anormal bulundu (p<0,0001). IIEF-5 ölçeği
değerlendirmesine göre, küçük boy grubunda 5 hastanın %13,5’inde, büyük boy grubunda ise 19 hastanın
%47,5’inde ciddi cinsel işlevlerin olduğu görüldü (p<0,0001). Kronik hastalığı olan 2 grup arasında anlamlı
fark gözlenmedi (p=0,263).
Sonuçlar: Anksiyete ve depresyon GS tanısı konulan hastalarda tanı anından itibaren ortaya çıkmakta ve
belirgin hale gelmektedir. Bu konunun dikkatle incelenmesi ve gerektiğinde psikiyatri konsültasyonlarının
yönetime dahil edilmesi gerekebilir.

Anahtar Kelimeler

genital siğil, anksiyete, depresyon, seksüel fonksiyon

Etik Beyan

Şişli Hamidiye Etfal Training and Research Hospital Clinical Research Ethics Committee 04.04.2023/3851.

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