Organic and psychogenic erectile dysfunction in male patients

Introduction: Both premature ejaculation(PE) and erectile dysfunction(ED) are prevalent sexual health disorders that have been inadequately investigated in Malaysia, a multiethnic and conservative nation.The objective of the study was to study the relationship between PE and ED, and other common mental health issues, i.e. anxiety and depression in Malaysian urban population. Methods: The diagnosis for PE was established by clinical diagnosis using DSM-5 and ISSM definition criteria for PE, whereas a diagnosis of ED was established by the International Index of Erectile Function (IIEF) questionnaire. Anxiety and depression levels were detected from the Hospital Anxiety and Depression Scale (HADS). Results: Based on DSM-V and ISSM clinical diagnosis for PE, the prevalence of PE was found to be 25%. Erectile dysfunction (p = 0.035, OR = 3.315, 95% CI 1.088, 10.103) and severe anxiety (p = 0.020, OR = 7.656, 95% CI 1.383, 42.396) significantly predicted presence of PE. Conclusion: There was a strong association between PE and ED and between PE and anxiety. Routine examination for PE in male patients should address the issue and the management of both ED and anxiety among PE patients, especially in an urban Malaysian clinical and medical care setting.

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Drugs

ESC CardioMed ◽

10.1093/med/9780198784906.003.0249 ◽

2018 ◽

pp. 1030-1035

Author(s):

Mike Kirby ◽

Jonny Coxon

Keyword(s):

Quality Of Life ◽

Cardiovascular Disease ◽

Erectile Dysfunction ◽

Negative Effects ◽

Phosphodiesterase Type 5 Inhibitors ◽

Cardiac Condition ◽

Male Patients ◽

Phosphodiesterase Type ◽

The Impact

It should not be presumed that male patients with cardiovascular disease are less sexually active than others, but they are more likely to have erectile dysfunction. It is therefore crucial to consider the impact on sexual function of medications commonly used to treat cardiovascular disease, because negative effects on erectile dysfunction can lead to problems with compliance and quality of life. Cardiovascular implications of phosphodiesterase type 5 inhibitors used to treat erectile dysfunction should be borne in mind. Effective treatment of the cardiac condition should always take priority.

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Two Birds with One Stone: Regular Use of PDE5 Inhibitors for Treating Male Patients with Erectile Dysfunction and Cardiovascular Diseases

Cardiovascular Drugs and Therapy ◽

10.1007/s10557-019-06851-7 ◽

2019 ◽

Vol 33 (1) ◽

pp. 119-128 ◽

Cited By ~ 4

Author(s):

Zhonglin Cai ◽

Jianzhong Zhang ◽

Hongjun Li

Keyword(s):

Erectile Dysfunction ◽

Cardiovascular Diseases ◽

Pde5 Inhibitors ◽

Male Patients

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Does Therapeutic Dose of Sildenafil Citrate Treatment Lead to Central Serous Chorioretinopathy in Patients With Erectile Dysfunction?

American Journal of Men s Health ◽

10.1177/1557988313480808 ◽

2013 ◽

Vol 7 (5) ◽

pp. 439-443 ◽

Cited By ~ 8

Author(s):

Elif Damar ◽

Yasin Toklu ◽

Altug Tuncel ◽

Melih Balci ◽

Yilmaz Aslan ◽

...

Keyword(s):

Visual Acuity ◽

Erectile Dysfunction ◽

Intraocular Pressure ◽

Therapeutic Dose ◽

Central Serous Chorioretinopathy ◽

Macular Thickness ◽

Sildenafil Citrate ◽

Optic Coherence Tomography ◽

Therapeutic Dosage ◽

Male Patients

The possible effects of sildenafil citrate administration at therapeutic dosage on visual acuity, color vision, intraocular pressure, macular thickness, macular volume, and central serous chorioretinopathy in patients with erectile dysfunction were evaluated. The study consisted of 43 male patients diagnosed as having erectile dysfunction according to the first five question version of International Index of Erectile Function (IIEF-5). All patients were given sildenafil citrate 50 mg po 2 to 3 times/week for a month. The patients were evaluated at the first week and at the end of the treatment. The macular thickness and volume assessments with optic coherence tomography did not differ significantly in foveal, parafoveal areas, parafoveal superior hemisphere, parafoveal inferior hemisphere, parafoveal temporal, superior, nasal, and inferior quadrants. Central serous chorioretinopathy was not found in any of the patients.

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Effects of tissue-cultured mountain ginseng (Panax ginseng CA Meyer) extract on male patients with erectile dysfunction

Asian Journal of Andrology ◽

10.1038/aja.2008.32 ◽

2009 ◽

Vol 11 (3) ◽

pp. 356-361 ◽

Cited By ~ 41

Author(s):

Tae-Hwan Kim ◽

Seung Hyun Jeon ◽

Eun-Joo Hahn ◽

Kee-Yoeup Paek ◽

Jong Kwan Park ◽

...

Keyword(s):

Erectile Dysfunction ◽

Panax Ginseng ◽

Male Patients

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Hypogonadism and Erectile Dysfunction in Male Patients of Type 2 DM without CAD and With CAD in Indian Scenario

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v5i6.175 ◽

2017 ◽

Vol 05 (06) ◽

pp. 23856-23863

Author(s):

Dr Piyush Kumar ◽

Keyword(s):

Erectile Dysfunction ◽

Type 2 Dm ◽

Male Patients ◽

Indian Scenario

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ERECTILE DYSFUNCTION

The Professional Medical Journal ◽

10.29309/tpmj/2016.23.03.1471 ◽

2016 ◽

Vol 23 (03) ◽

pp. 268-273

Author(s):

Ansari Muhammad Rafique ◽

Pooran Mal ◽

Jairamani Bhagwan Das ◽

Shafique-Ur-Rehman Memon ◽

Syed M Tahir ◽

...

Keyword(s):

Diabetes Mellitus ◽

Erectile Dysfunction ◽

Rural Areas ◽

Cross Sectional Study ◽

Hemodialysis Patients ◽

Maintenance Hemodialysis ◽

Diabetic Patients ◽

Cross Sectional ◽

Male Patients

Objectives: Erectile dysfunction (ED) is a very common and distressing healthproblem in chronic maintenance hemodialysis patients. There is no such data available fromSind province of Pakistan on this issue; we want to highlight the factors and prevalence oferectile dysfunction among hemodialysis patients in this part of our country. Study Design:This hospital based observational, cross-sectional study Setting: It was conducted at 04hemodialysis centers of Hyderabad city Perod: In 2014 Methods: The Study was conductedby using International Index of Erectile Dysfunction (IIEF-5) for determination of prevalence& severity of ED among these patients. Comparative analysis for frequency of ED was alsodone between urban & rural patients. Adapted Urdu version of IIEF-5 was used for those whocannot understand English pro forma. Results: There were total 62 male patients; all of themwere on maintenance hemodialysis for more than 6 months. Their ages were between 20 to59 years with mean 36±11. In this series of patients 80% (n=50) were < 50 years of age whilethe diabetic patients were 58% (n=36). The overall prevalence of ED observed in patients was88.7% (n=55) in our study. Severe ED was seen in 30 (48.4%) patients. The prevalence &severity of ED was significantly higher in diabetes mellitus and over 50 years of age. There washigher incidence of ED 94% observed in patients who are living in rural areas as compared tourban areas patients 82%. Conclusions: It has been concluded in this study that majority ofmale hemodialysis patients were suffering from ED problem. Diabetes mellitus and & > 50 yearsof age has the highest prevalence of ED. Erectile dysfunction is very common and distressinghealth related issue among hemodialysis patients and this should be addressed with routine

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Erectile dysfunction: prevalence and determinants among T2DM men attending a tertiary care hospital in northern India

International Surgery Journal ◽

10.18203/2349-2902.isj20191128 ◽

2019 ◽

Vol 6 (4) ◽

pp. 1115 ◽

Cited By ~ 2

Author(s):

Raja Langer ◽

Elias Sharma ◽

Bhavna Langer ◽

Rajiv K. Gupta ◽

Rashmi Kumari ◽

...

Keyword(s):

Erectile Dysfunction ◽

Diabetic Complications ◽

Family Income ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Northern India ◽

Male Patients ◽

Associated Risk Factors

Background: Erectile dysfunction (ED), though an important complication of T2DM is grossly under reported in this part of the world. The present study aimed to determine the prevalence and associated risk factors of ED in T2DM men in northern India.Methods: A cross-sectional study was conducted from January to August 2018 among male patients with T2DM in the medical OPD of a tertiary care teaching hospital in Jammu. IIEF- international index of erectile function was the tool used in the present study.Results: ED prevalence was 62.08%. Among socio-demographic variables, age was significantly associated with ED (p<0.05) while no association was found with education, occupation and family income. Smoking as a life style and hypertension as a co-morbid condition were significantly associated with ED (p<0.05). Duration of diabetes and type of diabetic complications were also found to be statistically significant.Conclusions: Prevalence of ED in T2DM men was quiet high in this region of India. Preventive interventions, early diagnosis and detection of T2DM along with treatment adherence to prevent diabetic complications is strongly recommended. Further research is recommended to establish temporal causality of ED in T2DM.

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