A prospective study of erectile dysfunction in men after pelvic surgical procedures and its association with non - modifiable risk factors

Abstract Objective: A pelvic surgery can cause erectile dysfunction. The purpose of this study was to evaluate erectile function at various times after pelvic surgery in male patients; to search the non-modifiable risk factors associated with the presence and intensity of sexuality in these patients. This prospective study used the erectile dysfunction IIEF scale. Results: The study population comprised of 106 male patients who had undergone minor pelvic surgery at least 9 months before and during the 2010–2016 period in the 4th Surgical Clinic. A control group of healthy males (N=106) who underwent no pelvic surgery matched for age was also used for reference values. The main age of the participants was 66.16 ±13.07 years old. A history of colectomy was present in 36.8%, 18.9% had undergone sigmoidectomy, and 33% inguinal hernia repair. The percentage of severe erectile function increased from 38.7% before surgery to 48.1% (25% increase) after surgery, at the end of the follow-up period (p<0.05). In the multivariate analysis model, age emerged as an independent predictor of erectile function (p<0.001). Age was the most important determinant of the IIEF score, which was aggravated by 25% from the first to the last assessment of patients.

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A prospective study of erectile dysfunction in men after pelvic surgical procedures and its association with non - modifiable risk factors

10.21203/rs.2.16681/v2 ◽

2019 ◽

Author(s):

Sofia Artemi ◽

Panteleimon Vassiliu ◽

Nikolaos Arkadopoulos ◽

Maria - Eleni Smyrnioti ◽

Pavlos Sarafis ◽

...

Keyword(s):

Risk Factors ◽

Erectile Dysfunction ◽

Prospective Study ◽

Erectile Function ◽

Pelvic Surgery ◽

Control Group ◽

Modifiable Risk Factors ◽

Analysis Model ◽

Male Patients ◽

A Prospective Study

Abstract Objective: A pelvic surgery can cause erectile dysfunction. The purpose of this study was to evaluate erectile function at various times after pelvic surgery in male patients; to search the non-modifiable risk factors associated with the presence and intensity of sexuality in these patients. This prospective study used the erectile dysfunction IIEF scale. Results: The study population comprised of 106 male patients who had undergone minor pelvic surgery at least 9 months before and during the 2010–2016 period in the 4th Surgical Clinic. A control group of healthy males (N=106) who underwent no pelvic surgery matched for age was also used for reference values. The main age of the participants was 66.16 ±13.07 years old. A history of colectomy was present in 36.8%, 18.9% had undergone sigmoidectomy, and 33% inguinal hernia repair. The percentage of severe erectile function increased from 38.7% before surgery to 48.1% (25% increase) after surgery, at the end of the follow-up period (p<0.05). In the multivariate analysis model, age emerged as an independent predictor of erectile function (p<0.001). Age was the most important determinant of the IIEF score, which was aggravated by 25% from the first to the last assessment of patients.

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A prospective study of erectile dysfunction in men after pelvic surgical procedures and its association with non-modifiable risk factors

BMC Research Notes ◽

10.1186/s13104-019-4839-2 ◽

2019 ◽

Vol 12 (1) ◽

Cited By ~ 1

Author(s):

S. Artemi ◽

P. Vassiliu ◽

N. Arkadopoulos ◽

Maria-Eleni Smyrnioti ◽

P. Sarafis ◽

...

Keyword(s):

Risk Factors ◽

Erectile Dysfunction ◽

Prospective Study ◽

Erectile Function ◽

Pelvic Surgery ◽

Control Group ◽

Modifiable Risk Factors ◽

Analysis Model ◽

Male Patients ◽

A Prospective Study

Abstract Objective A pelvic surgery can cause erectile dysfunction. The purpose of this study was to evaluate erectile function at various times after pelvic surgery in male patients; to search the non-modifiable risk factors associated with the presence and intensity of sexuality in these patients. This prospective study used the erectile dysfunction IIEF scale. Results The study population comprised of 106 male patients who had undergone minor pelvic surgery at least 9 months before and during the 2010–2016 period in the 4th Surgical Clinic. A control group of healthy males (N = 106) who underwent no pelvic surgery matched for age was also used for reference values. The main age of the participants was 66.16 ± 13.07 years old. A history of colectomy was present in 36.8%, 18.9% had undergone sigmoidectomy, and 33% inguinal hernia repair. The percentage of severe erectile function increased from 38.7% before surgery to 48.1% (25% increase) after surgery, at the end of the follow-up period (p < 0.05). In the multivariate analysis model, age emerged as an independent predictor of erectile function (p < 0.001). Age was the most important determinant of the IIEF score, which was aggravated by 25% from the first to the last assessment of patients.

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Thorax Computed Tomography Findings in Patients with Erectile Dysfunction

Journal of Clinical Imaging Science ◽

10.4103/jcis.jcis_32_17 ◽

2017 ◽

Vol 7 ◽

pp. 25 ◽

Cited By ~ 1

Author(s):

Mustafa Resorlu ◽

Muhammet Arslan ◽

Ozan Karatag ◽

Gurhan Adam

Keyword(s):

Risk Factors ◽

Erectile Dysfunction ◽

Vascular Pathology ◽

Pelvic Surgery ◽

Systemic Effects ◽

Vascular Insufficiency ◽

History Of ◽

Male Patients ◽

Common Risk Factors ◽

Mass Lesions

Objective: Diabetes mellitus, smoking, dyslipidemia, and obesity play an important role in the etiology of erectile dysfunction, particularly in cases with vascular insufficiency. These risk factors also target the lungs due to their systemic effects. Materials and Methods: Patients with penile vascular insufficiency determined at Doppler ultrasonography and undergoing thoracic computerized tomography for various reasons were included in this study. A history of acute thoracic trauma, pneumonic consolidation, or pelvic surgery and trauma were regarded as exclusion criteria. Results: Thirty-seven male patients with identified vascular insufficiency (age 54.48 ± 13.62 years) were enrolled. Mass lesions with a malignant morphology were present in two patients. The most common mediastinal/vascular pathology was atherosclerosis, while the most common parenchymal lesion was emphysematous aeration. Other findings included parenchymal fibrotic bands, atelectasis, interstitial thickening, bronchiectasis, air trapping, aortic aneurysm, a dilated pulmonary artery, hiatal hernia, and pericardial effusion. Conclusion: Erectile dysfunction may be an early sign of cardiovascular diseases. Care must be taken in terms of existing or potential pulmonary pathologies in these patients due to their sharing common risk factors with systemic effects.

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Clinical profile and surgical management of primary vaginal hydrocele: our experience in a rural India

International Surgery Journal ◽

10.18203/2349-2902.isj20171615 ◽

2017 ◽

Vol 4 (5) ◽

pp. 1653

Author(s):

Mohd Hamid Shafique Ahmed ◽

Bankar S. S. ◽

Gosavi V. S. ◽

Dalavi S. B. ◽

Gurav P. D.

Keyword(s):

Wound Infection ◽

Surgical Management ◽

Surgical Procedures ◽

Clinical Profile ◽

Medical College ◽

History Of ◽

Male Patients ◽

A Prospective Study ◽

Age Range

Background: Hydrocele is one of the commonest diseases occurring worldwide. Since olden days surgical procedures have been described for the treatment of hydrocele. Aim of the study was to analyse the clinical profile, diagnosis and surgical management of primary vaginal hydrocele in adults (>12 years)Methods: A prospective study of 60 male patients of age range of more than 12 years with a history of scrotal swellings were studied for their clinical profiles, diagnosis and management. The study was carried out in Government Medical College, Miraj, Maharashtra, India from November 2010 to November 2012. In the present study Jaboulay's Procedure was performed on 48 patients and Lord's Procedure was performed on 12 patients.Results: The data was collected and results were analysed. Post-operatively about 1.6% of patients developed hematoma, 5% developed wound infection, 21.66% of the patients developed skin oedema and only 1 patient i.e 1.6 % had recurrence over a period of 2 years of follow up. Out of the total 60 patients,12 patients who underwent Lord's plication 8.33%,0%,0% developed skin oedema, hematoma and wound infection respectively as compared to 25%,2.08%,6.25% in the remaining 48 patients who underwent Jaboulay's procedure, respectively.Conclusions: These two surgical procedures were very safe, easy to perform and economical and associated with minimal recurrence. Lord's procedure has lesser incidence of post-operative complications as compared to Jaboulay's procedure.

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Tardive dyskinesia: a 3-year follow-up study

Psychological Medicine ◽

10.1017/s003329170005008x ◽

1983 ◽

Vol 13 (1) ◽

pp. 71-81 ◽

Cited By ~ 52

Author(s):

T. R. E. Barnes ◽

T. Kidger ◽

S. M. Gore

Keyword(s):

Risk Factors ◽

Tardive Dyskinesia ◽

Antipsychotic Drug ◽

Psychiatric Patients ◽

Original Cohort ◽

History Of ◽

A Prospective Study ◽

Antipsychotic Drug Treatment ◽

Facial Dyskinesia

SynopsisA prospective study of tardive dyskinesia was carried out to gain information regarding the natural history of the condition and to identify risk factors. Out of an original cohort of 182 psychiatric patients receiving maintenance antipsychotic drugs 99 were available for reassessment after 3 years. In this follow-up group the point prevalence of oro-facial dyskinesia increased from 39% to 47% over the 3-year period. Twenty-two patients developed the disorder, while remission occurred in 14 others. Risk factors predicting the presence of oro-facial dyskinesia at follow-up included being over 50 years of age and the presence of akathisia. There was no convincing association between the duration of antipsychotic drug treatment and the presence or severity of oro-facial dyskinesia. Patients receiving over 1000mg chlorpromazine equivalents of antipsychotic drug per day were unlikely to have the condition. The amount of purposeless trunk and limb movement present proved to be a relatively stable phenomenon, showing only a slight increase with age and no change over the follow-up period. The implications of these findings are discussed, with particular consideration being given to the effects of loss of patients to follow-up.

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Prospectively collected baseline erectile function (EF) in 1,173 consecutive newly diagnosed prostate cancer patients referred for radiotherapy.

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.6_suppl.89 ◽

2017 ◽

Vol 35 (6_suppl) ◽

pp. 89-89

Author(s):

Jill Nicholson ◽

Paul J. Kelly

Keyword(s):

Prostate Cancer ◽

Risk Factors ◽

Erectile Dysfunction ◽

Cancer Patients ◽

Erectile Function ◽

Smoking History ◽

Newly Diagnosed ◽

High Prevalence ◽

History Of ◽

Vascular Comorbidity

89 Background: Preservation of EF is a goal of care for many men with newly diagnosed prostate cancer. In order to accurately counsel patients regarding their likely treatment outcome, an assessment of baseline EF, and screening for known risk factors, should form part of the assessment of all prostate cancer patients. Methods: We performed a retrospective review of prospectively-collected data regarding baseline EF in men with prostate cancer referred for a radiotherapy opinion. 1173 consecutive patients referred over a 5.5 year period from 2011-16 were included. All patients were offered the opportunity to complete the International Index of Erectile Function (IIEF-5) questionnaire in privacy. Information on known risk factors such as age, vascular comorbidity, smoking and alcohol history, and cardiovascular risk factors was recorded. Results: Of the 1173 patients, 233 were excluded due to metastatic disease at referral. Of the remaining 940 with localised disease, 812 (86%) completed the questionnaire. 561 (69%) successfully filled the questionnaire yielding a score. A further 251 (31%) commented on the questionnaire without completing the score (see table). Median age was 66years (IQR 62-71). 574(61%) had known risk factors for erectile dysfunction such as hypertension or diabetes. 173 (18.5%) had a history of peripheral, cardiovascular, or cerebrovascular disease. Smoking and alcohol history was available for 645 patients, 353(60%) had a smoking history, and 450(70%) had a history of alcohol use. Conclusions: In this population, there is a high prevalence of baseline erectile dysfunction (IIEF-5 ≤16), 242/561 (43%). Additionally, significant numbers of patients were sexually inactive or unconcerned regarding ED. Known risk factors for erectile dysfunction were common in this population, many of which are modifiable. [Table: see text]

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