Mustafa UĞURLU, Görkem Karakaş UĞURLU, Ali ÇAYKÖYLÜ

Prevalence of Sexual Dysfunctions in Men Aged 18-65 and Related Factors: A Meta-Analysis and Meta-Regression Study from Turkey

Objectives: Studies on male sexual dysfunctions around the world point to high prevalence rates. Although there are studies on the prevalence of sexual dysfunctions in men in Turkey, these studies report different results due to regional and methodological differences. Therefore, more robust and consolidated data are needed on the prevalence of sexual dysfunctions in men. Materials and Methods: For this meta-analysis study, "Google Scholar" and "ULAKBIM" databases were searched. Studies have been conducted in Turkey between January 2000 and April 2019 were included in the study. Results: The prevalence of male sexual dysfunction, erectile dysfunction and premature ejaculation were found to be 28%, 18% and 24%, respectively. Conclusion: This study is the first meta-analysis on the prevalence of male sexual dysfunction in Turkey. Our results reveal the importance of preventive and therapeutic health services in male sexual dysfunctions.

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1. Arkar H, Sorias O, Tunca Z, et al. Factorial structure, validity, and reliability of the Turkish temperament and character inventory. Turkish journal of psychiatry. 2005;16(3):190-204.
2. Köse S, Sayar K, Kalelioglu Ü, et al. Turkish version of the Temperament and Character Inventory (TCI): Reliability, validity, and factorial structure. Bull Clin Psychopharmacol. 2004;14:107-31.
3. APA. Diagnostic and statistical manual of mental disorders : DSM-5™. 5th edition. ed. Washington, DC: American Psychiatric Publishing, a division of American Psychiatric Association; 2013.
4. VanderWeele TJ. Bias formulas for sensitivity analysis for direct and indirect effects. Epidemiology (Cambridge, Mass). 2010;21(4):540-51 (doi:10.1097/EDE.0b013e3181df191c).
5. Lue TF, Giuliano F, Montorsi F, et al. Summary of the recommendations on sexual dysfunctions in men. The journal of sexual medicine. 2004;1(1):6-23 (doi:10.1111/j.1743-6109.2004.10104.x).
6. McMahon CG, Lee G, Park JK, Adaikan PG. Premature ejaculation and erectile dysfunction prevalence and attitudes in the Asia-Pacific region. The journal of sexual medicine. 2012;9(2):454-65 (doi:10.1111/j.1743-6109.2011.02507.x).
7. Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. The Journal of urology. 1994;151(1):54-61 (doi:10.1016/s0022-5347(17)34871-1).
8. Hatzimouratidis K, Amar E, Eardley I, et al. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. European urology. 2010;57(5):804-14 (doi:10.1016/j.eururo.2010.02.020).
9. Ho CC, Singam P, Hong GE, Zainuddin ZM. Male sexual dysfunction in Asia. Asian journal of andrology. 2011;13(4):537-42 (doi:10.1038/aja.2010.135).
10. Flynn KE, Lin L, Bruner DW, et al. Sexual satisfaction and the importance of sexual health to quality of life throughout the life course of US adults. The journal of sexual medicine. 2016;13(11):1642-50.
11. Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. Jama. 2000;283(15):2008-12 (doi:10.1001/jama.283.15.2008).
12. TURKSTAT. Turkey Statistical Institute [Internet]. https://www.tuik.gov.tr/. (Accessed: 5.5.2019).
13. Oksuz E, Malhan S. The prevalence of male sexual dysfunction and potential risk factors in Turkish men: a Web-based survey. International journal of impotence research. 2005;17(6):539-45 (doi:10.1038/sj.ijir.3901357).
14. Tuğrul C, Öztan N, Kabakçı E. Standardization of Golombok-Rust Sexual Satisfaction Inventory. Turkish journal of psychiatry. 1993;4(2):83-9.
15. Serefoglu EC, Cimen HI, Ozdemir AT, Symonds T, Berktas M, Balbay MD. Turkish validation of the premature ejaculation diagnostic tool and its association with intravaginal ejaculatory latency time. International journal of impotence research. 2009;21(2):139-44 (doi:10.1038/ijir.2008.58).
16. Serefoglu EC, Yaman O, Cayan S, et al. The comparison of premature ejaculation assessment questionnaires and their sensitivity for the four premature ejaculation syndromes: results from the Turkish society of andrology sexual health survey. The journal of sexual medicine. 2011;8(4):1177-85 (doi:10.1111/j.1743-6109.2010.02183.x).
17. Rosen RC. Prevalence and risk factors of sexual dysfunction in men and women. Curr Psychiatry Rep. 2000;2(3):189-95 (doi:10.1007/s11920-996-0006-2).
18. Kmet LM, Cook LS, Lee RC. Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields. 2004.
19. Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ (Clinical research ed). 1997;315(7109):629-34 (doi:10.1136/bmj.315.7109.629).
20. Borenstein M, Hedges LV, Higgins JP, Rothstein HR. Publication Bias. Introduction to Meta-Analysis. United Kingdom: John Wiley and Sons; 2009:277-92.
21. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ (Clinical research ed). 2003;327(7414):557-60 (doi:10.1136/bmj.327.7414.557).
22. Balduzzi S, Rucker G, Schwarzer G. How to perform a meta-analysis with R: a practical tutorial. Evid Based Ment Health. 2019;22(4):153-60 (doi:10.1136/ebmental-2019-300117).
23. Viechtbauer W. Conducting Meta-Analyses inRwith themetaforPackage. Journal of Statistical Software. 2010;36(3):1-48 (doi:10.18637/jss.v036.i03).
24. Amidu N, Owiredu WK, Woode E, Addai-Mensah O, Gyasi-Sarpong KC, Alhassan A. Prevalence of male sexual dysfunction among Ghanaian populace: myth or reality? International journal of impotence research. 2010;22(6):337-42 (doi:10.1038/ijir.2010.24).
25. Hatzimouratidis K. Epidemiology of male sexual dysfunction. American journal of men's health. 2007;1(2):103-25 (doi:10.1177/1557988306298006).
26. Kingsberg SA. The impact of aging on sexual function in women and their partners. Archives of sexual behavior. 2002;31(5):431-7 (doi:10.1023/a:1019844209233).
27. Demers LM. Andropause: an androgen deficiency state in the ageing male. Expert opinion on pharmacotherapy. 2003;4(2):183-90 (doi:10.1517/14656566.4.2.183).
28. Ciocanel O, Power K, Eriksen A. Interventions to treat erectile dysfunction and premature ejaculation: an overview of systematic reviews. Sexual medicine. 2019;7(3):251-69.
29. Spector IP, Carey MP. Incidence and prevalence of the sexual dysfunctions: a critical review of the empirical literature. Archives of sexual behavior. 1990;19(4):389-408 (doi:10.1007/BF01541933).
30. Barendregt JJ, Doi SA, Lee YY, Norman RE, Vos T. Meta-analysis of prevalence. Journal of epidemiology and community health. 2013;67(11):974-8 (doi:10.1136/jech-2013-203104).