Lomber Disk Hernili Erkeklerde Ağrının Erektil Fonksiyon Üzerine Etkisi

GİRİŞ ve AMAÇ: Lomber disk hernisi (LDH) mevcut olan erkeklerde erektil disfonksiyon varlığını ve ağrının şiddetinin erektil fonksiyonlar üzerindeki etkilerini değerlendirmeyi amaçladık. YÖNTEM ve GEREÇLER: 30-60 yaş arası, bel ağrısı nedeniyle beyin cerrahi polikliniğine başvuran 64 erkek hasta çalışmaya dahil edildi. Kontrol grubu olarak, üroloji veya beyin cerrahi polikliniklerine başka sebeplerle başvuran 56 erkek belirlendi. LDH mevcut olan hastalarda ağrının şiddetini değerlendirmek için Visuel Analog Skala (VAS) kullanıldı. ereksiyon durumunu değerlendirmek için tüm hastalara Uluslarası Erektil Fonskiyon Değerlendirme (IIEF-5) kısa formu doldurtuldu. BULGULAR: LDH mevcut olan erkeklerin yaş ortalaması 39,3±4,1; kontrol grubunun yaş ortalaması 40,5±3,4 olarak belirlendi ve iki grup arasında istatistiksel fark saptanmadı. LDH mevcut olan 28 erkekte (%43,7) Erektil Disfonksiyon (ED) mevcut iken,kontrol grubundaki 14 erkekte (%25) ED tespit edilmiştir. Tüm bireyler değerlendirildiğinde LDH mevcut olanlarda ED istatistiksel anlamlı olarak fazla bulunmuştur(p

Effect of The Pain on Erectile Function in Men with Lumbar Disc Hernia

INTRODUCTION: We aimed to evaluate the presence of erectile dysfunction in men with lumbar disc herniation and the effects of pain severity on erectile functions. METHODS: 64 male patients aged between 30 and 60 years who were admitted to the neurosurgery clinic for low back pain were included in the study. The control group consisted of 56 males who applied to urology or neurosurgery clinics for other reasons. Visuel Analogue Scale (VAS) was used to evaluate the severity of pain in patients with lumbar disc hernia(LDH). To assess the erection status, all patients were filled with the International Erectile Function Assessment (IIEF-5) short form. RESULTS: The mean age of men with LDH was 39.3 ± 4.1, the mean age of the control group was 40.5 ± 3.4 years and there was no statistical difference between the two groups. ED was present in 28 men (43.7%) with LDH and 14 men in the control group (25%). When all individuals were evaluated, ED was significantly higher in those with LDH (p

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1. Benoit G, Delmas V, Gillot C, Jardin A. The anatomy of erection. Surg Radiol Anat. 1987;9(4):263-72.
2. Ekmekçioğlu O, Demirtaş A. Erkekte Erektil İşlev Bozukluğu Tanı ve Tedavisi. Erciyes Med J. 2006; 28(4): 220-225
3. Nehra A, Moreland RB. Nurologic erectile dysfunction. Urol Clin North Am 2001; 28:289-303.
4. Ambler N, Williams AC, Hill P, Gunary R, Cratchley G: Sexual difficulties of chronic pain patients. Clin J Pain 2001;17:138–145.
5. Rubin D: The no—or the yes and the how—of sex for patients with neck, back and radicular pain syndromes. Calif Med 1970;113:12–15.
6. Akbas¸ NB, Dalbayrak S, Külcü DG, Yilmaz M, Yilmaz T, Naderi S. Assessment of sexual dysfunction before and after surgery for lumbar disc herniation. J Neurosurg Spine 2010;13(5):581–586
7. Kulaksizoglu H, Kaptan H. An unappreciated correlation: surgical treatment of lumbosacral disc disease and erectile dysfunction. J Korean Neurosurg Soc 2010;47(4):282–286
8. Laffosse JM, Tricoire JL, Chiron P, Puget J: Sexual function before and after primary total hip arthroplasty. Joint Bone Spine 2008;75:189–194.
9. Maigne JY, Chatellier G: Assessment of sexual activity in patients with back pain compared with patients with neck pain. Clin Orthop Relat Res 2001;385:82–87.
10. Spector IP, Leiblum SR, Carey MP, Rosen RC: Diabetes and female sexual function: a critical review. Ann Behav Med 1993;15:257–264.
11. Steinke E, Patterson-Midgley P: Sexual counseling following acute myocardial infarction. Clin Nurs Res 1996;5:462–472.
12. Yazici CM, Sarifakioglu B, Guzelant A, Turker P, Ates O. An unresolved discussion: presence of prematüre ejaculation and erectile dysfunction in lumbar disc hernia. Int Urol Nephrol. 2013;45(3):659-67.
13. Rosen RC: Update on the relationship between sexual dysfunction and lower urinary tract symptoms/benign prostatic hyperplasia. Curr Opin Urol 2006;16:11–19.
14. Dzierżanowski M, Dzierżanowski M, Wrzecion K et al. Discopathy of the lumbar-sacral segment and its influence on sexual dysfunction. Adv Clin Exp Med. 2013 Jan-Feb;22(1):93-100.
15. Braun M, Sommer F, Lehmacher W, Raible A, Bondarenko B, Engelmann U : [Erectile dysfunction. Are interdisciplinary diagnosis and therapy necessary?] Dtsch Med Wochenschr 2004;129:131-136.
16. Poole H, White S, Blake C, Murphy P, Bramwell R: Depression in chronic pain patients: prevalence and measurement. Pain Pract 2009;9:173–180.
17. Dzierżanowski M, Dzierżanowski M, Wrzecion K et al. Discopathy of the lumbar-sacral segment and its influence on sexual dysfunction. Adv Clin Exp Med. 2013;22(1):93-100.
18. de Araujo AC, da Silva FG, Salvi F, Awad MC, da Silva EA, Damia˜o R. The management of erectile dysfunction with placebo only: does it work? J Sex Med 2009;6(12):3440–3448
19. Akbaş NB, Dalbayrak S, Yılmaz M, Naderi S: [How often sexual dysfunction is being evaluated in lumbar disc herniations by the neurosurgeons?] Spinal ve Periferik Sinir Cerrahisi 2008;38:8–11, (Turkish)
20. Platano G, Margraf J, Alder J, Bitzer J: Frequency and focus of sexual history taking in male patients—a pilot study conducted among Swiss general practitioners and urologists. J Sex Med 2008;5:47–59.
21. Schover LR: Sexual problems in chronic illness, in Leiblum SR, Rosen RC (eds): Principles and Practice of Sex Therapy, ed 3. New York: Guilford Press, 2000, pp 398–422
22. Huang YP, Liu W, Chen SF et al. Free testosterone correlated with erectile dysfunction severity among young men with normal total testosterone. Int J Impot Res. 2018 Oct 22. doi: 10.1038/s41443-018-0090-y. [Epub ahead of print]