Acupuncture for erectile dysfunction in post-stroke patients

Li, Yanfeng; Yu, Xiaohua; Liu, Ruijia; Wang, Jisheng; Deng, Sheng; Liu, Bowen; Zhang, Chongyang; Li, Haisong

doi:10.1097/md.0000000000019718

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…In other studies, Tibaek et al ( 60 ) showed that pelvic floor muscle training might be beneficial to stroke men with ED. A randomized controlled trial developed by Li et al ( 61 ) showed that acupuncture was a safe and effective treatment for post-stroke ED.…”

Section: Discussionmentioning

confidence: 99%

Significant Increase of Erectile Dysfunction in Men With Post-stroke: A Comprehensive Review

Zhao

Wu²,

et al. 2021

Front. Neurol.

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Men with erectile dysfunction (ED) are considered to be at risk from stroke events. Conversely, post-stroke patients are also at high risk of ED, whereas a quantitative result from all the relevant studies has not been previously addressed. Therefore, we have performed a comprehensive review and meta-analysis on this issue. This study was registered on PROSPERO (ID No. CRD42021226618). Twenty studies with a total of 3,382 stroke events were included, of which six studies were included for quantitative analysis, and the remaining 14 studies were calculated for the ratio of ED. Synthetic results from four eligible studies providing the ED cases showed that stroke patients were associated with a significantly higher risk of ED than the general population [pooled relative risk (RR) = 3.32, 95% confidence interval (CI): 1.25–8.82, P = 0.016]. Men with stroke were also found to be associated with a significant decline in International Index of Erectile Function −5 (IIEF-5) score as compared with the healthy controls [three studies, standard mean differences (SMD) = −1.8, 95% CI: −2.94 to −0.67, P = 0.002]. The prevalence of ED in post-stroke patients among 14 studies ranged from 32.1 to 77.8%, which was dramatically higher than that of the general population. The result of the GRADE-pro revealed that the quality of the evidence in this study was moderate. The present study has confirmed the high prevalence of ED in men with stroke. ED in stroke patients is a result of both neurological and psychological factors. Rehabilitative interventions rather than phosphodiesterase-5 (PDE-5) inhibitors are recommended to improve the erectile function for those survivors with ED.

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Section: Discussionmentioning

confidence: 99%

Significant Increase of Erectile Dysfunction in Men With Post-stroke: A Comprehensive Review

Zhao

Wu²,

et al. 2021

Front. Neurol.

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Assessment methods in sexual rehabilitation after stroke: a scoping review for rehabilitation professionals

Auger

Aubertin

Grondin

et al. 2021

Disability and Rehabilitation

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Does acupuncture improve sexual dysfunction? A systematic review

Abdi

Alimoradi

Roozbeh

et al. 2021

Journal of Complementary and Integrative Medicine

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Objectives Sexual dysfunction can adversely affect the quality of life and interpersonal relationships. nowadays, a lot of attention is paid to traditional Chinese medicine with better curative effects and less adverse events. Recent studies have implied the promising effect of acupuncture on sexual function. This systematic review evaluate the effectiveness and safety of acupuncture in treating female and male sexual dysfunction. Content PubMed, Cochrane Central of Controlled Trials (CENTRAL), EMBASE, Web of Science, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), Scopus, and Google Scholar were searched up to 2021. No limitation to language and date. The methodological quality of the studies was assessed using the Mixed Methods Appraisal Tool (MMAT). Summary Among 160 initially assessed papers, 13 articles were included. The findings showed that acupuncture improve sexual dysfunction in domains of desire, libido, erectile dysfunction and impotency. Most studies did not report any serious side effects from acupuncture, and only three studies reported minor adverse events. Outlook The available evidence indicate that acupuncture has positive on improvement of sexual dysfunction with no serious side effects. Although acupuncture has gained increasing popularity for the management of sexual dysfunction, high methodological quality evidence regarding its efficacy is lacking.

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Acupuncture for erectile dysfunction in post-stroke patients

Cited by 3 publications

References 15 publications

Significant Increase of Erectile Dysfunction in Men With Post-stroke: A Comprehensive Review

Significant Increase of Erectile Dysfunction in Men With Post-stroke: A Comprehensive Review

Assessment methods in sexual rehabilitation after stroke: a scoping review for rehabilitation professionals

Does acupuncture improve sexual dysfunction? A systematic review

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