Erectile dysfunction in stroke patients: a multifactorial problem with important psychosocial consequences

Paraskevas, Kosmas I.; Bessias, Nikolaos; Pavlidis, P.; Maras, Dimitrios; Papas, Theofanis T.; Gekas, Christos; Andrikopoulos, Vasilios

doi:10.1007/s11255-008-9425-9

Cited by 6 publications

(5 citation statements)

References 17 publications

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“…Gaete and Bogousslavsky [32] also reported the prevalence of depression in the first four weeks after a stroke at 17-52%. The relationship between ED and depression has been investigated and shown significant results [6], [8], [10], [12], [29], [30, [31]. Post-stroke depression is the most common emotional disorder found in post-stroke patients [7], [32].…”

Section: Discussionmentioning

confidence: 99%

“…The risk factors are age, smoking and obesity [8], [22], [28]. Besides these physical factors, psychic factors also have a role in the occurrence of ED [6], [8], [10], [12], [29], [30], [31]. Post-stroke depression is the most common emotional disorder in post-stroke patients, and sexual dysfunction is also commonly found in patients who experience post-stroke depression [7], [32].…”

Section: Introductionmentioning

confidence: 99%

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Positive Correlation between Left Hemisphere Lesion and Erectile Dysfunction in Post-Stroke Patients

Purwata¹,

Andaka²,

Nuartha³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Stroke is a serious health condition and the leading cause of disability, including erectile dysfunction (ED). The mechanisms and factors that predict ED in stroke are not fully elucidated. Several studies have shown a relationship between the location of the lesion in stroke with the onset of ED. The left hemispheric lesion was believed to disrupt the parasympathetic nervous system which is responsible for the regulation of erection. Stroke attack in this region therefore can be the underlying reason for ED. However, there are still contradictory findings in this area, and very few studies attempted to look at this problem, particularly among Asian male. AIM: We would like to evaluate the association between left hemisphere lesion after ischemic stroke and the subsequent risk of developing ED. METHODS: The study was conducted in the neurology polyclinic of Sanglah and Wangaya Hospital from February to August 2013. Subjects are all post-stroke patients who visited the neurology polyclinic of Sanglah and Wangaya Hospital that met inclusion and exclusion criteria. RESULTS: There is a significant positive correlation (p < 0.05) between left hemisphere lesions and ED in stroke patients with a correlation coefficient (r) = 0.361 which means weak correlation and p = 0.032. CONCLUSION: Left hemisphere lesions positively correlated with ED in stroke patients. Further longitudinal research is needed to see whether left hemisphere lesion in post-stroke patients is a risk factor for ED.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Positive Correlation between Left Hemisphere Lesion and Erectile Dysfunction in Post-Stroke Patients

Purwata¹,

Andaka²,

Nuartha³

et al. 2019

Open Access Maced J Med Sci

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“…Based on the present results, standard screening after stroke should include assessment of sexual responsiveness. Similar to the situation in patients with coronary artery disease, standard counseling about the safety of resuming sexual activity could be helpful to reduce fear and avoidance of intercourse [24] and to improve the quality of life [25].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, men with cardiovascular risk factors such as obesity, diabetes mellitus, hypertension, and hypercholesterolemia are at risk of erectile dysfunction [27]. A better understanding of the impact of cardiovascular risk factors on sexual function in stroke patients may contribute to its overall management, emphasizing the need for lifestyle measures [25].…”

Section: Discussionmentioning

confidence: 99%

The Relevance of Sexual Responsiveness to Sexual Function in Male Stroke Patients

Duits

Oirschot

Oostenbrugge

et al. 2009

The Journal of Sexual Medicine

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Introduction Stroke may have negative consequences for the patients’ quality of life, including sexual function. Whereas physical impairment will influence sexual positions and movement during sex, depression and medication may reduce sexual desire. So far, data on sexual dysfunction after stroke are scant. Although some support for physical as well as psychological explanations has been shown, further research to find the remedies for those patients with sexual problems after stroke is needed. The focus of the present study is on the identification of relevant psychological factors. Aim The aim of this study was to study the impact of anxiety, depression, and sexual responsiveness on sexual function in male stroke patients. Methods Nineteen male stroke patients completed a number of self-report measures to assess psychological and sexual factors. Main Outcome Measures Sexual function based on the International Index of Erectile Function, anxiety and depression based on the Symptom Checklist-90, and sexual responsiveness based on the Sexual Inhibition/Sexual Excitation Scale, including propensities for sexual excitation and sexual inhibition as a result of both performance failure and performance consequences, were assessed. Results Sexual excitation was positively related to sexual desire, whereas inhibition because of the threat of performance failure was negatively related to orgasmic function and sexual desire (P < 0.01). Patients with high levels of inhibition because of threat of performance failure were more likely to report low scores on overall sexual function than those with low levels. Conclusions Although the statistical power is rather low, the results show the relevance of sexual responsiveness to sexual function in male stroke patients. The present study can be considered as a first step toward building a theoretical framework of relevant psychological and physical factors, which is needed to develop adequate interventions for those patients with sexual problems after stroke.

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“…A recent study showed that stroke patients had a [3- [8]. ED is thus an important problem in stroke patients with considerable psychosocial consequences [9].…”

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confidence: 99%

Erectile dysfunction: a warning sign of silent vascular disease

Paraskevas

Koupidis²,

Mikhailidis

et al. 2009

Int Urol Nephrol

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Erectile dysfunction in stroke patients: a multifactorial problem with important psychosocial consequences

Cited by 6 publications

References 17 publications

Positive Correlation between Left Hemisphere Lesion and Erectile Dysfunction in Post-Stroke Patients

Positive Correlation between Left Hemisphere Lesion and Erectile Dysfunction in Post-Stroke Patients

The Relevance of Sexual Responsiveness to Sexual Function in Male Stroke Patients

Erectile dysfunction: a warning sign of silent vascular disease

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