Interdisciplinary options for diagnosis and treatment of organic erectile dysfunction

Diehm, Nicolas; Borm, Anne Katrin; Keo, Hak Hong; Wyler, Stephen

doi:10.4414/smw.2015.14268

Cited by 10 publications

(9 citation statements)

References 20 publications

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“…Vasculogenic ED diagnosis should include a comprehensive medical, sexual, and psychological examination, including underlying cardiovascular risk factors assessment and current medication, and other diagnostic tests to assess erectile function should include nocturnal penile rigidity and Doppler ultrasound (Diehm et al, 2015). However, only Sharma et al (2011) confirm the diagnosis of vasculogenic ED using colored penile Doppler ultrasound to assess penis vascularity.…”

Section: Discussionmentioning

confidence: 99%

“…Uppal et al (2014) did not report the method used to diagnose ED. Severity of ED was assessed in four studies Sharma et al, 2011;Uppal et al, 2014;Zadik et al, 2009); based on the IIEF-5 scores: severe (5-7), moderate (8-11), mild to moderate (12-16), mild (17-21), and no ED (22-25;Diehm, Borm, Keo, & Wyler, 2015).…”

Section: Chronic Periodontitis and Erectile Dysfunction Diagnosismentioning

confidence: 99%

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Association Between Periodontal Disease and Erectile Dysfunction: A Systematic Review

Kellesarian

Malignaggi

et al. 2016

Am J Mens Health

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A limited number of studies have reported an association between erectile dysfunction (ED) and chronic periodontitis (CP). The aim of the present study is to assess the association between CP and ED through a systematic review of published literature. To address the focused question, "Is there a relationship between ED and CP?" indexed databases were searched till December 2015 using various key words "erectile dysfunction," "periodontal disease," "periodontitis," "dental infection," and "impotence." Letters to the editor, commentaries, historic reviews, and experimental studies were excluded. The pattern of the present systematic review was customized to primarily summarize the pertinent data. Nine studies were included. Seven studies had a cross-sectional design and two studies were randomized control trials. The number of study participants ranged between 53 and 513,258 individuals with age ranging between 20 years and 85 years (median age ranging between 34.9 ± 4.9 years and 50.9 ± 16.6 years). In all studies, a positive relationship between CP and ED was reported. In four studies, odds ratio were reported, ranging between 1.53 and 3.35. From the literature reviewed, there seems to be a positive association between ED and CP; however, further well-designed controlled clinical trials are needed in this regard. It is emphasized that physicians should refer patients with ED to oral health care providers for a comprehensive oral evaluation and treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Chronic Periodontitis and Erectile Dysfunction Diagnosismentioning

confidence: 99%

Association Between Periodontal Disease and Erectile Dysfunction: A Systematic Review

Kellesarian

Malignaggi

et al. 2016

Am J Mens Health

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“…These disorders also occur in patients with cardiac arrhythmias before and after antiarrhythmic treatment in the form of pacemaker implantation. ED is a common problem and affects over 150 million men worldwide with an estimated increase to 322 million men by 2025 12,13 …”

Section: Discussionmentioning

confidence: 99%

The impact of cardiac pacemaker implantation on male sexual function

Młynarski

Młynarska

Gołba

2020

Pacing Clinical Electrophis

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Background The possibility of sexual functioning is an important aspect of human life, and sexual disorders have a negative impact on the quality of life and well‐being. The aim of the study was to assess the sexuality and occurrence of sexual dysfunction within 6 months after pacemaker implantation. Methods and Results The study sample was a group of 80 patients with heart rhythm disorders who had been qualified for cardiac pacemaker implantation. The International Index of Erectile Function (IIEF)‐15 was completed by all the patients at least 1 day before and 6 months after cardiac pacemaker implantation. The average results of the IIEF for all those who were included before implantation were 41.87 ± 7.57 and were statistically the worst after pacemaker implantation 46.76 ± 6.64; P < .0001. After the implantation of a pacemaker, there was an improvement in all of the subcategories of sexual life for all the men: erectile function P < .0001, orgasmic function P < .0001, sexual desire P < .0001, intercourse satisfaction P < .0001, and overall satisfaction P < .0001. Conclusions Pacemaker implantation had a positive effect on sexual functioning for all the patients. Pacemaker implantation did not affect sexual desire in the patients who were observed. Erectile dysfunction occurred in most of patients both before and after pacemaker implantation.

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“…Stenosis or occlusion of pelvic and penile arteries was quantified by penile duplex ultrasonography and confirmed by contrast-enhanced computed tomography angiography (CTA). 1 Key exclusion criteria for endovascular treatment according to our site's standard of care were nonvascular causes of ED, including penile anatomic defects, spinal cord injury, and psychogenic disorders. Ethics committee approval for this quality control investigation was waived; all patients provided written informed consent.…”

Section: Study Design and Patient Evaluationmentioning

confidence: 99%

“…Inability to achieve or maintain erection for satisfactory sexual intercourse has a significant impact on patients' quality of life, self-confidence, and interpersonal relations. 1 ED may represent an important indicator for the presence of cardiovascular diseases, potentially resulting in myocardial infarction, stroke, aortic aneurysm, or peripheral artery disease. 2 Indeed, the risk profile of ED patients, as with cardiovascular diseases, includes diabetes mellitus, arterial hypertension, dyslipidemia, cigarette smoking, and increased age.…”

Section: Introductionmentioning

confidence: 99%

Endovascular Therapy for Erectile Dysfunction—Who Benefits Most? Insights From a Single-Center Experience

Diehm¹,

Marggi²,

Ueki

et al. 2019

J Endovasc Ther

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Purpose: To report the 1-year outcomes of a single-center, all-comers registry aimed to assess effectiveness and safety of endovascular revascularization for atherosclerotic erectile dysfunction (ED) in an unselected patient cohort. Materials and Methods: Between April 2016 and October 2017, 50 consecutive patients (mean age 59.6±10.3 years) underwent endovascular revascularization for ED owing to >50% stenosis in 82 erection-related arteries. Patients were treated by means of standard balloon angioplasty (16%), drug-coated balloon angioplasty (27%), or drug-eluting stent (55%) implantation. The primary feasibility outcome measure was the incidence of a minimum clinically relevant improvement of ≥4 in the 6-question International Index of Erectile Function Questionnaire (IIEF-6) score at 12 months. Clinical effectiveness was improvement in erectile function as quantified in the mean difference (MD) of the IIEF-15 score at 3 and 12 months as well as the mean changes in IIEF-15 questions 3 and 4. Results: Procedure success was achieved in 49 (98%) of 50 patients. At 12 months, 30 (65%) of 46 patients achieved a minimum clinically relevant improvement in the IIEF-6 score. The overall IIEF-15 score, as well as scores for questions 3 and 4, improved in 32 (65%) of 49 patients, 28 (57%) of 49 patients, and 29 (60%) of 48 patients, respectively. Change in the overall IIEF-15 score at 12 months was consistent among subgroups, except for elderly patients [MD −5.0 (95% CI −9.7 to −0.2), p=0.041] and those with hypertension [MD −11.0 (95% CI −20.5 to −1.5), p=0.025], who showed less improvement. Conclusion: Endovascular revascularization was safe and efficacious in the majority of ED patients through 1 year.

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Interdisciplinary options for diagnosis and treatment of organic erectile dysfunction

Cited by 10 publications

References 20 publications

Association Between Periodontal Disease and Erectile Dysfunction: A Systematic Review

Association Between Periodontal Disease and Erectile Dysfunction: A Systematic Review

The impact of cardiac pacemaker implantation on male sexual function

Endovascular Therapy for Erectile Dysfunction—Who Benefits Most? Insights From a Single-Center Experience

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