Is Type 2 Diabetes Mellitus a Cause of Severe Erectile Dysfunction in Patients With Metabolic Syndrome?

Aslan, Yılmaz; Sezgin, Tezcan; Tuncel, Altuğ; Tekdoğan, Ümit Yener; Güler, Serdar; Atan, Ali

doi:10.1016/j.urology.2009.02.073

Cited by 20 publications

(16 citation statements)

References 24 publications

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“…[21] In a study conducted in our clinic on 93 ED patients, fasting blood glucose ≥100 mg/dL or the presence of type 2 diabetes was found to increase the risk for ED by 7.1 fold. [16] In the present study, we found the same MS criterion as the most important risk factor for ED, and it increased the risk for ED by 4.7 fold.…”

Section: Discussionsupporting

confidence: 71%

“…[15] There are numerous studies analyzing the relationship between MS and ED in the literature. [5,6] However, studies examining the presence of MS in patients with ED are relatively fewer, and in these studies, the prevalence of ED is reported to be higher in patients with MS. [6,13,16] In a study from our country by Bal et al, [6] the rate of severe ED was reported as 24.8% in patients with MS and 19.1% in those without MS. Yeh et al [13] reported the rates of severe ED as 41.4% and 31% in patients with MS according to NCEP-ATP III and IDF criteria, respectively. In a study by Heidler et al, [5] the prevalence of ED at various degrees was reported as 68.4% for men under 50 years old and 74.8% for men over 50 years old.…”

Section: Discussionmentioning

confidence: 95%

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Is there any difference in severe erectile dysfunction detection when different diagnostic metabolic syndrome criteria are used?

Atan¹

2012

Turkish Journal of Urology

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Objective: To investigate the relationship between two different metabolic syndrome (MS) diagnostic criteria and the severity of erectile dysfunction (ED). Material and methods:A total of 400 male patients over 50 years of age who suffered from ED were included in this study. The 2005 criteria of the International Diabetes Federation (IDF) and American Heart Association/The National Heart Lung and Blood Institute (AHA/NHLBI) were used for the diagnosis of MS. Subsequently, the patients were divided into two groups: those with MS and those without MS. The first-five version of the International Index of Erectile Function (IIEF-5) was applied to assess the severity of ED (IIEF-5 score 5-7, severe ED; IIEF-EF score 8-21, mild to moderate ED). The severity of ED was compared according to the two different MS diagnostic criteria. Results:The mean age of the patients was 59.2 years. A total of 48.8% (n=195) and 50.5% (n=202) of patients had MS according to IDF and AHA/NHLBI criteria, respectively. Overall, 209 (52.3%) patients had mild to moderate and 191 (47.8%) patients had severe ED. The IIEF-5 score was lower in MS patients compared with patients without MS for both diagnostic criteria (8.9 vs 10.1 for IDF and 8.8 vs 10.3 for revised AHA/NHLBI). The severe ED ratio was 55.4% and 58.4% in MS patients according to IDF and AHA/ NHLBI diagnostic criteria, respectively. Conclusion:MS was observed in almost half of the patients with ED. Severe ED was more prevalent in MS patients. A similar severe ED ratio was observed for both MS definitions.Key words: Diagnosis; erectile dysfunction, fasting blood glucose; metabolic syndrome; waist circumference. Sonuç: Erektil disfonksiyonu olan hastaların yaklaşık yarısında MS görüldü. MS hastalarında şiddetli ED daha fazla görülmekteydi. Her iki MS tanımı için şiddetli ED oranı benzer şekilde gözlendi. ÖZET Amaç: Erektil disfonksiyon (ED) şiddeti ile iki farklı metabolik sendrom (MS) tanı kriteri arasındaki iliş-kiyi incelemek. Gereç ve yöntemler:Anahtar sözcükler: Açlık kan şekeri; bel çevresi; erektil disfonksiyon; metabolik sendrom; tanı.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 95%

Is there any difference in severe erectile dysfunction detection when different diagnostic metabolic syndrome criteria are used?

Atan¹

2012

Turkish Journal of Urology

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“…Dies ist nicht verwunderlich, da ein Diabetes mellitus bzw. ein metabolisches Syndrom neben Gefäßverände-rungen und toxischen Einfl üssen etwa durch Pharmaka zu den Hauptursachen einer Erektilen Dysfunktion des Mannes zählen [7]. So könnten die Erektile Dysfunktion, das benigne ProstataSyndrom und die Überaktive Blase als gemeinsame Endstrecke einer identischen Pathophysiologie auf zentral-oder peripherneurogener, toxischer oder vaskulärer Ebene verstanden werden.…”

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Männer mit Typ-2-Diabetes und Erektiler Dysfunktion sind eine besondere Risikogruppe für LUTS - Ergebnisse der Wittener Diabetes-Erhebung

et al. 2013

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Amongst patients with type 2 diabetes, ED increases the risk of developing lower urinary tract disorders. Moreover it is connected with a higher HbA1c and a higher risk for LUTS, especially for OAB. The regular use of incontinence pads in every fourth patient with type 2 diabetes and erectile dysfunction demonstrates a high number of under-treated patients. Patients with type 2 diabetes and especially patients with type 2 diabetes AND erectile dysfunction represent a risk group that needs special attention and a special management plan from urologists and GPs.

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“…In addition, the increased waist circumflex and abdominal obesity are related with metabolic syndrome (MS), and the presence of MS is related with T2DM and insulin resistance [29]. When the MS, T2DM and ED are considered together, decreasing the BMI of patients to a desired level can contribute to the glycemic control, and improve the erectile capacity by restoring the endothelial functions [30].…”

Section: Discussionmentioning

confidence: 99%

The effect of lifestyle modification and glycemic control on the efficiency of sildenafil citrate in patients with erectile dysfunction due to type-2 diabetes mellitus

et al. 2015

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Is Type 2 Diabetes Mellitus a Cause of Severe Erectile Dysfunction in Patients With Metabolic Syndrome?

Cited by 20 publications

References 24 publications

Is there any difference in severe erectile dysfunction detection when different diagnostic metabolic syndrome criteria are used?

Is there any difference in severe erectile dysfunction detection when different diagnostic metabolic syndrome criteria are used?

Männer mit Typ-2-Diabetes und Erektiler Dysfunktion sind eine besondere Risikogruppe für LUTS - Ergebnisse der Wittener Diabetes-Erhebung

The effect of lifestyle modification and glycemic control on the efficiency of sildenafil citrate in patients with erectile dysfunction due to type-2 diabetes mellitus

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