Erectile Dysfunction in COPD: A Consequence or a Sign?

IF 0.6 4区医学 Q4 UROLOGY & NEPHROLOGY

Archivos Espanoles De Urologia Pub Date : 2025-04-01 DOI:10.56434/j.arch.esp.urol.20257803.38

Nihat Türkmen, Cemil Kutsal, Müfide Arzu Özkarafakılı, Eminegül Yavuzsan

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引用次数: 0

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a disease that can be associated with other diseases and has systemic effects. The effects of the disease may lead to disruptions in the working mechanisms of other systems. In our study, we aimed to investigate the effects of COPD on sexual function and related psychological status in men.

Materials and methods: The study included 60 male patients diagnosed with COPD in our hospital between March 2023 and May 2024. A control group consisting of 60 healthy individuals was also formed. Spirometry was performed in all patients. Assessment was performed using the COPD Assessment Test and the modified Medical Research Council scale, and three groups-Global Initiative for Chronic Obstructive Lung Disease (GOLD) A, GOLD B and GOLD E-were formed by combining the spirometric grading of COPD patients according to symptom level and exacerbation history. These three groups were evaluated by using the Beck Depression Inventory and International Index of Erectile Function (IIEF) tests, and the results were recorded. Blood samples were tested to measure asymmetric dimethylarginine levels. The results were statistically compared.

Results: The mean values of forced expiratory volume in the first second of forced expiration (FEV₁) %, forced vital capacity (FVC) % and FEV₁/FVC % of the control group were statistically significantly higher than those of the patient group (p < 0.001). The Beck Depression scale score, moderate and severe depression rates were higher than those of the control group (p = 0.004). The IIEF and ejaculatory function scores were statistically significantly lower than those of the control group (p < 0.001 and p = 0.001, respectively).

Conclusions: COPD is a disease that affects other systems aside from the respiratory system. The presence of COPD can have negative effects on sexual function.

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COPD患者勃起功能障碍：结果还是征兆？

背景：慢性阻塞性肺疾病（COPD）是一种可与其他疾病相关并具有全身性影响的疾病。这种疾病的影响可能导致其他系统的工作机制中断。在我们的研究中，我们旨在探讨COPD对男性性功能和相关心理状态的影响。材料与方法：研究对象为2023年3月至2024年5月在我院诊断为COPD的男性患者60例。另外还组成了一个由60名健康人组成的对照组。所有患者均行肺量测定。采用慢阻肺评估测试（COPD Assessment Test）和修订后的医学研究委员会量表进行评估，根据症状水平和加重史，结合COPD患者的肺活量分级，形成全球慢性阻塞性肺疾病倡议（GOLD） A组、GOLD B组和GOLD e组。采用贝克抑郁量表（Beck Depression Inventory）和国际勃起功能指数（IIEF）测试对三组患者进行评估，并记录结果。检测血液样本以测量不对称二甲基精氨酸水平。结果进行统计学比较。结果：对照组用力呼气第一秒用力呼气量（FEV1） %、用力肺活量（FVC） %、FEV1/FVC %平均值均显著高于患者组（p < 0.001）。Beck抑郁量表评分、中、重度抑郁率均高于对照组（p = 0.004）。IIEF和射精功能评分均低于对照组（p < 0.001和p = 0.001）。结论：慢性阻塞性肺病是一种影响呼吸系统以外其他系统的疾病。慢性阻塞性肺病的存在会对性功能产生负面影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archivos Espanoles De Urologia UROLOGY & NEPHROLOGY-

CiteScore

0.90

自引率

0.00%

发文量

111

期刊介绍： Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.