Dursun Murat, Özbek Emin, Otunctemur Alper, Cakir Suleyman Sami
Department of Urology, Bahcelievler State Hospital, Istanbul, Turkey.
Department of Urology, Okmeydani Research and Education Hospital, Istanbul, Turkey.
Prague Med Rep. 2015;116(1):24-30. doi: 10.14712/23362936.2015.42.
Sexual dysfunction in general and erectile dysfunction (ED) in particular significantly affect men's quality of life. Some patients who have ED, also develop osteoporosis. So, in this study we investigated the relationship between erectile dysfunction and osteoporosis in men. 95 men with erectile dysfunction and 82 men with normal sexual function were included in the study. The men's sexual functions were evaluated by International Index of Erectile Function-5 items (IIEF-5). All men received a Dual Energy X-ray Absorptiometry (DEXA; Hologic) scan to measure bone mineral density (BMD) for osteoporosis. Chi-square test was used for statistical analysis. Mean age was 53.5 (38-69) in ED group and 50.1 (31-69) in control group. In ED group the men have lower T score levels than those of the control group. In conclusion, the men who have erectile dysfunction were at more risk for osteoporosis. The results of the present study demonstrate that the men with erectile dysfunction have low bone mineral density and they are at higher risk for osteoporosis. Because of easy and noninvasive evaluation of osteoporosis, patients with ED should be checked for bone mineral density and osteoporotic male subjects should be evaluated for ED.
一般而言,性功能障碍尤其是勃起功能障碍(ED)会显著影响男性的生活质量。一些患有勃起功能障碍的患者还会并发骨质疏松症。因此,在本研究中,我们调查了男性勃起功能障碍与骨质疏松症之间的关系。该研究纳入了95名勃起功能障碍男性和82名性功能正常的男性。通过国际勃起功能指数-5项(IIEF-5)评估男性的性功能。所有男性均接受双能X线吸收法(DEXA;Hologic)扫描,以测量骨质疏松症的骨矿物质密度(BMD)。采用卡方检验进行统计分析。勃起功能障碍组的平均年龄为53.5(38 - 69)岁,对照组为50.1(31 - 69)岁。勃起功能障碍组男性的T评分水平低于对照组。总之,患有勃起功能障碍的男性患骨质疏松症的风险更高。本研究结果表明,勃起功能障碍男性的骨矿物质密度较低,患骨质疏松症的风险更高。由于骨质疏松症评估简便且无创,勃起功能障碍患者应进行骨矿物质密度检查,而骨质疏松男性患者也应评估勃起功能。