Department of Urology, Gaziantep University, Gaziantep, Türkiye.
Department of Urology, 25 Aralık State Hospital, Gaziantep, Türkiye.
Investig Clin Urol. 2024 Sep;65(5):473-479. doi: 10.4111/icu.20240200.
This study aimed to explore the impact of psychological stress on erectile dysfunction (ED) in male patients following the Gaziantep-Kahramanmaras earthquake. The investigation aimed to establish correlations between earthquake-induced stress and changes in sexual function using International Index of Erectile Function (IIEF), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder-7 (GAD-7) scores.
A retrospective analysis was conducted on male ED patients from a Gaziantep urology clinic post-earthquake (March to August 2023). Patients with deteriorated erectile function post-earthquake (group 1) and those with pre-existing ED experiencing worsened symptoms post-earthquake (group 2) were included. Data collected encompassed sexual histories, IIEF scores, laboratory tests, and PHQ-9/GAD-7 evaluations. Patients were also evaluated mild and mild to moderate ED, moderate and severe ED according to IIEF erectile function.
Seventy-six patients were evaluated (24 in group 1 and 52 in group 2). Significant reductions in total IIEF scores (58 to 40 in group 1 and 49 to 33 in group 2) were observed post-earthquake in both groups (p<0.001). PHQ-9/GAD-7 scores was 11.12±3.79/9.34±3.11 in mild and mild to moderate ED and 13.17±3.05/12.14±3.17 in moderate and severe ED (p=0.011, p<0.001, respectively). Negative correlations existed between PHQ-9/GAD-7 scores and IIEF erectile function (p<0.05) and total IIEF (p<0.05).
This research suggests a plausible connection between the Gaziantep-Kahramanmaras earthquake and heightened ED cases. Psychological stress post-earthquake may contribute to worsened ED symptoms. Further investigations are warranted to comprehensively understand the interplay between natural disasters and sexual dysfunction, essential for optimizing patient care in challenging situations.
本研究旨在探讨男性患者在加济安泰普-哈塔伊地震后心理压力对勃起功能障碍（ED）的影响。本研究旨在通过国际勃起功能指数（IIEF）、患者健康问卷-9（PHQ-9）和广泛性焦虑障碍-7（GAD-7）评分，确定地震引起的压力与性功能变化之间的相关性。
对 2023 年 3 月至 8 月在加济安泰普泌尿科诊所就诊的地震后男性 ED 患者进行回顾性分析。包括地震后勃起功能恶化的患者（第 1 组）和地震后原有 ED 症状恶化的患者（第 2 组）。收集的资料包括性史、IIEF 评分、实验室检查和 PHQ-9/GAD-7 评估。根据 IIEF 勃起功能，患者还被评估为轻度和轻度至中度 ED、中度和重度 ED。
共评估了 76 例患者（第 1 组 24 例，第 2 组 52 例）。两组患者的 IIEF 总分均显著降低（第 1 组从 58 降至 40，第 2 组从 49 降至 33，p<0.001）。轻度和轻度至中度 ED 的 PHQ-9/GAD-7 评分为 11.12±3.79/9.34±3.11，中度和重度 ED 的 PHQ-9/GAD-7 评分为 13.17±3.05/12.14±3.17（p=0.011，p<0.001）。PHQ-9/GAD-7 评分与 IIEF 勃起功能（p<0.05）和总 IIEF（p<0.05）呈负相关。
本研究表明，加济安泰普-哈塔伊地震与 ED 发生率升高之间存在可能的联系。地震后心理压力可能导致 ED 症状恶化。需要进一步研究以全面了解自然灾害与性功能障碍之间的相互作用，这对于在困难情况下优化患者护理至关重要。
