Ismail Shaiful Bahari, Zainon Wan Mohd Nazlee Wan, Lotopi Mohd Albaihaqi Ahmad, Nazri Amir
MBBS, MMED (F Medicine), Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia. E-mail:
MD, MMED (F Medicine), Family Medicine Clinic, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Malays Fam Physician. 2025 Apr 9;20:20. doi: 10.51866/cr.764. eCollection 2025.
Erectile dysfunction (ED) is a prevalent medical problem affecting men globally, particularly those with co-morbidities such as cardiovascular disease, hypertension, dyslipidaemia and diabetes. This case series aimed to evaluate the effects of avanafil as a treatment option for patients with ED and other co-morbidities. Eight male patients from a family medicine clinic received either 100 mg or 200 mg avanafil based on their clinical indication. Erectile function was assessed using the International Index of Erectile Function-5 (IIEF-5) and Erection Hardness Score. The outcomes included changes in the IIEF-5 score upon avanafil treatment. Our findings demonstrated a significant increase in the 200 mg avanafil treatment group, with the IIEF-5 score increasing from 14.83±9.4 to 24.17±2.6 (P<0.05). However, no significant difference was observed in the 100 mg avanafil treatment group (P=0.7903) and the overall avanafil treatment group (100 mg + 200 mg avanafil; P=0.0501). No adverse events were reported among the patients. Avanafil is considered a potentially safe and effective treatment option for ED, particularly in individuals with co-morbidities.
勃起功能障碍(ED)是一个影响全球男性的普遍医学问题,尤其是那些患有心血管疾病、高血压、血脂异常和糖尿病等合并症的男性。本病例系列旨在评估阿伐那非作为ED及其他合并症患者治疗选择的效果。一家家庭医学诊所的8名男性患者根据其临床指征接受了100毫克或200毫克的阿伐那非治疗。使用国际勃起功能指数-5(IIEF-5)和勃起硬度评分来评估勃起功能。结果包括阿伐那非治疗后IIEF-5评分的变化。我们的研究结果表明,200毫克阿伐那非治疗组有显著增加,IIEF-5评分从14.83±9.4增加到24.17±2.6(P<0.05)。然而,100毫克阿伐那非治疗组(P=0.7903)和总体阿伐那非治疗组(100毫克+200毫克阿伐那非;P=0.0501)未观察到显著差异。患者中未报告不良事件。阿伐那非被认为是一种潜在安全有效的ED治疗选择,特别是对于患有合并症的个体。