Faʻamatalaga mo le faʻaleagaina o Erectile I totonu o Alii Talavou-Sailiiliga o se Suʻesuʻega Faʻavae o le Cross-Life Cross (2018)

 Le Journal of Urology

Volume 199, Lomiga 4, Faaopoopo, Aperila 2018, Itulau e1004

Pozzi, Edoardo, Paolo Capogrosso, Eugenio Ventimiglia, Filippo Pederzoli, Luca Boeri, Walter Cazzaniga, Francesco Chierigo et alLe Journal of Urology 199, nu. 4 (2018): e1004.

FOLASAGA MA SINI AUTU

O le fa'aletonu o le Erectile (ED) ose fa'asea ua fa'atuputeleina i tama talavou e i lalo ifo o le 40 tausaga le matutua. Na matou faʻamoemoe e iloilo mea e fesoʻotaʻi ma le faʻaletonu o le erectile function (EF) i se vaega o alii talavou o loʻo sailia fesoasoani faʻafomaʻi mo le faʻaleagaina o feusuaiga i se tasi nofoaga faʻaleaʻoaʻoga.

METHODS

O faʻamaumauga faʻapitoa ma sociodemographic na maua mo 307 faʻasologa o gasegase <40 yrs old e faʻatatau i le andrology falema'i a se tasi nofoaga fa'alea'oa'oga mo fa'alavelave fa'afeusuaiga. O faʻamaʻi faʻalesoifua maloloina-taua na maua i le Charlson Comorbidity Index (CCI). O gasegase uma na faʻamaeʻaina le International Index of Erectile Function (IIEF), le Beck's Inventory for Depression (BDI) ma le International Prostatic Symptom Score questionnaire (IPSS). O le mamafa ole ED na fa'avasegaina e tusa ai ma fa'atonuga a Cappelleri. Na matou faʻatusatusa tagata mamaʻi e faʻaleagaina le EF (faʻamatalaina o le IIEF-EF domain <26) faʻatasi ai ma i latou o loʻo lipotia mai masani IIEF-EF togi. Na faʻaaogaina suʻega saʻo a Mann-Whitney ma Fisher e suʻe ai le eseesega i le va o vaega e lua.

TULAFONO

Aotelega, 229 (75%) ma le 78 (25%) gasegase sa masani ma faʻaleagaina le EF; i totonu o tagata mamaʻi ma ED, 90 (29%) sa i ai se sikoa IIEF-EF faʻamaonia mo ED ogaoga (IIEF-EF<11). O maʻi ma le leai o se ED e leʻi eseese tele i le tulaga o le median [IQR] tausaga (32.0 [27.0-36.0] vs. 31.0 [24.0-36.0]), BMI (23.7 [21.9-26.1] vs. 23.4 [22.2-24.6] ), fa'ateleina o toto maualuga (7.5% vs. 2.6%), tulaga lautele o le soifua maloloina (CCI≥1: 4.8 vs. 2.6%), talafaasolopito o le ulaula (29% vs. 31%), fa'aaogaina le ava malosi (88% vs. 88%) ma le sikoa IPSS ( 5 [2-10] vs. 4 [2-8.5]) (uma p>0.2). I se tulaga talitutusa, e leai se eseesega na lipotia mai i tulaga o le serum fomaʻi feusuaʻiga ma le lipid profile i le va o vaega e lua (uma p>0.05). O le faʻamatalaga, o tagata mamaʻi ma ED na lipotia mai le maualalo o le IIEF-Sexual Desire domain scores (7 [6-9] vs. 9 [8-9], p<0.01) ma maualuga BDI scores (7.0 vs. 5.0, p = 0.01) pei fa'atusatusa i latou e iai le EF masani.

FAAIUGA

O nei suʻesuʻega na faʻaalia ai o alii talavou e iai le ED e le eseese i tulaga o faʻasologa o faʻataʻitaʻiga faʻapitoa mai se vaega faʻatusatusa tausaga ma EF masani, ae o loʻo faʻaalia i lalo ifo. manao feusuaiga togi, faʻataʻitaʻiga faʻapitoa e sili atu le ono mafuaʻaga psychogenic o ED. E tatau i fomaʻi ona amanaia lenei mea pe a suʻesuʻeina alii talavou o loʻo faitioina le ED.