IVolumu 199, Isikhalazo 4, Isengezo, Ephreli 2018, Ikhasi e1004
UPozzi, u-Edoardo, uPaolo Capogrosso, u-Eugenio Ventimiglia, uFilippo Pederzoli, uLuca Boeri, uWalter Cazzaniga, uFrancesco Chierigo et alI-Journal of Urology I-199, cha. I-4 (2018): e1004.
ISINGENISO NEZINHLOSO
I-Erectile dysfunction (ED) iyisikhalazo esijwayelekile phakathi kwezinsizwa ezineminyaka engaphansi kweminyaka ye-40. Sasihlose ukuhlolela izinto ezihambisana nomsebenzi okhubazekile we-erectile (EF) esigungwini sezinsizwa ezifuna usizo lodokotela bezinkinga zokuya ocansini esikhungweni semfundo esisodwa.
IZINDLELA
Imininingwane ephelele yomtholampilo neyenhlalo yabantu ibitholakala ngeziguli ezingama-307 ezilandelanayo <40 yrs old ebhekisa ku- andrology umtholampilo wesikhungo esisodwa semfundo sokungasebenzi kahle ngokocansi. Ama-comorbidities abalulekile kwezempilo atholwe ngeCharlson Comorbidity Index (CCI). Zonke iziguli zigcwalise i-International Index of Erectile Function (IIEF), i-Beck's Inventory for Depression (BDI) kanye ne-International Prostatic Symptom Score questionnaire (IPSS). Ubukhali be-ED buhlukaniswe ngokwezinqubo zikaCappelleri. Saqhathanisa iziguli ezine-EF engasebenzi kahle (echazwa njengesizinda se-IIEF-EF <26) nalabo ababika izikolo ezijwayelekile ze-IIEF-EF. Ukuhlolwa okuqondile kukaMann-Whitney noFisher kusetshenziselwe ukuvivinya umehluko phakathi kwala maqembu womabili.
IZIPHUMA
Sekukonke, iziguli ezingama-229 (75%) kanye nama-78 (25%) zine-EF ejwayelekile futhi ekhubazekile; phakathi kweziguli ezine-ED, i-90 (29%) ibinamaphuzu we-IIEF-EF asikisela i-ED enzima (IIEF-EF <11). Iziguli ezine-ED nangaphandle kwe-ED azihlukanga kakhulu ngokweminyaka yobudala (i-IQR] yobudala (32.0 [27.0-36.0] vs. 31.0 [24.0-36.0]), i-BMI (23.7 [21.9-26.1] vs. 23.4 [22.2-24.6] ), ukwanda kwe- nomfutho wegazi ophezulu (7.5% vs. 2.6%), isimo sezempilo esijwayelekile (CCI≥1: 4.8 vs. 2.6%), umlando wokubhema (29% vs. 31%), ukusetshenziswa kotshwala (88% vs. 88%) kanye nemiphumela emaphakathi ye-IPSS ( 5 [2-10] vs. 4 [2-8.5]) (konke p> 0.2). Ngokufanayo, akukho mehluko obikiwe ngokwe-serum amahomoni ocansi ne-lipid profile phakathi kwamaqembu amabili (konke p> 0.05). Inothi, iziguli ezine-ED zibike izikolo zesizinda esiphakathi se-IIEF-Sexual Desire (7 [6-9] vs. 9 [8-9], p <0.01) nezikolo eziphakeme ze-BDI (7.0 vs. 5.0, p = 0.01) njenge uma kuqhathaniswa nalabo abane-EF ejwayelekile.
IMIBUZO
Lokhu okutholakele kukhombisa ukuthi izinsizwa ezine-ED azihlukile ngokwezici zokwelashwa ezisekelweni ezivela eqenjini leminyaka yobudala eliqhathaniswa ne-EF ejwayelekile, kepha zifanekiselwa ziphansi isifiso sobulili izikolo, ngokomqondo ziphakamisa imbangela engaba khona ye-psychogenic ye-ED. Odokotela kufanele bakubhekele lokhu lapho behlola izinsizwa ezikhononda ngo-ED.
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