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Erectile dysfunction in ankylosing spondylitis patients
Santana, Thiago; Skare, Thelma; Delboni, Vitor Steil; Simione, Juliana; Campos, Ana Paula B; Nisihara, Renato.
  • Santana, Thiago; Hospital Evangélico, Padre Anchieta. Curitiba. BR
  • Skare, Thelma; Hospital Evangélico, Padre Anchieta. Curitiba. BR
  • Delboni, Vitor Steil; Hospital Evangélico, Padre Anchieta. Curitiba. BR
  • Simione, Juliana; Hospital Evangélico, Padre Anchieta. Curitiba. BR
  • Campos, Ana Paula B; Hospital Evangélico, Padre Anchieta. Curitiba. BR
  • Nisihara, Renato; Hospital Evangélico, Padre Anchieta. Curitiba. BR
Int. braz. j. urol ; 43(4): 730-735, July-Aug. 2017. tab
Article in English | LILACS | ID: biblio-892860
ABSTRACT
ABSTRACT Background Rheumatic diseases such as ankylosing spondylitis (AS) may be associated with sexual dysfunction. Aim To study erectile function of a group of Brazilian AS patients comparing them with controls. Materials and Methods This was a cross sectional study approved by the local Committee of Ethics in Research. The questionnaire IIEF (International Index of Erectile Function) was applied to 40 AS patients and 40 healthy controls. AS patients had determination of disease activity (through BASDAI or Bath Ankylosing Spondylitis Disease activity index), ASDAS (Ankylosing Spondylitis Disease Activity Score, MASES or Maastricht Ankylosing Spondylitis Score and SPARCC or Spondyloarthritis Research Consortium of Canada), function (through BASFI or Bath Ankylosing Spondylitis Functional Index and HAQ or Health Assessment Questionnaire) and BASMI (Bath Ankylosing Spondylitis Metrological Index). Results AS patients had a median score on IIEF of 22.0 (IQR=18-25) while controls had 29 (IQR=27-30) with p<0.0001 Only 17.5% of the AS patients had no erectile dysfunction, in opposite to 87.5% of controls (p<0.0001). IIEF scores had a negative association with BASDAI (p<0.0001), HAQ (p=0.05), body mass index (P=0.03), MASES (P=0.02) and SPARCC (P=0.02) in a univariate analysis. Multiple regression showed that BASDAI was the only variable independently associated with IIEF. Conclusion There is a high prevalence of erectile dysfunction among AS patients that is associated with disease activity measured by BASDAI.
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Full text: Available Index: LILACS (Americas) Main subject: Spondylitis, Ankylosing / Erectile Dysfunction Type of study: Observational study / Prevalence study / Risk factors Limits: Adult / Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Evangélico, Padre Anchieta/BR

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Full text: Available Index: LILACS (Americas) Main subject: Spondylitis, Ankylosing / Erectile Dysfunction Type of study: Observational study / Prevalence study / Risk factors Limits: Adult / Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Evangélico, Padre Anchieta/BR