ORIGINAL_ARTICLE
Stroke-related erectile dysfunction: Impact of the cerebrovascular stroke site on the degree of erectile dysfunction, total testosterone and prolactin levels
Background: Stroke is one of the major causes of permanent disability and mortality in the aging population worldwide. Reduced libido, and poor erection and ejaculation are among common poststroke sexual dysfunctions, which is due to multiple factors, including both organic and psychosocial factors.Objective: We designed the study in order to detect the presence of erectile dysfunction (ED) among male patients with stroke using the International Index of Erectile Function (IIEF-5) and correlate the site of the lesion with the degree of ED. Also, we evaluated the serum total testosterone and prolactin levels among those patients and correlated their levels with the degree of ED using IIEF-5.Patients and Methods: Eighty male patients with ischemic cerebrovascular stroke were included in the study. The patients were diagnosed and divided according to the brain site lesion of cerebrovascular stroke into seven groups. The stroke patients completed the IIEF-5. Serum testosterone and prolactin levels were obtained and compared.Results: The mean age of the patients was 55.35±3.68 years. ED was detected in 53 patients representing 66.3% with variable degrees of severity (22.5% mild, 6.3% mild to moderate, 7.5% moderate, and 30.0% severe), while 27 (33.8%) patients had no ED. The mean testosterone level was lower than normal in basal ganglion affection and multiple areas affection only, while the mean prolactin level was higher than normal in all groups.Conclusion: ED is a common problem that may follow cerebrovascular stroke. We do recommend that counseling by a trained professional should be made part of stroke rehabilitation
https://ha.journals.ekb.eg/article_120990_6d2e7f6f43026daea5f3ffb3bc30b5f2.pdf
2019-12-01
85
91
10.21608/ha.2020.24179.1055
cerebrovascular stroke
Erectile dysfunction
international index of erectile function-5
prolactin
testosterone
Emad
Kamal
1
Departments of Dermatology, Venereology and Andrology, Faculty of Medicine, Assiut University, Assiut, Egypt
AUTHOR
Ahmed
Abdel-Mageed
dr_ahmed1978@aun.edu.eg
2
Departments of 1Dermatology, Venereology and Andrology, Faculty of Medicine, Assiut University, Assiut, Egypt
AUTHOR
Doaa
Mahdy
3
Departments of Dermatology, Venereology and Andrology Faculty of Medicine, Assiut University, Assiut, Egypt
AUTHOR
Tarek
Rageh
tarekrageh@aun.edu.eg
4
Departments of Neuropsychiatry, Faculty of Medicine, Assiut University, Assiut, Egypt
AUTHOR
Aya
Badran
aya_badran@yahoo.com
5
Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Assiut University.
LEAD_AUTHOR
ORIGINAL_ARTICLE
Effect of mode of delivery on couples’ sexual relationship during the postpartum period
Background: Although, sexual function is important in married couples’ relationship, little is known about the intersexual relationship especially after delivery.Objective: This is a cross-sectional study which aimed to assess and compare the impact of mode of delivery on sexual function of married couples and explore their sexual relationship after delivery.Patients and Methods: This is a cross-sectional study which enrolled 400 couples during the postpartum period and were equally divided according to the mode of delivery into two groups: group I (200) included women who had a cesarean section and group II (200) had women who had vaginal delivery (VD) and their husbands. Each group was equally subdivided according to the number of deliveries (multiparous=100 and nulliparous=100).Sexual functions of men and women were assessed according to the female sexual function index and international index of erectile function15 questionnaires, respectively. Results: Couples in the cesarean section group showed better sexual functions than in the VD group with a correlation between international index of erectile function and female sexual function index domains.Conclusion: VD, episiotomy, and multipara negatively affect female and male sexual domains.
https://ha.journals.ekb.eg/article_120994_c691aea7ad3a45b2ddc409160252ebac.pdf
2019-12-01
92
98
10.21608/ha.2020.24779.1056
cesarean section
Episiotomy
Female Sexual Function Index
international index of erectile function
vaginal delivery
sherine
Abd Elrahman
sherine1771@gmail.com
1
1st neighborhood, 3rd district villa 144
LEAD_AUTHOR
Ayman
Zeid
2
Department of Gynecology and Obstetric, El Mataryia Teaching Hospital, Cairo, Egypt.
AUTHOR
MonaEl
Awady
3
Community Medicine, Benha University, Benha, Cairo, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Fetuin-A and YKL-40 serum levels and carotid intima-media thickness: Could they be good predictors for mild to moderate erectile dysfunction?
Background: Erectile dysfunction (ED) has been reported to occur as an early manifestation of atherosclerosis. Fetuin-A and YKL-40, (N-termianl amino acid: tyrosine (Y), lysine (K), leucine (L) and its molecular mass 40 kDs) which are glycoproteins secreted by many cells, significantly participate in formation of vascular tissue in healthy and diseased states.Objective: This study aimed at assessment of serum fetuin-A and YKL-40 levels and the carotid intima-media thickness (CIMT) in patients with mild-moderate as well as moderate ED in comparison with control group.Patients and Methods: A total of 90 patients with ED (grade mild-moderate) and 30 healthy participants who attend the outpatient clinic of the Andrology Department, Alexandria Main University Hospital, were included in the study. Enzyme-linked immunosorbent assay was used for measuring both serum fetuin-A and serum YKL-40, and high-resolution B-mode ultrasound was used to measure the CIMT. Results: Statistically significant low fetuin-A and high YKL-40 serum levels as well as a significant increase in CIMT were detected in patients with ED compared with controls. In addition, the ED severity showed a negative and positive correlation to fetuin-A and YKL-40 serum levels, respectively, but there was no correlation to CIMT. Conclusion: fetuin-A and YKL-40 may be used as a predictor for cardiovascular risks in patients with mild to moderate ED.
https://ha.journals.ekb.eg/article_120997_3036ed286ea183be4ee20b28155e7613.pdf
2019-12-01
99
107
10.21608/ha.2020.26554.1058
Carotid intima-media thickness
Erectile dysfunction
Fetuin-A
YKL-40
Naglaa
Agamia
nogafathi03@yahoo.com
1
Alexandria University
LEAD_AUTHOR
Abeer
El Hadidy
2
Clinical and Chemical Pathology, 3Radiodiagnosis, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
AUTHOR
Amr
El Abd
3
Radiodiagnosis, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
AUTHOR
Asmaa
El-Atawy
4
Departments of Dermatology, Venerology and Andrology Faculty of Medicine, Alexandria University, Alexandria, Egypt
AUTHOR
Ali
El-Areny
5
Departments of Dermatology, Venerology and Andrology Faculty of Medicine, Alexandria University, Alexandria, Egypt
AUTHOR