INTRODUCTION.The prevalence of erectile dysfunction (ED) and its correlates in men with acromegaly has never been investigated. AIM: The aim of this study was to evaluate sexual function in men with acromegaly. METHODS: Multicenter-based, retrospective analysis of a nonselected series of 57 acromegalic subjects (mean age: 52.7 ± 14.2 years) was performed. Acromegalic subjects reporting ED (n = 24) were compared with matched ED patients without acromegaly or pituitary disease (controls), selected from a cohort of more than 4,000 subjects enrolled in the Florence Sexual Medicine and Andrology Unit. MAIN OUTCOME MEASURES: Patients were interviewed using Structured Interview on Erectile Dysfunction (SIEDY) structured interview, a 13-item tool for the assessment of ED-related morbidities. Several clinical and biochemical parameters were taken. Penile color Doppler ultrasound (PCDU) was performed in a subgroup of 37 acromegalic subjects. RESULTS: ED was reported by 42.1% of acromegalic subjects. After adjusting for age and testosterone, acromegalic subjects with ED had a higher prevalence of hypertension and more often reported an impairment of sleep-related erections and a longer smoking habit. Accordingly, acromegaly-associated ED was characterized by a higher organic component and worse PCDU parameters. No relationship between ED and testosterone levels or other acromegaly-related parameters was found. However, acromegalic subjects with severe ED reported a longer disease duration. In a case-control analysis, comparing acromegalic subjects with ED-matched controls free from acromegaly (1:5 ratio), acromegalic men had a worse ED problem and a higher organic component of ED, as derived from SIEDY score. In line with these data, acromegalic patients with ED had a higher prevalence of major adverse cardiovascular events history at enrollment and lower PCDU parameters. CONCLUSIONS: Subjects with complicated acromegaly are at an increased risk of developing ED, especially those with cardiovascular morbidities. Our data suggest including a sexual function evaluation in routine acromegaly follow-up.
Erectile dysfunction is common among men with acromegaly and is associated with morbidities related to the disease / Lotti, F; Rochira, Vincenzo; Pivonello, R; Santi, Daniele; Galdiero, M; Maseroli, E; Balestrieri, A; Faustini Fustini, M; Peri, A; Sforza, A; Colao, A; Maggi, M; Corona, G.. - In: THE JOURNAL OF SEXUAL MEDICINE. - ISSN 1743-6109. - ELETTRONICO. - 12:5(2015), pp. 1184-1193.
Data di pubblicazione: | 2015 |
Data di prima pubblicazione: | 4-mar-2015 |
Titolo: | Erectile dysfunction is common among men with acromegaly and is associated with morbidities related to the disease |
Autore/i: | Lotti, F; Rochira, Vincenzo; Pivonello, R; Santi, Daniele; Galdiero, M; Maseroli, E; Balestrieri, A; Faustini Fustini, M; Peri, A; Sforza, A; Colao, A; Maggi, M; Corona, G. |
Autore/i UNIMORE: | |
Digital Object Identifier (DOI): | http://dx.doi.org/10.1111/jsm.12859 |
Rivista: | |
Volume: | 12 |
Fascicolo: | 5 |
Pagina iniziale: | 1184 |
Pagina finale: | 1193 |
Codice identificativo ISI: | WOS:000354531400014 |
Codice identificativo Scopus: | 2-s2.0-84929504377 |
Codice identificativo Pubmed: | 25736192 |
Citazione: | Erectile dysfunction is common among men with acromegaly and is associated with morbidities related to the disease / Lotti, F; Rochira, Vincenzo; Pivonello, R; Santi, Daniele; Galdiero, M; Maseroli, E; Balestrieri, A; Faustini Fustini, M; Peri, A; Sforza, A; Colao, A; Maggi, M; Corona, G.. - In: THE JOURNAL OF SEXUAL MEDICINE. - ISSN 1743-6109. - ELETTRONICO. - 12:5(2015), pp. 1184-1193. |
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