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Re: Increased Risk of Erectile Dysfunction among Patients with Sleep Disorders: A Nationwide Population-Based Cohort Study
Urological Survey Male and Female Sexual Function and Dysfunction; Andrology Re: Men’s Contraceptive Practices in France: Evidence of Male Involvement in Family Planning M. Le Guen, C. Ventola, A. Bohet, C. Moreau and N. Bajos; Fecond Group ^ tre and Gender, Sexuality, Health, CESP Centre for Research in Epidemiology and Population Health, U1018, Inserm, Le Kremlin-Bice Institut National d’Etudes De´mographiques, Paris, France, and Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland Contraception 2015; Epub ahead of print.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.05.059 available at http://jurology.com/ Editorial Comment: The goal of this study was to explore involvement of the male in managing contraception within the couple. Data were from a national probability cross-sectional survey on sexual and reproductive health conducted in France in 2010. The study sample consisted of 3,373 men 15 to 49 years old, of whom 1,776 were asked about their current contraceptive practices after they reported they were fecund and sexually active and did not currently want a child. Analyses were performed with logistic regression models. The high awareness of contraceptive practices among men and their use of some cooperative methods reveal their involvement in contraceptive practices within the context of relationships. Condom use is associated with the prevention of sexually transmitted infections/HIV for noncohabiting men. However, men who live with their female partner seem to use condoms mainly as a contraceptive method. Withdrawal appears to be associated with disadvantaged low level of education and financial difficulties. Having engendered a pregnancy that was terminated appears to influence male contraceptive practices. These data are interesting and highlight the progressive involvement of the male in managing contraception in the couple. Allen D. Seftel, MD
Re: Increased Risk of Erectile Dysfunction among Patients with Sleep Disorders: A Nationwide Population-Based Cohort Study H. H. Lin, F. M. Ho , Y. F. Chen, C. M. Tseng, C. C. Ho and W. S. Chung Department of Management Information Systems, Central Taiwan University of Science and Technology, Taichung, Taiwan Int J Clin Pract 2015; Epub ahead of print.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.05.060 available at http://jurology.com/ Editorial Comment: The authors of this longitudinal, nationwide, population based cohort study investigated the incidence and risk of erectile dysfunction (ED) in 34,548 men newly diagnosed with sleep disorders (SDs) between 2002 and 2008 from the National Health Insurance Research Database. A total of 138,192 controls without SDs were randomly recruited from the general population and frequency matched according to age and gender. The followup period ran from the date of entering the study cohort until the date of an ED event, censoring or December 31, 2010. The SD cohort had a 2.11-fold adjusted HR of subsequent ED compared to the nonSD cohort (95% CI 1.89e2.37). The incidence of ED increased with age for both cohorts and was higher for patients in the SD cohort. Compared to the participants without SDs or comorbidities, patients 0022-5347/15/1942-0493/0 THE JOURNAL OF UROLOGY® Ó 2015 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2015.05.059 Vol. 194, 493-503, August 2015 Printed in U.S.A.
www.jurology.com
j
493
494
MALE AND FEMALE SEXUAL FUNCTION AND DYSFUNCTION; ANDROLOGY
without SDs with any comorbidity exhibited a 1.79-fold risk of ED (95% CI 1.54e2.09). The greatest risk was for those with SDs and any comorbidity (HR 3.34, 95% CI 2.82e3.95). Furthermore, patients with SDs who had a particular number of comorbidities showed the dose-response effect of ED development. These data reflect the growing recognition that SDs are associated with ED. Allen D. Seftel, MD
Re: Correlation between Premature Ejaculation and Female Vaginal Penetration Difficulties G. Bronner, N. D. Kitrey, N. Uziel, I. Eli, G. Raviv, J. Ramon and E. Elran Sexual Medicine Center, Department of Urology, Sheba Medical Center, Tel-Hashomer and Department of Urology, Sackler School of Medicine, and Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel Int J Impot Res 2015; Epub ahead of print.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.05.061 available at http://jurology.com/ Editorial Comment: These authors studied the correlation between premature ejaculation (PE) and vaginal penetration difficulties (VPD) in the female partner in a cross-sectional study of 125 heterosexual couples (mean SD male age 35.01 10.63 and female age 32.36 10.07 years). Female Sexual Function Index and a validated PE questionnaire were used to measure female sexual function and PE in the male partners, respectively. The authors found that female partners of men with anteportal ejaculation experienced significantly more VPDs, especially regarding difficulties with penile penetration and tampon use. The intensity of pain in patients with VPD was higher in females whose male partners presented with anteportal ejaculation. No significant correlation was found between total male PE score and total Female Sexual Function Index or separate domains of female sexual function. The results suggest that female VPD and male anteportal ejaculation are interrelated. These data continue to support the concept that the clinician should evaluate the patient and the partner when dealing with sexual medicine issues. Allen D. Seftel, MD
Re: A Home-Based Walking Program Improves Erectile Dysfunction in Men with an Acute Myocardial Infarction I. Begot, T. C. Peixoto, L. R. Gonzaga, D. W. Bolzan, V. Papa, A. C. Carvalho, R. Arena, W. J. Gomes and S. Guizilini Cardiology and Cardiovascular Surgery Disciplines, Sa˜o Paulo Hospital, Escola Paulista de Medicina, Federal University of Sa˜o Paulo, Sa˜o Paulo, Faculty of Medicine of Ribeira˜o Preto, University of Sa˜o Paulo, Ribeira˜o Preto and Department of Human Motion Sciences, Physical Therapy School, Federal University of Sa˜o Paulo, Santos, Brazil, and Department of Physical Therapy and Integrative Physiology Laboratory, College of Applied Health Sciences, University of Illinois, Chicago, Illinois Am J Cardiol 2015; 115: 571e575.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.05.062 available at http://jurology.com/ Editorial Comment: The purpose of this study was to evaluate the influence of a home based walking program on erectile function and the relation between functional capacity and erectile dysfunction (ED) in patients with recent myocardial infarction. Patients with acute myocardial infarction deemed to be at low cardiovascular risk were randomized into 2 groups, a home based walking group (41 patients) instructed to participate in a progressive outdoor walking program and a control group (45) receiving usual care. After 30 days ED had increased by 9% in the control group in relation to baseline (p ¼ 0.08). However, the home based walking group had a significant decrease of 71% in reported ED (p <0.0001). The 6-minute walk distance was statistically significantly greater in the home based walking group compared to the control group (p ¼ 0.01). There was a significant negative correlation between 6-minute walk distance and ED 30 days after discharge from the hospital (r ¼ 0.71, p <0.01). These are interesting data. A home based walking exercise program, with progressive outdoor walking, seemed to decrease ED in men following recent myocardial infarction. These are important data to consider in these select patients. Allen D. Seftel, MD
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.05.059 available at http://jurology.com/ Editorial Comment: The goal of this study was to explore involvement of the male in managing contraception within the couple. Data were from a national probability cross-sectional survey on sexual and reproductive health conducted in France in 2010. The study sample consisted of 3,373 men 15 to 49 years old, of whom 1,776 were asked about their current contraceptive practices after they reported they were fecund and sexually active and did not currently want a child. Analyses were performed with logistic regression models. The high awareness of contraceptive practices among men and their use of some cooperative methods reveal their involvement in contraceptive practices within the context of relationships. Condom use is associated with the prevention of sexually transmitted infections/HIV for noncohabiting men. However, men who live with their female partner seem to use condoms mainly as a contraceptive method. Withdrawal appears to be associated with disadvantaged low level of education and financial difficulties. Having engendered a pregnancy that was terminated appears to influence male contraceptive practices. These data are interesting and highlight the progressive involvement of the male in managing contraception in the couple. Allen D. Seftel, MD
Re: Increased Risk of Erectile Dysfunction among Patients with Sleep Disorders: A Nationwide Population-Based Cohort Study H. H. Lin, F. M. Ho , Y. F. Chen, C. M. Tseng, C. C. Ho and W. S. Chung Department of Management Information Systems, Central Taiwan University of Science and Technology, Taichung, Taiwan Int J Clin Pract 2015; Epub ahead of print.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.05.060 available at http://jurology.com/ Editorial Comment: The authors of this longitudinal, nationwide, population based cohort study investigated the incidence and risk of erectile dysfunction (ED) in 34,548 men newly diagnosed with sleep disorders (SDs) between 2002 and 2008 from the National Health Insurance Research Database. A total of 138,192 controls without SDs were randomly recruited from the general population and frequency matched according to age and gender. The followup period ran from the date of entering the study cohort until the date of an ED event, censoring or December 31, 2010. The SD cohort had a 2.11-fold adjusted HR of subsequent ED compared to the nonSD cohort (95% CI 1.89e2.37). The incidence of ED increased with age for both cohorts and was higher for patients in the SD cohort. Compared to the participants without SDs or comorbidities, patients 0022-5347/15/1942-0493/0 THE JOURNAL OF UROLOGY® Ó 2015 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2015.05.059 Vol. 194, 493-503, August 2015 Printed in U.S.A.
www.jurology.com
j
493
494
MALE AND FEMALE SEXUAL FUNCTION AND DYSFUNCTION; ANDROLOGY
without SDs with any comorbidity exhibited a 1.79-fold risk of ED (95% CI 1.54e2.09). The greatest risk was for those with SDs and any comorbidity (HR 3.34, 95% CI 2.82e3.95). Furthermore, patients with SDs who had a particular number of comorbidities showed the dose-response effect of ED development. These data reflect the growing recognition that SDs are associated with ED. Allen D. Seftel, MD
Re: Correlation between Premature Ejaculation and Female Vaginal Penetration Difficulties G. Bronner, N. D. Kitrey, N. Uziel, I. Eli, G. Raviv, J. Ramon and E. Elran Sexual Medicine Center, Department of Urology, Sheba Medical Center, Tel-Hashomer and Department of Urology, Sackler School of Medicine, and Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel Int J Impot Res 2015; Epub ahead of print.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.05.061 available at http://jurology.com/ Editorial Comment: These authors studied the correlation between premature ejaculation (PE) and vaginal penetration difficulties (VPD) in the female partner in a cross-sectional study of 125 heterosexual couples (mean SD male age 35.01 10.63 and female age 32.36 10.07 years). Female Sexual Function Index and a validated PE questionnaire were used to measure female sexual function and PE in the male partners, respectively. The authors found that female partners of men with anteportal ejaculation experienced significantly more VPDs, especially regarding difficulties with penile penetration and tampon use. The intensity of pain in patients with VPD was higher in females whose male partners presented with anteportal ejaculation. No significant correlation was found between total male PE score and total Female Sexual Function Index or separate domains of female sexual function. The results suggest that female VPD and male anteportal ejaculation are interrelated. These data continue to support the concept that the clinician should evaluate the patient and the partner when dealing with sexual medicine issues. Allen D. Seftel, MD
Re: A Home-Based Walking Program Improves Erectile Dysfunction in Men with an Acute Myocardial Infarction I. Begot, T. C. Peixoto, L. R. Gonzaga, D. W. Bolzan, V. Papa, A. C. Carvalho, R. Arena, W. J. Gomes and S. Guizilini Cardiology and Cardiovascular Surgery Disciplines, Sa˜o Paulo Hospital, Escola Paulista de Medicina, Federal University of Sa˜o Paulo, Sa˜o Paulo, Faculty of Medicine of Ribeira˜o Preto, University of Sa˜o Paulo, Ribeira˜o Preto and Department of Human Motion Sciences, Physical Therapy School, Federal University of Sa˜o Paulo, Santos, Brazil, and Department of Physical Therapy and Integrative Physiology Laboratory, College of Applied Health Sciences, University of Illinois, Chicago, Illinois Am J Cardiol 2015; 115: 571e575.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.05.062 available at http://jurology.com/ Editorial Comment: The purpose of this study was to evaluate the influence of a home based walking program on erectile function and the relation between functional capacity and erectile dysfunction (ED) in patients with recent myocardial infarction. Patients with acute myocardial infarction deemed to be at low cardiovascular risk were randomized into 2 groups, a home based walking group (41 patients) instructed to participate in a progressive outdoor walking program and a control group (45) receiving usual care. After 30 days ED had increased by 9% in the control group in relation to baseline (p ¼ 0.08). However, the home based walking group had a significant decrease of 71% in reported ED (p <0.0001). The 6-minute walk distance was statistically significantly greater in the home based walking group compared to the control group (p ¼ 0.01). There was a significant negative correlation between 6-minute walk distance and ED 30 days after discharge from the hospital (r ¼ 0.71, p <0.01). These are interesting data. A home based walking exercise program, with progressive outdoor walking, seemed to decrease ED in men following recent myocardial infarction. These are important data to consider in these select patients. Allen D. Seftel, MD