The Relationship of Obstructive Sleep Apnea and Erectile Dysfunction in Patients Referred to Specialized Sleep Clinic

Document Type : Original Article (s)

Authors

1 Assistant Professor, Department of Urology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Professor, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Associate Professor, Department of Urology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 Student of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medicine Sciences, Isfahan, Iran

Abstract

Background: The purpose of this study was investigating the relationship of obstructive sleep apnea (OSA) and erectile dysfunction (ED) in patients referred to specialized sleep clinic.Methods: 77 patients with chief complain of erectile dysfunction referred to one specialized sleep clinic by urologists or legal authorities were investigated if they had obstructive sleep apnea. They were monitored for 8 hours in view of erection, apnea, electrocardiogram, pulse oximetry and polysomnography. Findings: Tests confirmed that erectile dysfunction and obstructive sleep apnea had no meaningful relationship (P > 0.05).Conclusion: In our study, the relationship between erectile dysfunction and obstructive sleep apnea was not meaningful but we understood that some psychological factors are effective for erectile dysfunction. It is suggested to study organic factors responsible for erectile dysfunction.

Keywords

References

  1. O'Leary MP, Rhodes T, Girman CJ, Jacobson DJ, Roberts RO, Lieber MM, et al. Distribution of the Brief Male Sexual Inventory in community men. Int J Impot Res 2003; 15(3): 185-91.
  2. Latini DM, Penson DF, Colwell HH, Lubeck DP, Mehta SS, Henning JM, et al. Psychological impact of erectile dysfunction: validation of a new health related quality of life measure for patients with erectile dysfunction. J Urol 2002; 168(5): 2086-91.
  3. Latini DM, Penson DF, Wallace KL, Lubeck DP, Lue TF. Clinical and psychosocial characteristics of men with erectile dysfunction: baseline data from ExCEED. J Sex Med 2006; 3(6): 1059-67.
  4. Mallis D, Moisidis K, Kirana PS, Papaharitou S, Simos G, Hatzichristou D. Moderate and severe erectile dysfunction equally affects life satisfaction. J Sex Med 2006; 3(3): 442-9.
  5. Rosen RC, Fisher WA, Eardley I, Niederberger C, Nadel A, Sand M. The multinational Men's Attitudes to Life Events and Sexuality (MALES) study: I. Prevalence of erectile dysfunction and related health concerns in the general population. Curr Med Res Opin 2004; 20(5): 607-17.
  6. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 2002; 165(9): 1217-39.
  7. Guilleminault C, Simmons FB, Motta J, Cummiskey J, Rosekind M, Schroeder JS, et al. Obstructive sleep apnea syndrome and tracheostomy. Long-term follow-up experience. Arch Intern Med 1981; 141(8): 985-8.
  8. Teloken PE, Smith EB, Lodowsky C, Freedom T, Mulhall JP. Defining association between sleep apnea syndrome and erectile dysfunction. Urology 2006; 67(5): 1033-7.
  9. Schmidt HS, Wise HA. Significance of impaired penile tumescence and associated polysomnographic abnormalities in the impotent patient. J Urol 1981; 126(3): 348-52.
  10. Pressman MR, DiPhillipo MA, Kendrick JI, Conroy K, Fry JM. Problems in the interpretation of nocturnal penile tumescence studies: disruption of sleep by occult sleep disorders. J Urol 1986; 136(3): 595-8.
  11. Margel D, Cohen M, Livne PM, Pillar G. Severe, but not mild, obstructive sleep apnea syndrome is associated with erectile dysfunction. Urology 2004; 63(3): 545-9.
  12. Hirshkowitz M, Karacan I, Arcasoy MO, Acik G, Narter EM, Williams RL. Prevalence of sleep apnea in men with erectile dysfunction. Urology 1990; 36(3): 232-4.
  13. Heruti R, Shochat T, Tekes-Manova D, Ashkenazi I, Justo D. Association between erectile dysfunction and sleep disorders measured by self-assessment questionnaires in adult men. J Sex Med 2005; 2(4): 543-50.
  14. Schiavi RC, Mandeli J, Schreiner-Engel P, Chambers A. Aging, sleep disorders, and male sexual function. Biol Psychiatry 1991; 30(1): 15-24.
  15. Seftel AD, Strohl KP, Loye TL, Bayard D, Kress J, Netzer NC. Erectile dysfunction and symptoms of sleep disorders. Sleep 2002; 25(6): 643-7.
  16. Perimenis P, Karkoulias K, Markou S, Gyftopoulos K, Athanasopoulos A, Barbalias G, et al. Erectile dysfunction in men with obstructive sleep apnea syndrome: a randomized study of the efficacy of sildenafil and continuous positive airway pressure. Int J Impot Res 2004; 16(3): 256-60.
  17. Fanfulla F, Malaguti S, Montagna T, Salvini S, Bruschi C, Crotti P, et al. Erectile dysfunction in men with obstructive sleep apnea: an early sign of nerve involvement. Sleep 2000; 23(6): 775-81.
  18. Bonsignore MR, Esquinas C, Barcelo A, Sanchez-de-la-Torre M, Paterno A, Duran-Cantolla J, et al. Metabolic syndrome, insulin resistance and sleepiness in real-life obstructive sleep apnoea. Eur Respir J 2012; 39(5): 1136-43.
  19. Evaluation of male sexual function disorders and disabilities. [Online]. [cited 2011 Dec 3]; http://www.pezeshk.us/?p=27402.
Journal of Isfahan Medical School
Volume 31, Issue 255 - Serial Number 255
September and October 2013
Pages 1579-1587

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History

  • Receive Date: 25 June 2013
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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