WFU

2023年11月7日 星期二

男性勃起功能障礙的危險因子 Risk factors for male erectile dysfunction

 

年齡、糖尿病、血脂異常、高血壓、心血管疾病、BMI/肥胖/腰圍、代謝症候群、高同型半胱氨酸血症

 

缺乏運動和吸煙(香菸和電子菸、與吸菸量及持續時間有正相關)

 

藥物:部分血壓藥、精神藥物會增加勃起功能障礙風險

 

甲狀腺功能亢進、維生素D缺乏、高尿酸血症、葉酸缺乏、憂鬱症及焦慮、慢性腎臟病、風濕病、中風和慢性阻塞性肺病、偏頭痛(尤其是年齡<40歲)、發炎性腸道疾病(IBD)也被通報為危險因子

 

其他潛在危險因素:睡眠障礙、阻塞性睡眠呼吸中止症、牛皮癬、痛風性關節炎和強直性脊椎炎、非酒精性脂肪肝肝臟疾病、其他慢性肝臟疾病、慢性牙周炎、開角型青光眼、慢性疲勞症候群、過敏性鼻炎和脊柱裂。

 

患有 COVID-19 與新發勃起功能障礙存在關聯 

 

泌尿系統相關因子:

下泌尿道症狀/良性攝護腺增生

慢性攝護腺炎/慢性骨盆腔疼痛症候群

膀胱疼痛症候群/間質性膀胱炎

早洩

後尿道狹窄的尿道成形術

 


•Age, diabetes, dyslipidemia, hypertension, cardiovascular disease, BMI/obesity/waist circumference, metabolic syndrome, hyperhomocysteinemia

 

•Lack of exercise and smoking (cigarettes and e-cigarettes are positively related to the amount and duration of smoking)

 

•Drugs: Some blood pressure drugs and psychotropic drugs can increase the risk of erectile dysfunction

 

•Hyperthyroidism, vitamin D deficiency, hyperuricemia, folate deficiency, depression and anxiety, chronic kidney disease, rheumatism, stroke and chronic obstructive pulmonary disease, migraines (especially if <40 years old), inflammatory bowel disease tract disease (IBD) has also been reported as a risk factor

 

•Other potential risk factors: sleep disorders, obstructive sleep apnea, psoriasis, gouty arthritis and ankylosing spondylitis, non-alcoholic fatty liver disease, other chronic liver diseases, chronic periodontitis, open-angle glaucoma , chronic fatigue syndrome, allergic rhinitis and spina bifida.

 

•Having COVID-19 is associated with new-onset erectile dysfunction.

 

•Urinary system related factors:

Lower urinary tract symptoms/benign prostate hyperplasia

Chronic Prostatitis/Chronic Pelvic Pain Syndrome

Bladder pain syndrome/interstitial cystitis

Premature ejaculation

Urethroplasty for posterior urethral stricture

 

References:

https://uroweb.org/guidelines/sexual-and-reproductive-health/chapter/management-of-erectile-dysfunction