The impact of surgical hemorrhoidectomy on male sexual function: A preliminary study
Introduction: Erectile dysfunction (ED) is a highly prevalent condition among men all over the world and commonly associated with undiagnosed medical diseases as chronic pelvic pain and hemorrhoid. Objective: The purpose of this study was to study the impact of surgical hemorrhoidectomy on sexual fu...
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| Published in | Urology annals Vol. 11; no. 3; pp. 235 - 240 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
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India
Wolters Kluwer India Pvt. Ltd
01.07.2019
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Wolters Kluwer - Medknow Wolters Kluwer Medknow Publications |
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| Abstract | Introduction: Erectile dysfunction (ED) is a highly prevalent condition among men all over the world and commonly associated with undiagnosed medical diseases as chronic pelvic pain and hemorrhoid.
Objective: The purpose of this study was to study the impact of surgical hemorrhoidectomy on sexual function in men with erectile dysfunction (ED).
Materials and Methods: In a prospective manner, we studied the effect of surgical hemorrhoidectomy on erectile function (EF) in male patients with ED. Hemorrhoidectomy was carried out in 82 patients with clinical hemorrhoid associated with ED (Group 1) and compared with 81 patients without operative intervention (Group 2; control). The primary efficacy variable was the mean change in the International Index of Erectile Function (IIEF) questionnaire.
Results: In Group 1, the IIEF questionnaire increased significantly after hemorrhoidectomy, from 15.56 to 27.37 (P < 0.001), indicating improvement of EF. Thirty-six patients (41.1%) showed improvement of EF compared to 5.3% in the control group (P < 0.001). In Group I, but not in Group II, IIEF values increased significantly when compared with preoperative values (P < 0.001).
Conclusion: We concluded that surgical hemorrhoidectomy is clearly related to improvement of EF in male hemorrhoid patients with ED. |
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| AbstractList | Introduction: Erectile dysfunction (ED) is a highly prevalent condition among men all over the world and commonly associated with undiagnosed medical diseases as chronic pelvic pain and hemorrhoid.
Objective: The purpose of this study was to study the impact of surgical hemorrhoidectomy on sexual function in men with erectile dysfunction (ED).
Materials and Methods: In a prospective manner, we studied the effect of surgical hemorrhoidectomy on erectile function (EF) in male patients with ED. Hemorrhoidectomy was carried out in 82 patients with clinical hemorrhoid associated with ED (Group 1) and compared with 81 patients without operative intervention (Group 2; control). The primary efficacy variable was the mean change in the International Index of Erectile Function (IIEF) questionnaire.
Results: In Group 1, the IIEF questionnaire increased significantly after hemorrhoidectomy, from 15.56 to 27.37 (P < 0.001), indicating improvement of EF. Thirty-six patients (41.1%) showed improvement of EF compared to 5.3% in the control group (P < 0.001). In Group I, but not in Group II, IIEF values increased significantly when compared with preoperative values (P < 0.001).
Conclusion: We concluded that surgical hemorrhoidectomy is clearly related to improvement of EF in male hemorrhoid patients with ED. Erectile dysfunction (ED) is a highly prevalent condition among men all over the world and commonly associated with undiagnosed medical diseases as chronic pelvic pain and hemorrhoid. The purpose of this study was to study the impact of surgical hemorrhoidectomy on sexual function in men with erectile dysfunction (ED). In a prospective manner, we studied the effect of surgical hemorrhoidectomy on erectile function (EF) in male patients with ED. Hemorrhoidectomy was carried out in 82 patients with clinical hemorrhoid associated with ED (Group 1) and compared with 81 patients without operative intervention (Group 2; control). The primary efficacy variable was the mean change in the International Index of Erectile Function (IIEF) questionnaire. In Group 1, the IIEF questionnaire increased significantly after hemorrhoidectomy, from 15.56 to 27.37 ( < 0.001), indicating improvement of EF. Thirty-six patients (41.1%) showed improvement of EF compared to 5.3% in the control group ( < 0.001). In Group I, but not in Group II, IIEF values increased significantly when compared with preoperative values ( < 0.001). We concluded that surgical hemorrhoidectomy is clearly related to improvement of EF in male hemorrhoid patients with ED. INTRODUCTIONErectile dysfunction (ED) is a highly prevalent condition among men all over the world and commonly associated with undiagnosed medical diseases as chronic pelvic pain and hemorrhoid. OBJECTIVEThe purpose of this study was to study the impact of surgical hemorrhoidectomy on sexual function in men with erectile dysfunction (ED). MATERIALS AND METHODSIn a prospective manner, we studied the effect of surgical hemorrhoidectomy on erectile function (EF) in male patients with ED. Hemorrhoidectomy was carried out in 82 patients with clinical hemorrhoid associated with ED (Group 1) and compared with 81 patients without operative intervention (Group 2; control). The primary efficacy variable was the mean change in the International Index of Erectile Function (IIEF) questionnaire. RESULTSIn Group 1, the IIEF questionnaire increased significantly after hemorrhoidectomy, from 15.56 to 27.37 (P < 0.001), indicating improvement of EF. Thirty-six patients (41.1%) showed improvement of EF compared to 5.3% in the control group (P < 0.001). In Group I, but not in Group II, IIEF values increased significantly when compared with preoperative values (P < 0.001). CONCLUSIONWe concluded that surgical hemorrhoidectomy is clearly related to improvement of EF in male hemorrhoid patients with ED. Introduction: Erectile dysfunction (ED) is a highly prevalent condition among men all over the world and commonly associated with undiagnosed medical diseases as chronic pelvic pain and hemorrhoid. Objective: The purpose of this study was to study the impact of surgical hemorrhoidectomy on sexual function in men with erectile dysfunction (ED). Materials and Methods: In a prospective manner, we studied the effect of surgical hemorrhoidectomy on erectile function (EF) in male patients with ED. Hemorrhoidectomy was carried out in 82 patients with clinical hemorrhoid associated with ED (Group 1) and compared with 81 patients without operative intervention (Group 2; control). The primary efficacy variable was the mean change in the International Index of Erectile Function (IIEF) questionnaire. Results: In Group 1, the IIEF questionnaire increased significantly after hemorrhoidectomy, from 15.56 to 27.37 (P < 0.001), indicating improvement of EF. Thirty-six patients (41.1%) showed improvement of EF compared to 5.3% in the control group (P < 0.001). In Group I, but not in Group II, IIEF values increased significantly when compared with preoperative values (P < 0.001). Conclusion: We concluded that surgical hemorrhoidectomy is clearly related to improvement of EF in male hemorrhoid patients with ED. |
| Audience | Academic |
| Author | Ghoneem, Ayman Abdelaziz, Alsayed Elewesy, Emad |
| AuthorAffiliation | 3 Department of Urological, Faculty of Medicine, Tanta University, Tanta, Egypt 4 Department of Surgical, Faculty of Medicine, Al-Azhar University, Cairo, Egypt 2 Department of Surgical, Ibn Sina College Hospital, Jeddah, KSA 1 Department of Urological, Faculty of Medicine, Al-Azhar University, Damietta, Egypt |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31413498$$D View this record in MEDLINE/PubMed |
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| Keywords | erectile function hemorrhoidectomy Erectile dysfunction |
| Language | English |
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| References | Dorey (key-10.4103/0974-7796.256147-17) 2005 Berman (key-10.4103/0974-7796.256147-11) 2003 key-10.4103/0974-7796.256147-1 Rosen (key-10.4103/0974-7796.256147-7) 1999 key-10.4103/0974-7796.256147-3 Kuo (key-10.4103/0974-7796.256147-10) 2005 Rosenbaum (key-10.4103/0974-7796.256147-5) 2007 Keller (key-10.4103/0974-7796.256147-8) 2012 Lin (key-10.4103/0974-7796.256147-9) 2009 Shabsigh (key-10.4103/0974-7796.256147-4) 2005 Bullock (key-10.4103/0974-7796.256147-12) 1997 Lavoisier (key-10.4103/0974-7796.256147-16) 2014 Brading (key-10.4103/0974-7796.256147-18) 2008 Pischedda (key-10.4103/0974-7796.256147-19) 2013 Simoglou (key-10.4103/0974-7796.256147-15) 2014 Holzheimer (key-10.4103/0974-7796.256147-6) 2004 Edwards (key-10.4103/0974-7796.256147-2) 2017 Medina-Gallardo (key-10.4103/0974-7796.256147-14) 2017 Pilkington (key-10.4103/0974-7796.256147-13) 2000 |
| References_xml | – start-page: 4 volume-title: Pelvic floor involvement in male and female sexual dysfunction and the role of pelvic floor rehabilitation in treatment: A literature review year: 2007 ident: key-10.4103/0974-7796.256147-5 publication-title: J Sex Med contributor: fullname: Rosenbaum – start-page: 1 volume-title: Pelvic floor and sexual male dysfunction year: 2013 ident: key-10.4103/0974-7796.256147-19 publication-title: Arch Ital Urol Androl contributor: fullname: Pischedda – ident: key-10.4103/0974-7796.256147-1 – start-page: 1 volume-title: A survey of commonalities relevant to function and dysfunction in pelvic and sexual organs year: 2008 ident: key-10.4103/0974-7796.256147-18 publication-title: Int J Impot Res contributor: fullname: Brading – start-page: 319 volume-title: Development and evaluation of an abridged, 5-item version of the international index of erectile function (IIEF-5) as a diagnostic tool for erectile dysfunction year: 1999 ident: key-10.4103/0974-7796.256147-7 publication-title: Int J Impot Res contributor: fullname: Rosen – start-page: 867 volume-title: Haemorrhoids are associated with erectile dysfunction: A population-based study year: 2012 ident: key-10.4103/0974-7796.256147-8 publication-title: Int J Androl contributor: fullname: Keller – start-page: 303 volume-title: Anatomical basis for impotence following haemorrhoid sclerotherapy year: 2000 ident: key-10.4103/0974-7796.256147-13 publication-title: Ann R Coll Surg Engl contributor: fullname: Pilkington – start-page: 91 volume-title: Sexual health and dysfunction in men and women with diabetes year: 2017 ident: key-10.4103/0974-7796.256147-2 publication-title: Diabetes Prim Care Aust contributor: fullname: Edwards – start-page: 662 volume-title: Health issues of men: Prevalence and correlates of erectile dysfunction year: 2005 ident: key-10.4103/0974-7796.256147-4 publication-title: J Urol contributor: fullname: Shabsigh – start-page: 166 volume-title: Female sexual dysfunction: New perspectives on anatomy, physiology, evaluation and treatment year: 2003 ident: key-10.4103/0974-7796.256147-11 publication-title: Eur Update contributor: fullname: Berman – start-page: 18 volume-title: Hemorrhoidectomy: Indications and risks year: 2004 ident: key-10.4103/0974-7796.256147-6 publication-title: Eur J Med Res contributor: fullname: Holzheimer – start-page: 68 volume-title: Milligan – Morgan haemorrhoidectomy complications year: 2014 ident: key-10.4103/0974-7796.256147-15 publication-title: Hellenic J Surg contributor: fullname: Simoglou – start-page: 419 volume-title: Impotence after sclerotherapy of haemorrhoids: Case reports year: 1997 ident: key-10.4103/0974-7796.256147-12 publication-title: BMJ contributor: fullname: Bullock – start-page: 73 volume-title: Is the severe pain after milligan-morgan hemorrhoidectomy still currently remaining a major postoperative problem despite being one of the oldest surgical techniques described.A case series of 117 consecutive patients? year: 2017 ident: key-10.4103/0974-7796.256147-14 publication-title: Int J Surg Case Rep contributor: fullname: Medina-Gallardo – start-page: 53 volume-title: A survey on cognitions of female sexual function and dysfunction of the Taiwanese women in the gynaecological clinics year: 2005 ident: key-10.4103/0974-7796.256147-10 publication-title: J Taiwan Urol Assoc contributor: fullname: Kuo – start-page: 595 volume-title: Pelvic floor exercises for erectile dysfunction year: 2005 ident: key-10.4103/0974-7796.256147-17 publication-title: BJU Int contributor: fullname: Dorey – start-page: 1731 volume-title: Pelvic-floor muscle rehabilitation in erectile dysfunction and premature ejaculation year: 2014 ident: key-10.4103/0974-7796.256147-16 publication-title: Phys Ther contributor: fullname: Lavoisier – ident: key-10.4103/0974-7796.256147-3 – start-page: 343 volume-title: The impact of hemorrhoidectomy on sexual function in women: A preliminary study year: 2009 ident: key-10.4103/0974-7796.256147-9 publication-title: Int J Impot Res contributor: fullname: Lin |
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| Snippet | Introduction: Erectile dysfunction (ED) is a highly prevalent condition among men all over the world and commonly associated with undiagnosed medical diseases... Erectile dysfunction (ED) is a highly prevalent condition among men all over the world and commonly associated with undiagnosed medical diseases as chronic... INTRODUCTIONErectile dysfunction (ED) is a highly prevalent condition among men all over the world and commonly associated with undiagnosed medical diseases as... |
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| StartPage | 235 |
| SubjectTerms | Care and treatment Erectile dysfunction erectile function Fecal incontinence Hemorrhoidectomy Hemorrhoids Hospitals Impotence Men Original Patients Pelvic pain Sexual disorders Statistical analysis Studies Surgery Varicose veins |
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| Title | The impact of surgical hemorrhoidectomy on male sexual function: A preliminary study |
| URI | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2019;volume=11;issue=3;spage=235;epage=240;aulast=Abdelaziz;type=0 https://www.ncbi.nlm.nih.gov/pubmed/31413498 https://www.proquest.com/docview/2257568690/abstract/ https://search.proquest.com/docview/2273780659 https://pubmed.ncbi.nlm.nih.gov/PMC6676841 https://doaj.org/article/43f7c210fa5c4ac49e40bb1892e0f705 |
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