Browsing by Author "Esen, AA"

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    Prevalence of metabolic syndrome and its association with erectile dysfunction among urologic patients
    Bal, K; Öder, M; Sahim, AS; Karatas, CT; Demir, Ö; Can, E; Gümüs, BH; Özer, K; Sahin, O; Esen, AA
    OBJECTIVES To identify the prevalence of metabolic syndrome (MS) and its association with erectile dysfunction (ED) among urologic patients. METHODS The study population consisted of 393 male patients aged 40 to 70 years, who were admitted to the urology clinics of four different institutions from February to March 2005. The waist circumference (WC) and triglyceride (TG) and high-density lipoprotein (HDL) cholesterol levels were measured. Patients were divided into two groups: group I consisted of patients with a WC greater than 102 cm, and group 2 consisted of patients with a WC of less than 102 cm. The erectile status of the two groups was compared. RESULTS Of the 393 patients, 157 (39.9%) had MS. Of the 393 patients, 124 with MS (79%) and 146 without MS (61.9%) had ED. The presence of MS was significantly associated with ED (P < 0.001). In the presence of an increased WC with normal serum HDL and TO levels, the relative risk of ED was 1.94. If the patient with an increased WC had a pathologic level of HDL or TG, the relative risk of ED increased up to 2.97-fold. The relative risk of ED in the presence of an increased WC, together with pathologic levels of HDI, and TO, was 3.38. CONCLUSIONS In our study, MS was strongly associated with ED. Fasting blood glucose levels, hypertension, and WC are the most significant risk factors predicting the risk of ED. A more pronounced increase in ED risk in the presence of abdominal obesity, together with altered TG and HDL cholesterol levels, may indicate a special metabolic background of ED regarding tipid metabolism.
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    THE DEMOGRAPHY AND PARTNER'S RELATIONSHIP OF PREMATURE EJACULATION IN TURKEY: MULTICENTER STUDY
    Can, E; Demir, O; Gumus, B; Degirmenci, T; Bolukbasi, A; Basar, M; Akbal, C; Guner, GK; Alici, B; Inci, K; Aridogan, A; Erol, H; Akdeniz, F; Zeren, F; Esen, AA
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    THE APPLICABILITY OF A PREMATURE EJACULATION PROFILE QUESTIONNAIRE FORMS IN OUR COUNTRY
    Can, E; Demir, O; Gumus, B; Degirmenci, T; Bolukbasi, A; Basar, M; Akbal, C; Ozgur, GK; Alici, B; Inci, K; Aridogan, A; Erol, H; Akdeniz, F; Zeren, F; Esen, AA
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    Clinical Characteristics of the Premature Ejaculation Sufferers in Aegean Region of the Turkey: A Multicentre, Observational Study
    Cihan, A; Demir, Ö; Sahin, A; Zeren, F; Bolat, D; Özçift, B; Pektas, A; Can, E; Gümüs, B; Turan, T; Bölükbasi, A; Erol, H; Esen, AA
    Objective Demonstration of the intra-vaginal ejaculation latency time (IELT) distribution in male subjects and its clinical expressions among couples in the Aegean region of the Turkey. Materials and Methods Subjects were recruited to the study from six different urologic centers in the Aegean region. During the enrollment period subjects were recruited in to two group according to presence of premature ejaculation (PE). PE diagnosis was made according to DSM-4 definition. Subjects and their partners were evaluated with patient reported outcome measures (PRO) related to the ejaculation-based questionnaire (Premature ejaculation patient profile questionnaire -PEPQ). Stopwatch measurements were also asked from each couple to record intravaginal ejaculation latency time (IELT). Couples who completed two clinical visits with 4 wk interval were recruited to the data analysis. Results Among 141 eligible subjects, mean age was 36.5 +/- 9.7 years and mean partner age was 32.9 +/- 9.8 years. Following the initial evaluation 80 subjects recruited to group 1(PE) and 41 subjects recruited to the group 2 (non-PE). Geometric mean IELT of the subjects was significantly differed between PE and non-PE group (64.7 +/- 66.8 vs. 521.5 +/- 414.7 seconds, p<0.001). All of the PEPQ domain scores were also differed between groups. Subjects in the PE group gave poor ratings than non-PE subjects. Partner responses were similar pattern. Correlation analyses of the PEPQ scores demonstrated significant positive correlations between perceived control over ejaculation and satisfaction with sexual intercourse domains of the PEPQ and with IELT. Conclusion Geographic distribution of IELT and its impacts among couples by the several subjective aspects of PRO measures should be assessed during PE investigations.