Browsing by Author "Okur M."

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    Influence of the erectile dysfunction on quality of life accompanying diabetes mellitus: A longitudinal, controlled study; [Şeker hastaliǧina eşlik eden erektil disfonksiyonun yasam kalitesi üzerine etkileri: Longitudinal kontrollü bir çalişma]
    (2008) Okur M.; Gümüs B.; Üçer O.; Karatas T.C.; Özmen E.; Büyüksu C.
    Introduction: Erectile dysfunction (ED) is one of the most common complications of Diabetes Mellitus (DM) in males and has a negative impact on the quality of life (QoL). The number of studies related with this subject is limited in the literature. QoL was evaluated and compared in diabetic patients with and without ED. Materials and Methods: Patients with ED who applied to our outpatient clinics (Celal Bayar University, Medical Faculty, Department of Urology) were included in the study. We interviewed 82 patients with DM+ED, 85 patients with ED and 65 normal (control) male subjects. All men (study and control groups) were asked to fill the IIEF (International Index of Erectile Function), CES-D (Center of Epidemiological Studies-Depression), BAI (Beck Anxiety Inventory), PIED (Pyschological Impact of Erectile Dysfunction) forms. Sildenafil citrate was administered as a medical treatment. Same forms were asked to be filled again in the 3th, 6th, 9th months of the therapy. Results: We observed that QoL of the patients with DM+ED and ED were affected negatively. ED was worse in the DM group compared to others. Significant improvements were detected in both QoL and ED in 3th and 6th months of the therapy. Conclusion: Our data show that treatment of ED significantly improves QoL in the patients with DM therefore, presence of ED has to be assessed in the patients with DM.
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    Does late-onset hypogonadism occur by aging? The evaluation of IIEF, Ams-Q and biochemical parameters; [Yaşlanmayla geç başlayan hipogonadizm oluşuyor mu? IIEF, Ams-Q ve biyokimyasal deǧerlendirilmesi]
    (Turkiye Klinikleri, 2010) Üçer O.; Gümüş B.; Okur M.; Karataş T.C.; Büyüksu C.
    Objective: The aim of this study is to investigate whether biochemical (hormonal) hypogonadism occurs by aging and whether AMS-Q (Aging Male Symptoms-Questionnaire) and IIEF (International Index of Erectile Function) forms are adequate in order to evaluate its presence in case it occurs. Material and Methods: A total of 182 males who applied to the outpatient clinics of Urology Department and whose ages were between 45-90 years were included in the study. Those who had diabetes mellitus, hypertension, coronary artery disease, dyslipidemia, any psychiatric disorder and any malignancy were excluded. The patients were classified into three groups (Group 1; 45-54, Group 2; 55-64 and Group 3; over 65 years). All participants were asked to complete IIEF and AMS-Q forms and serum levels of total testosterone, free testosterone, LH, DHEA-S, SHBG and prolactin were measured. Results: Total testosterone and prolactin levels did not change with aging. Although free testosterone, bio-available testosterone and DHEA-S levels decreased with age, it was detected that LH and SHBG levels were increased. While IIEF scores decreased with age, however AMS-Q scores did not change. When subgroups of AMS-Q were taken into consideration, sexual scores increased, and a decrease in somatic and psychological scores was detected. There was a strong relationship between IIEF-EF (erectile function) and AMS-Sexual forms. Conclusion: All of the data indicate that secondary hypogonadism occurs by aging and consequent symptoms (especially sexual ones) can be evaluated with IIEF and AMS-Sexual forms. © 2010 by Türkiye Klinikleri.