Browsing by Author "Zeren, F"

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    Impact of nasal polyposis on erectile dysfunction
    Gunhan, K; Zeren, F; Uz, U; Gumus, B; Unlu, H
    Background: Our male patients with chronic rhinosinusitis with nasal polyposis (NP) declare a better sexual function after functional endoscopic sinus surgery (FESS) with polypectomy. This study was planned to conduct the first prospective, controlled trial evaluating the possible relation between erectile dysfunction (ED) and NP by subjective and objective parameters. Methods: Thirty-three male patients with NP and thirty randomly selected male control subjects were evaluated. All subjects underwent assessments of nasal endoscopy, rhinomanometry, body mass index (BMI), Epworth Sleepiness Scale, full in-laboratory polysomnograpy and serum levels of glucose, thyroid hormones, lipid profile, and testosterone. ED was evaluated by the erectile function domain of the International Index of Erectile Function (IIEF-EF) subjectively and nocturnal penile tumescence (NPT) objectively. The NP group was reassessed 6 months after FESS. Results: The mean age, BMI, and laboratory tests of the patients and the control subjects had no significant difference. The well-recognized risk factors for ED were eliminated. Preoperative evaluation of the patients revealed that ED was present in 34 and 24% of the patients by IIEF-EF and NPT, respectively, which was significantly higher than the control group (p = 0.009 and p = 0.018, respectively). There was a significant improvement of ED in the assessment of IIEF-EF and NPT postoperatively (p = 0.014 and p = 0.037, respectively). Conclusion: ED was determined in a high percentage of patients with NP and significantly ameliorated after FESS. NP might present a risk factor in the development of ED. (Am J Rhinol Allergy 25, 112-115, 2011; doi: 10.2500/ajra.2011.25.3585)
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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.