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Titolo:
Severe erectile dysfunction is a marker for hyperprolactinemia
Autore:
Johri, AM; Heaton, JPW; Morales, A;
Indirizzi:
Queens Univ, Kingston Gen Hosp, Kingston, ON K7L 2V7, Canada Queens Univ Kingston ON Canada K7L 2V7 Hosp, Kingston, ON K7L 2V7, Canada
Titolo Testata:
INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH
fascicolo: 3, volume: 13, anno: 2001,
pagine: 176 - 182
SICI:
0955-9930(200106)13:3<176:SEDIAM>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTERNATIONAL INDEX; BIG PROLACTIN; IMPOTENCE; MEN; SILDENAFIL; MANAGEMENT; DIAGNOSIS;
Keywords:
prolactin; erectile dysfunction; libido; routine measurement;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Heaton, JPW Queens Univ, Kingston Gen Hosp, 76 Stuart St, Kingston, ON K7L2V7, Canada Queens Univ 76 Stuart St Kingston ON Canada K7L 2V7 V7, Canada
Citazione:
A.M. Johri et al., "Severe erectile dysfunction is a marker for hyperprolactinemia", INT J IMPOT, 13(3), 2001, pp. 176-182

Abstract

The need for routine prolactin (PRL) measurement in the initial evaluationof erectile dysfunction (EDI has been questioned because of the low rate of hyperprolactinemia (HP) in these men and the costs involved, In addition,it is widely thought that sexual desire problems are a good clinical marker for HP and/or low testosterone in men with ED, Within a 15-month period, 844 consecutive PRL and sexual hormone determinations were conducted in menat the Kingston General Hospital, Of these patients, 138 were comprehensively evaluated at the first visit for ED and completed the International Index of Erectile Function (IIEF), In the 138 patients, 2.2% had severe hyperprolactinemia (> 35 ng/ml), within the range of 1-5% previously reported. Nocorrelation between initial prolactin value and the sexual desire domain or the erectile function domain (EFD) of the IIEF was found for this population, However, all cases of severe HP were found to occur in men who scored less than 10 in the EFD of the IIEF, Low libido is widely accepted as a marker of HP, In this study, HP was found in patients not reporting major problems with a desire disorder, Clinically significant HP may be reliably found with routine biochemical evaluation and in this series was not detected in patients with EFD scores above 10, A routine PRL measurement is inexpensive and early detection of a serious and treatable disease may afford greater therapeutic success.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:42:19