Risk factors and the prognosis of sexual dysfunction in male patients with pituitary adenomas: a multivariate analysis
被引:14
作者:
Zhou, Wen-Jian-Long
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Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China
Zhou, Wen-Jian-Long
[1
]
Ma, Shun-Chang
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机构:
Capital Med Univ, Beijing Fuxing Hosp, Dept Neurosurg, Beijing 100045, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China
Ma, Shun-Chang
[2
]
Zhao, Min
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机构:
Peking Univ Int Hosp, Dept Neurosurg, Beijing 102206, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China
Zhao, Min
[3
]
Liu, Chang
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机构:
Univ Chinese Acad Sci, Beijing Huairou Hosp, Dept Neurosurg, Beijing 101400, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China
Liu, Chang
[4
]
Guan, Xiu-Dong
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Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China
Guan, Xiu-Dong
[1
]
Bao, Zhao-Shi
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机构:
Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China
Bao, Zhao-Shi
[1
]
Jia, Gui-Jun
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Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China
Jia, Gui-Jun
[1
]
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Jia, Wang
[1
]
机构:
[1] Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China
[2] Capital Med Univ, Beijing Fuxing Hosp, Dept Neurosurg, Beijing 100045, Peoples R China
[3] Peking Univ Int Hosp, Dept Neurosurg, Beijing 102206, Peoples R China
[4] Univ Chinese Acad Sci, Beijing Huairou Hosp, Dept Neurosurg, Beijing 101400, Peoples R China
The impact of sexual dysfunction (SD) is distressing to many male patients with pituitary adenomas which affect both physical and psychological health. The research explored to identify risk factors affecting sexual function and the prognosis of male patients with pituitary adenomas. Two hundred and fifty-four male patients, who aged between 18 and 60 (mean +/- s.d.: 44.16 +/- 10.14) years and diagnosed with pituitary adenomas, were retrospectively analyzed. One hundred and fifty-nine patients (62.6%) complained of SD prior to surgery. The mean International Index of Erectile Function (IIEF-5) in patients with giant adenomas was 16.13 +/- 2.51, much smaller than those with microadenomas or macroadenomas (P < 0.05). All the patients showed significant improvement in terms of erectile dysfunction (ED) following surgery (P < 0.05). In addition, complete resection achieved a higher degree of SD relief than partial resection. The incidence of SD in functioning pituitary adenomas (FPAs) was much higher than that in nonfunctioning pituitary adenomas (NFPAs) (P < 0.05). In addition, compared with NFPAs, males with prolactinomas (82.8%) had the higher prevalence of SD and significantly improvement following surgical intervention (P < 0.05). An inverse relationship was identified between decreasing testosterone levels and increasing incidence of SD before surgery (P < 0.05). There was no significant difference between 6 months and 12 months after surgery in serum testosterone level (P > 0.05). Our results indicated that surgical therapy could be optimized for improvements in SD and that testosterone levels can be used as a sensitive indicator to predict the recovery rate of sexual function in patients with pituitary adenomas following surgery and the serum testosterone level will stay stable in 6 months after surgery.
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South Korea
Lee, S. W.
Lee, J. H.
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South Korea
Lee, J. H.
Sung, H. H.
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机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South Korea
Sung, H. H.
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Park, H. J.
Park, J. K.
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机构:
Chonbuk Natl Univ, Sch Med, Dept Urol, Jeonju, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South Korea
Park, J. K.
Choi, S. K.
论文数: 0引用数: 0
h-index: 0
机构:
Janssen Korea Ltd, Seoul, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South Korea
机构:
Beijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
Li, Hong-Jun
Bai, Wen-Jun
论文数: 0引用数: 0
h-index: 0
机构:
Peking Univ Peoples Hosp, Dept Urol, Beijing 100044, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
Bai, Wen-Jun
Dai, Yu-Tian
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Drum Tower Hosp, Dept Androl, Nanjing 210008, Jiangsu, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
Dai, Yu-Tian
Xu, Wen-Ping
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机构:
Lilly Suzhou Pharmaceut Co Ltd, Dept Med, Shanghai 200021, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
Xu, Wen-Ping
Wang, Chia-Ning
论文数: 0引用数: 0
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机构:
Lilly Suzhou Pharmaceut Co Ltd, Dept Med, Shanghai 200021, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
Wang, Chia-Ning
Li, Han-Zhong
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机构:
Beijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
机构:
Univ Modena & Reggio Emilia, Dept Biomed Metab & Neural Sci, Unit Endocrinol, Modena, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Rochira, Vincenzo
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Pivonello, Rosario
Santi, Daniele
论文数: 0引用数: 0
h-index: 0
机构:
Univ Modena & Reggio Emilia, Dept Biomed Metab & Neural Sci, Unit Endocrinol, Modena, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Santi, Daniele
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Galdiero, Mariano
Maseroli, Elisa
论文数: 0引用数: 0
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机构:
Univ Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Maseroli, Elisa
Balestrieri, Antonio
论文数: 0引用数: 0
h-index: 0
机构:
Osped Gen Provinciale M Bufalini, Dept Internal Med, Unit Endocrinol & Diabetol, Cesena, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Balestrieri, Antonio
Faustini-Fustini, Marco
论文数: 0引用数: 0
h-index: 0
机构:
Osped Bellaria, IRCCS, Ist Sci Neurol Bologna, Bologna, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Faustini-Fustini, Marco
Peri, Alessandro
论文数: 0引用数: 0
h-index: 0
机构:
Univ Florence, Dept Expt & Clin Biomed Sci Mario Serio, Endocrine Unit, Florence, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Peri, Alessandro
Sforza, Alessandra
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机构:
Maggiore Bellaria Hosp, Dept Med, Endocrinol Unit, I-40133 Bologna, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Sforza, Alessandra
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Colao, Annamaria
Maggi, Mario
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机构:
Univ Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Maggi, Mario
Corona, Giovanni
论文数: 0引用数: 0
h-index: 0
机构:
Maggiore Bellaria Hosp, Dept Med, Endocrinol Unit, I-40133 Bologna, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
机构:
Royal N Shore Hosp, Kolling Inst Med Res, Canc Genet Unit, Hormones & Canc Grp, St Leonards, NSW 2065, Australia
Churchill Hosp, Oxford Ctr Diabet Endocrinol & Metab, Dept Endocrinol, Oxford OX3 7LJ, EnglandRoyal N Shore Hosp, Kolling Inst Med Res, Canc Genet Unit, Hormones & Canc Grp, St Leonards, NSW 2065, Australia
McCormack, Ann I.
Wass, John A. H.
论文数: 0引用数: 0
h-index: 0
机构:
Churchill Hosp, Oxford Ctr Diabet Endocrinol & Metab, Dept Endocrinol, Oxford OX3 7LJ, EnglandRoyal N Shore Hosp, Kolling Inst Med Res, Canc Genet Unit, Hormones & Canc Grp, St Leonards, NSW 2065, Australia
Wass, John A. H.
Grossman, Ashley B.
论文数: 0引用数: 0
h-index: 0
机构:
Barts & London Queen Marys Sch Med & Dent, William Harvey Res Inst, Dept Endocrinol, London EC1A 7BE, EnglandRoyal N Shore Hosp, Kolling Inst Med Res, Canc Genet Unit, Hormones & Canc Grp, St Leonards, NSW 2065, Australia
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South Korea
Lee, S. W.
Lee, J. H.
论文数: 0引用数: 0
h-index: 0
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South Korea
Lee, J. H.
Sung, H. H.
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h-index: 0
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South Korea
Sung, H. H.
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Park, H. J.
Park, J. K.
论文数: 0引用数: 0
h-index: 0
机构:
Chonbuk Natl Univ, Sch Med, Dept Urol, Jeonju, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South Korea
Park, J. K.
Choi, S. K.
论文数: 0引用数: 0
h-index: 0
机构:
Janssen Korea Ltd, Seoul, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul, South Korea
机构:
Beijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
Li, Hong-Jun
Bai, Wen-Jun
论文数: 0引用数: 0
h-index: 0
机构:
Peking Univ Peoples Hosp, Dept Urol, Beijing 100044, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
Bai, Wen-Jun
Dai, Yu-Tian
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Drum Tower Hosp, Dept Androl, Nanjing 210008, Jiangsu, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
Dai, Yu-Tian
Xu, Wen-Ping
论文数: 0引用数: 0
h-index: 0
机构:
Lilly Suzhou Pharmaceut Co Ltd, Dept Med, Shanghai 200021, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
Xu, Wen-Ping
Wang, Chia-Ning
论文数: 0引用数: 0
h-index: 0
机构:
Lilly Suzhou Pharmaceut Co Ltd, Dept Med, Shanghai 200021, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
Wang, Chia-Ning
Li, Han-Zhong
论文数: 0引用数: 0
h-index: 0
机构:
Beijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R ChinaBeijing Union Med Coll Hosp, Dept Urol, Beijing 100730, Peoples R China
机构:
Univ Modena & Reggio Emilia, Dept Biomed Metab & Neural Sci, Unit Endocrinol, Modena, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Rochira, Vincenzo
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机构:
Pivonello, Rosario
Santi, Daniele
论文数: 0引用数: 0
h-index: 0
机构:
Univ Modena & Reggio Emilia, Dept Biomed Metab & Neural Sci, Unit Endocrinol, Modena, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Santi, Daniele
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机构:
Galdiero, Mariano
Maseroli, Elisa
论文数: 0引用数: 0
h-index: 0
机构:
Univ Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Maseroli, Elisa
Balestrieri, Antonio
论文数: 0引用数: 0
h-index: 0
机构:
Osped Gen Provinciale M Bufalini, Dept Internal Med, Unit Endocrinol & Diabetol, Cesena, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Balestrieri, Antonio
Faustini-Fustini, Marco
论文数: 0引用数: 0
h-index: 0
机构:
Osped Bellaria, IRCCS, Ist Sci Neurol Bologna, Bologna, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Faustini-Fustini, Marco
Peri, Alessandro
论文数: 0引用数: 0
h-index: 0
机构:
Univ Florence, Dept Expt & Clin Biomed Sci Mario Serio, Endocrine Unit, Florence, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Peri, Alessandro
Sforza, Alessandra
论文数: 0引用数: 0
h-index: 0
机构:
Maggiore Bellaria Hosp, Dept Med, Endocrinol Unit, I-40133 Bologna, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Sforza, Alessandra
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机构:
Colao, Annamaria
Maggi, Mario
论文数: 0引用数: 0
h-index: 0
机构:
Univ Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
Maggi, Mario
Corona, Giovanni
论文数: 0引用数: 0
h-index: 0
机构:
Maggiore Bellaria Hosp, Dept Med, Endocrinol Unit, I-40133 Bologna, ItalyUniv Florence, Dept Expt & Clin Biomed Sci Mario Serio, Sexual Med & Androl Unit, Florence, Italy
机构:
Royal N Shore Hosp, Kolling Inst Med Res, Canc Genet Unit, Hormones & Canc Grp, St Leonards, NSW 2065, Australia
Churchill Hosp, Oxford Ctr Diabet Endocrinol & Metab, Dept Endocrinol, Oxford OX3 7LJ, EnglandRoyal N Shore Hosp, Kolling Inst Med Res, Canc Genet Unit, Hormones & Canc Grp, St Leonards, NSW 2065, Australia
McCormack, Ann I.
Wass, John A. H.
论文数: 0引用数: 0
h-index: 0
机构:
Churchill Hosp, Oxford Ctr Diabet Endocrinol & Metab, Dept Endocrinol, Oxford OX3 7LJ, EnglandRoyal N Shore Hosp, Kolling Inst Med Res, Canc Genet Unit, Hormones & Canc Grp, St Leonards, NSW 2065, Australia
Wass, John A. H.
Grossman, Ashley B.
论文数: 0引用数: 0
h-index: 0
机构:
Barts & London Queen Marys Sch Med & Dent, William Harvey Res Inst, Dept Endocrinol, London EC1A 7BE, EnglandRoyal N Shore Hosp, Kolling Inst Med Res, Canc Genet Unit, Hormones & Canc Grp, St Leonards, NSW 2065, Australia