Variations in the Number of Patients Presenting With Andrological Problems During the Coronavirus Disease 2019 Pandemic and the Possible Reasons for These Variations: A Multicenter Study

Duran, Mesut Berkan; Yıldırım, Ömer Selim; Kızılkan, Yalçın; Tosun, Çağatay; Çırakoğlu, Abdullah; Gültekin, Mehmet Hamza; Gül, Ümit; Altan, Mesut; Şah, Cem; Hasırcı, Eray; Ceyhan, Erman; Ongün, Şakir; Turunç, Tahsin

doi:10.1016/j.esxm.2020.100292

Cited by 23 publications

(17 citation statements)

References 17 publications

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“…A retrospective chart review of 12 outpatient urology clinics across Turkey investigated whether there have been variations in the presentations of male patients with sexual and reproductive health problems during the COVID-19 pandemic. 10 Andrological problems (i.e., ED, premature ejaculation, Peyronie's disease, and priapism, varicocele, infertility, primary/secondary hypogonadism, anejaculation, spermatocele, and undescended testicles) were detected in 721 of 4,955 male patients included in the study. Study findings showed that there was a significant increase in overall andrological diagnosis in these patients during the pandemic period compared with the pre-pandemic period (n = 293 [17%] vs n = 428 [13.2%], p < 0.001, respectively) ( Figure 3 ).…”

Section: Discussionmentioning

confidence: 98%

“…The number of patients diagnosed with ED during the pandemic was significantly higher during COVID-19 compared to the pre-COVID-19 pandemic period (n = 150 [8.7%] vs n = 214 [6.6%], p = 0.008) ( Figure 3 ). 10 The authors hypothesized that possible reasons for more frequent presentation to the outpatient urology clinics with ED may include relationship strain due to the “Stay Home” policies, job losses and economic problems, and increased anxiety and depression. Limitations of this study include its retrospective design, lack of randomization, differences in patient baseline characteristics between the comparison groups, and potential confounding from unknown and/or unmeasured variables.…”

Section: Discussionmentioning

confidence: 99%

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The Epidemic of COVID-19-Related Erectile Dysfunction: A Scoping Review and Health Care Perspective

Hsieh

Edwards²,

Nitschelm

et al. 2022

Sexual Medicine Reviews

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Introduction COVID-19 infection is expected to be associated with an increased likelihood of erectile dysfunction (ED). Considering the high transmissibility of COVID-19, ED may be a concerning consequence for a large segment of the population. Aims To (1) summarize existing published evidence for the impact of COVID-19 on the prevalence, severity, treatment, and management of ED; and (2) identify health-related trends in the emerging literature and identify gaps in the existing research literature and make recommendations for future research needs in the area. Methods A scoping literature search was conducted on April 27, 2021. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews (PRISMA-ScR) checklist was followed. The literature search was performed in PubMed using the terms: COVID-19, erectile, sexual, and dysfunction. A total of 693 publications were screened for relevance. Studies were appraised for their level of evidence based on study design and the rigor of methodology. Results The evidence that COVID-19 infection causes or impacts ED is compelling. Four topics emerged regarding the nature of the association between COVID-19 and ED: (1) the biological impact of COVID-19 infection on ED; (2) the mental health impact of COVID-19 on ED; (3) the impact of COVID-19 on the management of ED and access to ED treatment; and (4) health disparities and the impact of COVID-19 on ED. Long-term and well-designed studies are needed to clarify the extent of the impact of COVID-19 on ED. The pandemic exposed several vulnerabilities within worldwide healthcare and social systems. Conclusion COVID-19 has a uniquely harmful impact on men's health and erectile function through biological, mental health, and healthcare access mechanisms. As the pandemic wanes, strategies to identify long-term effects and additional health care support may be needed to adequately mitigate the impact of COVID-19 on men's health.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

The Epidemic of COVID-19-Related Erectile Dysfunction: A Scoping Review and Health Care Perspective

Hsieh

Edwards²,

Nitschelm

et al. 2022

Sexual Medicine Reviews

View full text Add to dashboard Cite

show abstract

“…Previous studies have reported issues around sexual and reproductive health amidst the pandemic [ 29 ]. Duran et al [ 36 ] investigated whether there has been an increase in the number of patients presenting with sexual and reproductive health issues during the pandemic and found an increase in andrological diagnoses, male reproductive or sexual health problems and erectile dysfunction. The authors conclude that although the etiology is multifactorial, psychological factors seem to play a vital role.…”

Section: Discussionmentioning

confidence: 99%

Lifestyle Changes among Polish University Students during the COVID-19 Pandemic

Fila-Witecka

Senczyszyn

Kołodziejczyk

et al. 2021

IJERPH

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Students worldwide have been impacted by nationwide safety closures due to the COVID-19 pandemic, creating an environment with loss of interaction with colleagues, social isolation, boredom, and economic uncertainty. Since university students were considered uniquely vulnerable to mental health problems even before the pandemic, this study aimed to investigate lifestyle and behavioral changes experienced by this population due to the epidemiological situation and their effect on their mental health. Data were collected via an online survey conducted among university students across Poland. The survey addressed recent lifestyle changes that were a result of the pandemic as well as psychological distress, symptoms of insomnia and symptoms of post-traumatic stress. The results indicate that protective factors include maintaining a daily routine, staying physically active, following a usual eating pattern and taking care of sleep hygiene. Changes in behavior contributing to poorer mental health included giving up a daily routine, neglecting meals, tidiness, hygiene as well as social relationships, changes in food intake, sleeping schedule, a decrease in physical activity and the onset of sexual dysfunctions. A history of psychiatric treatment and an increase in self-harm as well as an increase in alcohol and tobacco consumption were also found to be associated with psychological distress. Experienced lifestyle and behavioral changes and their impact on mental health were apparent throughout the obtained data, highlighting the need for psychological support in the studied population. Based on the results we were able to establish a list of protective and risk factors influencing the everyday life and psychological wellbeing of students amidst the COVID-19 pandemic, which could also be translated into life skills.

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“…44 During the COVID-19 pandemic period, it was reported that there was a significant increase in the diagnostic rate of ED among male patients presenting to the outpatient urology clinics compared with the pre-COVID-19 pandemic period. 23 An online survey on the sexual health of 217 males through IIEF-5 questionnaire reported 31.8% of ED prevalence. 26 Moreover, ED was seen at higher rates in the healthcare professionals group compared with the control group.…”

Section: Discussionmentioning

confidence: 99%

“…Published literature also demonstrated that erectile dysfunction (ED) is a likely consequence of COVID-19 for survivors and reviewed the possible mechanisms contributed to the potential onset of ED. 22 Together with the number of outpatients diagnosed with ED markedly increased during the pandemic 23 and some studies reported ED in other male subgroup, 14 , 24 , 25 , 26 it is most likely that COVID-19 patients may develop ED. However, currently, the erectile function in male recovered patients with COVID-19 remains unknown.…”

Section: Introductionmentioning

confidence: 99%

A Mid-to-Long Term Comprehensive Evaluation of Psychological Distress and Erectile Function in COVID-19 Recovered Patients

Hu¹,

Ruan²,

Liu³

et al. 2021

The Journal of Sexual Medicine

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Background The psychological and sexual health of different populations are negatively affected during the COVID-19 pandemic. However, little is known about psychological distress and erectile function of male recovered patients with COVID-19 in the long term. Aim we aimed to evaluate psychological distress and erectile function of male recovered patients with COVID-19 in the mid-to-long terms. Methods We recruited 67 eligible male recovered patients with COVID-19 and followed them up twice within approximately 6 months of recovery time. The psychological distress and erectile function were assessed by validated Chinese version of paper questionnaires. Outcomes The primary outcomes were Symptom Checklist 90 (SCL-90) questionnaire for psychological distress and International Index of Erectile Function-5 (IIEF-5) for erectile function. Results In the first visit, COVID-19 patients with a median recovery time of 80 days mainly presented the following positive symptoms: OC, ADD, HOS, IS, DEP, and SOM; while the dimension scores in SOM, ANX, ADD, and PHOB were higher than Chinese male norms. Besides, the prevalence of ED in the first-visit patients was significantly higher than Chinese controls. In the second visit, the primary psychological symptoms of COVID-19 patients with a median recovery time of 174 days were OC, ADD, IS, and HOS, while all dimensions scores of SCL-90 were lower than Chinese male norms. Moreover, second-visit patients had no significant difference with Chinese controls in ED prevalence. In addition, it suggested that GSI was the independent risk factor for ED in the regression analysis for the first-visit patients. Clinical Implications The study showed the changes of psychological symptoms and erectile function in COVID-19 recovered patients, and provided reference on whether psychological and sexual supports are needed after a period of recovery. Strengths and Limitations To our knowledge, it is the first study to comprehensively evaluate the psychological distress and erectile function of COVID-19 recovered patients in the mid-to-long terms. The main limitations were the low number of analyzed participants, and the psychological distress and erectile function of healthy Chinese men over the same period were not evaluated, and the psychological and sexual related data of participants prior to COVID-19 were not available. Additionally, there was a selection bias in comparing COVID-19 patients with healthy controls. Conclusion With less impact of COVID-19 event, the impaired erectile function and psychological distress improved in COVID-19 recovered patients with a recovery time of nearly half a year. B Hu, Y Ruan, K Liu, et al. A Mid-to-Long Term Comprehensive Evaluation of Psychological Distress and Erectile Function in COVID-19 Recovered Patients. J Sex Med 2021;XX...

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Variations in the Number of Patients Presenting With Andrological Problems During the Coronavirus Disease 2019 Pandemic and the Possible Reasons for These Variations: A Multicenter Study

Cited by 23 publications

References 17 publications

The Epidemic of COVID-19-Related Erectile Dysfunction: A Scoping Review and Health Care Perspective

The Epidemic of COVID-19-Related Erectile Dysfunction: A Scoping Review and Health Care Perspective

Lifestyle Changes among Polish University Students during the COVID-19 Pandemic

A Mid-to-Long Term Comprehensive Evaluation of Psychological Distress and Erectile Function in COVID-19 Recovered Patients

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