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Do cigarette smokers with erectile dysfunction benefit from stopping?: a prospective study.

Gholamreza Pourmand1, Mohammad Reza Alidaee, Sohrab Rasuli

  • 1Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran. gh_pourmand@hotmail.com

BJU International
|December 22, 2004
PubMed
Summary

Stopping smoking significantly improves erectile dysfunction (ED) in male smokers. Even with existing risk factors, quitting cigarettes offers a chance for ED recovery, though age and ED severity may influence outcomes.

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Area of Science:

  • Urology
  • Cardiovascular Health
  • Addiction Medicine

Background:

  • Cigarette smoking is a well-established risk factor for erectile dysfunction (ED).
  • Nicotine replacement therapy (NRT) is often sought by smokers experiencing ED.

Purpose of the Study:

  • To investigate the impact of smoking cessation on erectile dysfunction (ED) in male smokers.
  • To determine if stopping smoking improves ED symptoms.

Main Methods:

  • Evaluated male smokers with ED for other risk factors (hypertension, diabetes, etc.).
  • Assessed ED severity using the International Index of Erectile Function (IIEF-5) before and after 1 year of follow-up.
  • Compared ED status between those who quit smoking and those who continued.

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Main Results:

  • ED severity strongly correlated with smoking intensity (pack-years).
  • Ex-smokers showed significant ED improvement (>=25%) after 1 year, unlike current smokers.
  • Ex-smokers had a statistically better ED status post-intervention (P=0.009).

Conclusions:

  • A strong link exists between smoking intensity and ED degree.
  • Quitting cigarette smoking can lead to considerable improvement in ED.
  • Older age and more severe baseline ED inversely correlate with improvement after cessation.