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Updated: Apr 22, 2026
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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
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Association of erectile dysfunction and urolithiasis.
Alper Otunctemur1, Emin Ozbek, Suleyman Sami Cakir
1Okmeydani Training and Research Hospital, Department of Urology, Istanbul. alperotunctemur@yahoo.com.
Summary
Erectile dysfunction (ED) and low testosterone levels are significantly linked to urinary stone disease. Urologists should assess patients with urolithiasis for ED and hypogonadism.
Area of Science:
- Urology
- Andrology
- Endocrinology
Background:
- Urinary stone disease and erectile dysfunction (ED) are systemic conditions linked to hormonal and metabolic issues.
- Metabolic syndrome has been associated with urinary stone disease.
Purpose of the Study:
- To investigate the relationship between ED and urinary tract calculi (urolithiasis).
- To determine the prevalence of ED in male patients with urolithiasis.
Main Methods:
- A study involving 98 male patients with urolithiasis and 59 controls.
- Assessment of serum testosterone (T) levels.
- Evaluation of ED using the International Index of Erectile Function (IIEF)-15 questionnaire.
Main Results:
- ED prevalence was 29% in the urolithiasis group, with varying severity.
- The control group reported only mild ED.
- Biochemical hypogonadism or low testosterone levels were observed in 13.3% and 18.3% of stone patients, respectively.
Conclusions:
- ED and low testosterone levels are significantly associated with urolithiasis.
- Recommend evaluating urolithiasis patients for ED and hypogonadism.
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