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Do Urologists Really Recognize the Association Between Erectile Dysfunction and Cardiovascular Disease?

Dongjie Li1, Xiucheng Li2, Emin Peng3

  • 1Department of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, Hunan, China; Institute of Clinical Pharmacology, Central South University, Hunan Key Laboratory of Pharmacogenetics, Changsha, Hunan, China; Department of Geriatric urology, Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, China; National Clinical Research Center for Geriatric Disorders, Changsha, China.

Sexual Medicine
|February 3, 2020
PubMed
Summary

Erectile dysfunction (ED) and cardiovascular diseases (CVDs) share risk factors, yet urologists show limited recognition and updated treatment strategies for this association. Many urologists lack confidence in treating ED with PDE5 inhibitors in patients with CVDs.

Keywords:
AssociationCardiovascular Diseases (CVDs)Erectile Dysfunction (ED)QuestionnaireUrologists' Perception

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Area of Science:

  • Urology
  • Cardiology
  • Men's Health

Background:

  • Erectile dysfunction (ED) and cardiovascular diseases (CVDs) share common risk factors, with ED potentially predicting CVDs.
  • Treating ED may benefit cardiovascular health, but the ED-CVD association is underreported.
  • Understanding urologists' perspectives on the ED-CVD link is crucial for integrated patient care.

Purpose of the Study:

  • To assess urologists' perceptions regarding the association between ED and CVDs.
  • To evaluate urologists' diagnostic and treatment approaches for CVDs in patients presenting with ED.
  • To identify potential gaps in knowledge and practice among urologists concerning the ED-CVD relationship.

Main Methods:

  • A prospective study conducted from November 2018 to February 2019.
  • Involved 449 urologists aged 18-64 years who completed an online survey.
  • The survey, distributed via WeChat, assessed urologists' knowledge of ED and its association with CVDs.

Main Results:

  • A high percentage (83.5%) of urologists acknowledged the ED-CVD association, but only 51.4% considered ED an independent disorder.
  • Awareness was higher in male urologists. While 83.6% believed in consistent disease progression, only 44.9% performed combined assessments.
  • Conventional treatments like psychological intervention and PDE5 inhibitors were preferred, with significant concerns (76.6%) regarding PDE5i safety in CVD patients.

Conclusions:

  • Urologists' assessment of CVDs in ED patients was suboptimal, particularly among younger, female, or rural practitioners.
  • Treatment strategies for ED among urologists were not current, and attitudes towards PDE5 inhibitors in CVD patients were pessimistic.
  • There is a need for improved education and updated guidelines for urologists on managing the ED-CVD connection.