Sexual Functions Following Cardiac Resynchronization Therapy: Evaluation of Male Patients and Their Partners
Halil F Oncel1, Remzi Salar2, Ömer F Cicek3
1Urology, Mehmet Akif İnan Resarch and Training Hospital, Sanliurfa, TUR.
Insights
Cardiac resynchronization therapy (CRT) improved sexual function in male heart failure (HF) patients and their partners. CRT reversed erectile dysfunction, enhancing overall sexual health for both individuals.
Area of Science:
- Cardiology
- Sexual Medicine
- Quality of Life Research
Background:
- Sexual dysfunction is a common issue affecting quality of life, often exacerbated by heart failure (HF).
- Erectile dysfunction (ED) is prevalent in men with HF, impacting their well-being and relationships.
Purpose of the Study:
- To prospectively assess sexual function, erectile function, and hormonal/biochemical changes in male HF patients undergoing cardiac resynchronization therapy (CRT).
- To evaluate the sexual functioning of partners of male HF patients before and after CRT.
Main Methods:
- 103 male patients with HF and their partners were enrolled.
- The International Index of Erectile Function-5 (IIEF-5) and Arizona Sexual Experience Scale (ASEX) were administered at baseline and three months post-CRT.
Main Results:
- Patients' IIEF-5 scores significantly increased post-CRT, indicating improved erectile function (p=0.001).
- Both patients and their partners reported significant declines in ASEX scores, suggesting improvements in sexual experience.
Conclusions:
- Sexual dysfunction affects partners of male HF patients with ED prior to CRT.
- CRT effectively reverses erectile problems and improves sexual function in both male patients and their partners.
Introduction:
Sexual functionality, a critical component of health-related quality of life, can decline for various reasons, including heart failure (HF). Our purpose was to prospectively evaluate male patients with HF scheduled for cardiac resynchronization therapy (CRT) in terms of sexual function, erectile function, and alterations in hormonal and biochemical parameters. In addition, we sought to determine the sexual functioning of the partners of these patients.
Methods:
The study enrolled 103 male patients and their partners. The International Index of Erectile Function-5 (IIEF-5) was administered to all males and the Arizona Sexual Experience Scale (ASEX) questionnaire was completed by all participants, at baseline and three months after CRT.
Results:
The ASEX scores of patients and partners demonstrated significant declines from baseline to post-intervention analysis. The IIEF-5 scores of patients showed a significant increase from baseline to post-intervention (p=0.001 for all).
Conclusion:
We conclude that sexual dysfunction is experienced by the partners of male patients with erectile dysfunction before CRT and that reversal of erectile problems with CRT yields improvements in both male and female sexual functions.
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