Association between vascular lesion and penile erection hardness in Japanese patients with erectile dysfunction
Objective: Many erectile dysfunction (ED) cases are attributed to vascular endothelial dysfunction and impaired blood flow due to arteriosclerotic changes. In this study, we examined the association among the erection hardness score (EHS), pulse wave velocity (PWV), and the presence of carotid arter...
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Wolters Kluwer Medknow Publications
2018-01-01
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doaj-e971cbd78c6640d5a89173a996aa4e892020-11-25T00:01:48ZengWolters Kluwer Medknow PublicationsUrological Science1879-52261879-52342018-01-0129420220510.4103/UROS.UROS_60_18Association between vascular lesion and penile erection hardness in Japanese patients with erectile dysfunctionKeiichiro HayashiHaruaki SasakiTakashi FukagaiIppei KurokawaHiroo SugishitaSatoru TanifujiMotoki YamagishiHideaki ShimoyamaKenro YamamotoMichiya OtaKidai HirayamaAtsushi KoshikiyaYu OgawaAtsushi IgarashiMasashi MoritaKimiyasu IshikawaJun MoritaMichio NaoeKohzo FujiYoshio OgawaObjective: Many erectile dysfunction (ED) cases are attributed to vascular endothelial dysfunction and impaired blood flow due to arteriosclerotic changes. In this study, we examined the association among the erection hardness score (EHS), pulse wave velocity (PWV), and the presence of carotid artery plaques. Subjects and Methods: The study enrolled 67 patients who visited our hospital with the chief complaint of ED. Based on the history at the first visit, 28 of the 67 patients were categorized into the EHS 3–4 group and the remaining 39 into the EHS 0–2 group. The two groups were retrospectively analyzed. Results: The PWV points were significantly higher in the EHS 0–2 group than in the EHS 3–4 group (P = 0.047). In consideration for error in age, the modified points (PWV at the first visit – reference PWV by age) were significantly higher in the EHS 0–2 group than in the EHS 3–4 group (P = 0.026). This group also showed a higher detection rate of plaques by carotid ultrasound (66.7%). Conclusion: This study showed that patients with lower points of EHS had higher PWV and were more likely to have carotid artery plaques. While ED has occasionally been considered as an early risk marker for the onset of cardiovascular events; this study suggests that the hardness of the penis can be an easier-to-measure and more sensitive index.http://www.e-urol-sci.com/article.asp?issn=1879-5226;year=2018;volume=29;issue=4;spage=202;epage=205;aulast=HayashiArteriosclerosiserectile dysfunctionerection hardness score |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Keiichiro Hayashi Haruaki Sasaki Takashi Fukagai Ippei Kurokawa Hiroo Sugishita Satoru Tanifuji Motoki Yamagishi Hideaki Shimoyama Kenro Yamamoto Michiya Ota Kidai Hirayama Atsushi Koshikiya Yu Ogawa Atsushi Igarashi Masashi Morita Kimiyasu Ishikawa Jun Morita Michio Naoe Kohzo Fuji Yoshio Ogawa |
spellingShingle |
Keiichiro Hayashi Haruaki Sasaki Takashi Fukagai Ippei Kurokawa Hiroo Sugishita Satoru Tanifuji Motoki Yamagishi Hideaki Shimoyama Kenro Yamamoto Michiya Ota Kidai Hirayama Atsushi Koshikiya Yu Ogawa Atsushi Igarashi Masashi Morita Kimiyasu Ishikawa Jun Morita Michio Naoe Kohzo Fuji Yoshio Ogawa Association between vascular lesion and penile erection hardness in Japanese patients with erectile dysfunction Urological Science Arteriosclerosis erectile dysfunction erection hardness score |
author_facet |
Keiichiro Hayashi Haruaki Sasaki Takashi Fukagai Ippei Kurokawa Hiroo Sugishita Satoru Tanifuji Motoki Yamagishi Hideaki Shimoyama Kenro Yamamoto Michiya Ota Kidai Hirayama Atsushi Koshikiya Yu Ogawa Atsushi Igarashi Masashi Morita Kimiyasu Ishikawa Jun Morita Michio Naoe Kohzo Fuji Yoshio Ogawa |
author_sort |
Keiichiro Hayashi |
title |
Association between vascular lesion and penile erection hardness in Japanese patients with erectile dysfunction |
title_short |
Association between vascular lesion and penile erection hardness in Japanese patients with erectile dysfunction |
title_full |
Association between vascular lesion and penile erection hardness in Japanese patients with erectile dysfunction |
title_fullStr |
Association between vascular lesion and penile erection hardness in Japanese patients with erectile dysfunction |
title_full_unstemmed |
Association between vascular lesion and penile erection hardness in Japanese patients with erectile dysfunction |
title_sort |
association between vascular lesion and penile erection hardness in japanese patients with erectile dysfunction |
publisher |
Wolters Kluwer Medknow Publications |
series |
Urological Science |
issn |
1879-5226 1879-5234 |
publishDate |
2018-01-01 |
description |
Objective: Many erectile dysfunction (ED) cases are attributed to vascular endothelial dysfunction and impaired blood flow due to arteriosclerotic changes. In this study, we examined the association among the erection hardness score (EHS), pulse wave velocity (PWV), and the presence of carotid artery plaques. Subjects and Methods: The study enrolled 67 patients who visited our hospital with the chief complaint of ED. Based on the history at the first visit, 28 of the 67 patients were categorized into the EHS 3–4 group and the remaining 39 into the EHS 0–2 group. The two groups were retrospectively analyzed. Results: The PWV points were significantly higher in the EHS 0–2 group than in the EHS 3–4 group (P = 0.047). In consideration for error in age, the modified points (PWV at the first visit – reference PWV by age) were significantly higher in the EHS 0–2 group than in the EHS 3–4 group (P = 0.026). This group also showed a higher detection rate of plaques by carotid ultrasound (66.7%). Conclusion: This study showed that patients with lower points of EHS had higher PWV and were more likely to have carotid artery plaques. While ED has occasionally been considered as an early risk marker for the onset of cardiovascular events; this study suggests that the hardness of the penis can be an easier-to-measure and more sensitive index. |
topic |
Arteriosclerosis erectile dysfunction erection hardness score |
url |
http://www.e-urol-sci.com/article.asp?issn=1879-5226;year=2018;volume=29;issue=4;spage=202;epage=205;aulast=Hayashi |
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