CLINICAL SYMPTOMS OF ERECTILE DYSFUNCTION IN MEN WITH SOMATIC PATHOLOGY

Abstract

The article provides information about a research study conducted to explore the clinical features of erectile dysfunction in individuals with somatic pathology. To achieve the purpose of the study, based on developed clinical and laboratory criteria, from 2018 to 2021, 117 patients aged 25 to 65 years (average age 37.86±5.4) diagnosed with erectile dysfunction (ED) were examined. The patients were divided into 2 groups: Group I – patients with venous ED – 75 men and Group II – patients with mixed venous-arterial ED - 42 men.
Studies conducted to study the clinical features of ED in patients of groups I and II with impaired venous hemodynamics of the penis revealed characteristic differences in the studied groups, depending on the severity of hemodynamic disorders. In I group patients, libido remained preserved in 45 patients, which amounted to 60.0±5.7%; in II group this indicator was reduced by 1.48 times (40.5±7.6%, 17 patients). In group I, a decrease in libido was registered in 21 patients (28.0±5.2%); in II - in 16 patients (38.1±7.5%). In group II patients, lack of desire was registered 1.78 times more often (9 people, 21.4±6.2%) than in patients of group I (9 people, 12.0±3.8%). In patients of groups I and II, severe forms of ED were observed: a decrease or complete disappearance of erections during frictions in group I was observed in 46 patients (61.3±5.6%), in group II – in 18 patients (42.9±7.6%). Only in patients of group II was there a complete absence of erections (8 people, 19.0±6.1%). Only 17 patients (22.7±4.9%) of group I and 12 patients of group II (28.6±7.0%) showed a decrease in erection with possible introjection. Clarifying the issues of determining the severity of ED allows us to study the characteristic features of these conditions. Particularly noted is the rarity of the presence of severe degrees of erectile dysfunction and the high frequency of occurrence of symptoms such as complete disappearance or decrease in erection during friction, lack of erection after ejaculation, and a decrease in spontaneous erections.