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Remission and Progression of Erectile dysfunction
January 17, 2007

WATERTOWN, Mass., Jan. 17 Men suffered from erectile dysfunction can improve its performance through weight loss pills and having some diet measures.

The lack of knowledge about prognosis following erectile dysfunction onset may have created the impression that remission of symptoms through nonpharmacological treatment, a path many patients prefer, is not possible,

Thomas G. Travison, Ph.D., of the New England Research Institutes here, and colleagues, wrote in the January issue of the Journal of Urology. about erectile dysfunction

They wrote that erectile dysfunction severity following onset is influenced by modifiable factors.

They suggest that a plenty of men suffered from erectile dysfunction point to nonpharmacological treatment of erectile dysfunction

They found that body mass is remission and progression of erectile dysfunction. But another factors such as smoking doubled the risk of progression.

They also evaluated self-reported medical history, depression, current smoking status, alcohol consumption, education, marital status, household income, hours of sleep per day, physical activities, diet, and general health status.

They found that remission of erectile dysfunction occurred in 141 of the 401 men (35%) studied (95% confidence interval, 30%-40%). Of the 323 men who were determined to have had minimal or moderate erectile dysfunction at baseline, 107 (33%, 95% CI 28%-38%) had progression of dysfunction.


The odds ratio for erectile dysfunction progression in the multivariate model was 2.3 (95% CI, 1.6-3.3, P<0.001). The odds ratio for smoking was 2.1 (95% CI, 1.16-3.68, P=0.01).

They also found that comorbidities and demographic factors other than age had little or no association with ED progression or remission when age effects were controlled for.

"How to evaluate and when to treat are timely questions," Dr. Perelman wrote. "Developing a dialogue with patients regarding the issues surrounding sexual function is critical. Not all patients want immediate and/or exclusive pharmaceutical treatment. Conclusions from this article can be integrated into an assessment algorithm in a manner which facilitates patient compliance, and leads to increased respect and rapport between patient and urologist."

The study was supported by grants from the National Institute of Diabetes and Digestive and Kidney Diseases and the National Institute on Aging.


Source:
http://www.medpagetoday.com/Surgery/Urology/tb/4872

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