Abstract Details

Title Ischemic Stroke Compromises Various Aspects of Male Sexual Function

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P05 - (-)

Poster/Presentation
Number 227

Objective

Background BACKGROUND: Ischemic stroke can deteriorate sexual function. Prevalence of male sexual dysfunction after stroke is not well determined.

Design/Methods DESIGN/METHODS: In 56 men, aged 64.39±10.64 years, who had ischemic stroke within 24 months before evaluation, we assessed prevalence and severity of disorders in arousal ability, desire, erectile function, ejaculatory function, orgasmic function, and sexual satisfaction before and after stroke, using a self-designed questionnaire consisting of multiple visual analogue scale (VAS) questions (0=never; 10=always) (Wilcoxon-test; significance: p<0.05).

Results RESULTS: After stroke, VAS-values decreased significantly from pre-stroke VAS-values for arousal ability (4.61±2.78 post-stroke vs. 6.37±2.42 pre-stroke; p=0.0001), desire (4.42±2.93 post-stroke vs. 6.37±2.56 pre-stroke; p=0.0001), ejaculatory function (6.55±10.62 post-stroke vs. 8.68±10.05 pre-stroke; p=0.0001), and sexual satisfaction (4.58±3.36 post-stroke vs. 6.57±2.98 pre-stroke; p=0.0001), increased significantly for erectile dysfunction (4.98±3.35 post-stroke vs. 2.71±3.58 pre-stroke; p=0.0001), but remained almost unchanged for orgasmic function (1.96±2.91 post-stroke vs. 1.45±1.89 pre-stroke; p>0.05).

Conclusions CONCLUSIONS: In men with a history of ischemic stroke, there is a rather high prevalence of arousal disorders, desire dysfunction, erectile, ejaculatory, orgasmic dysfunction, and sexual dissatisfaction already before stroke suggesting associations between sexual dysfunction and stroke risk factors. After stroke, all evaluated types of sexual dysfunction and sexual satisfaction deteriorated significantly showing the impact of ischemic cerebral lesions on sexual function and processing. Although orgasmic function did not change significantly, reduction of the other sexual functions adds to a reduced quality of life after stroke.

Authors/Disclosures
Julia Koehn, MD (University of Erlangen-Nuremberg) PRESENTER	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
Stefan Schwab, MD (U. of Erlangen, Dept. of Neurology)	Dr. Schwab has nothing to disclose.
Max J. Hilz, MD, PhD, FAAN	Dr. Hilz has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for SANOFI. Dr. Hilz has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Pfizer. Dr. Hilz has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Elsevier.
Dirk Pleimes, MD (Bayer Healthcare)	No disclosure on file

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