Abstract | OBJECTIVES: METHODS: In a cross-sectional study, 111 male patients with positive serology for HTLV-I (by enzyme-linked immunosorbent assay and Western blot) were examined between October 2003 and December 2006. Exclusion criteria were age <18 and >80 years, other neurological diseases, penile prosthesis, neoplasm, and psychological and mental disease. Patients were evaluated by a urologist and neurologist. ED was determined by application of the abridged form of 5-item International Index of Erectile Function (IIEF-5). ED was defined as IIEF-5 <or= 21. OB was determined by International Continence Society criteria. Using the Expanded Disability Status Scale (EDSS) to determine disautonomy status, a neurologist classified all patients as either asymptomatic carriers (EDSS = 0), "oligosymptomatic myelopathy" (EDSS > 0 e <or= 2), or HTLV-1-associated myelopathy/ tropical spastic paraparesis (HAM/TSP); (EDSS > 2). Diagnosis of HAM/TSP was performed according to World Health Organization recommendations. RESULTS: Of the total of 111 patients, 6 were excluded and 105 were analyzed. The mean age was 48 +/- 10.7 years. ED was observed in 55.2%. ED was documented in all patients who had HAM/TSP, in 79% of the group with EDSS > 0 and <or=2, and in 35.9% of HTLV-1-infected individuals with EDSS = 0. OB was detected in 93.75%, 33.3%, and 4.6%, respectively. Moreover, there was an association observed between ED and OB. CONCLUSIONS: ED is a frequent disease in HTLV-I-infected individuals, and the prevalence is directly correlated to the degree of neurological disability measured by EDSS. ED was strongly associated with OB symptoms.
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Authors | Paulo Oliveira, Néviton M Castro, André L Muniz, Davi Tanajura, Julio C Brandão, Aurélia F Porto, Edgar M Carvalho |
Journal | Urology
(Urology)
Vol. 75
Issue 5
Pg. 1100-3
(May 2010)
ISSN: 1527-9995 [Electronic] United States |
PMID | 20189229
(Publication Type: Journal Article)
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Copyright | Copyright 2010 Elsevier Inc. All rights reserved. |
Topics |
- Adult
- Aged
- Cross-Sectional Studies
- Erectile Dysfunction
(epidemiology, etiology)
- HTLV-I Infections
(complications)
- Humans
- Male
- Middle Aged
- Prevalence
- Urinary Bladder, Overactive
(complications)
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