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Complications of prostate adenoma

Thus, prevention and treatment of ED represents an important means to improve patient and partner wellness and overall men’s health. Previous publications have recognized modifiable lifestyle factors such as obesity, physical activity, smoking, diet and others as Complications of prostate adenoma major contributors to the onset and evolution of both CVD and ED (8,9,23). Guidelines developed complications of prostate adenoma during the 2009 International Consultation on Sexual Dysfunction included “lifestyle modification” as a foundational step in the treatment algorithm of ED (23,24). However, patient knowledge about modifiable risk factors for ED, in particular smoking, control of CVD risk factors and sedentary lifestyle, is complications of prostate adenoma poor, and specific recommendations regarding Complications of prostate adenoma implementation of lifestyle modification have not Complications of prostate adenoma previously been outlined (25).

Additionally, questions remain as to the quantitative Complications of prostate adenoma effects lifestyle modification and supplemental therapies can have on the natural history of ED. The aim of this review is to delineate lifestyle choices which may impose an increased risk of developing ED, complications of prostate adenoma present relevant studies addressing behavioral factors correlated with ED, as well as highlight proposed mechanisms for intervention aimed at improving erectile function in men with ED. Go Complications of prostate adenoma to: Smoking Smoking has been shown in several studies to be positively associated with an increased risk of ED. Longitudinal epidemiologic studies have reported a relative risk of developing ED 1.5–2 times Complications of prostate adenoma more in smokers in comparison to non-smokers (7,8,26,27).

In the Boston Area Community Health complications of prostate adenoma survey, a cross-sectional study of 2,301 men, a dose-response relationship complications of prostate adenoma was demonstrated between smoking and ED (28). Significance was achieved at 20-pack years cumulative exposure after complications of prostate adenoma adjusting for risk factors of age, CVD, and diabetes.

Though not found to be significant, passive smoking exposure trended toward a significant risk complications of prostate adenoma of ED.

While this study Complications of prostate adenoma complications of prostate adenoma design is subject to recall bias, it may provide important information when quantifying risk of ED due to smoking exposure. Positive dose-response Complications of prostate adenoma association between quantity and duration of smoking with risk of ED was confirmed in a meta-analysis of observational epidemiologic studies (29).

The investigators found an incremental increased risk of ED per 10 cigarettes smoked per day and 10 years of smoking, by 14% and 15%, respectively. An individualized inverse dose-response relationship was seen in male smokers undergoing polysomnographic assessment of nocturnal penile tumescence (NPT), where the highest consumers of cigarettes (>40 cigarettes per day) had the fewest minutes of nocturnal tumescence and detumesced fastest (30). At a molecular and cellular level in the animal model, cigarette smoking (CS) is linked to significantly higher markers of oxidative stress and cavernosal tissue apoptosis (31). CS exposed rats were noted to have significantly lower expression of cavernosal neuronal nitric oxide synthase (nNOS) and decreased endothelial and smooth muscle content, supporting the role of endothelial dysfunction in pathophysiology of ED (12). The effect of smoking cessation on erectile function has also been examined. prospectively studied a sample of men Complications of prostate adenoma with ED and smoking as their Complications of prostate adenoma only risk factor; excluded were men with other risk factors for ED such as diabetes, hypertension, dyslipidemia, peripheral vascular disease, psychiatric disorders, complications of prostate adenoma and renal failure. At baseline, severity of ED was found to be significantly correlated to duration of exposure in pack-years (32).

At follow-up 1 year after smoking cessation, patients who successfully stopped smoking (ex-smokers) had a 25% improvement in erectile function, while men who continued (current smokers) did not improve.







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