....Anahtar Kelimeler: Ankilozan spondilit; erektil fonksiyon; yaşam kalitesi.
Objectives: Ankylosing spondylitis (AS), which is a chronic rheumatologic disorder, may be associated with erectile dysfunction (ED). The Aim of this study was to determine the incidence of erectile dysfunction in AS patients with a control group and to determine the risk factors for ED.
Methods: All demographic datas were recorded. Participants in both groups filled in the IIEF-5 (International Index of Erectile Function), Beck Depression Index (BDI) and Beck Anxiety Index (BAI) questionnaires, whereas, patients with AS additionally filled in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Metrological Index (BASMI) and Ankylosing Spondylitis Quality of Life (ASQoL) questionnaires. Patients were compared in terms of erectile function and predictive factors. Fifty patients with AS diagnosis and fifty healthy males were included in the study.
Results: ED of all degrees were present in the 38% and 30% of males in AS group and control group respectively with no statistical difference. However mean IIEF-EF domain score of AS group (22.3±7.0) was significantly lower than the control group (25.7±4.3) (p: 0.004). In addition BDI and BAI scores were significantly higher in the AS group. When we have divided patients in AS group into two, according to the presence or absence of ED, mean IIEF-EF domain score of patients with ED were lower than AS patients without ED. No difference was detected in both groups in terms of age and the duration of disease. Patients who had ED in AS group had significantly higher scores in BASDAI, BASFI, depression and anxiety however no significant difference was detected among groups in terms of BASMI scores. Mean IIEF score was lower in patients with AS and this had negative correlation with BASDAI, BASFI, ASQoL, BDI and BAI scores.
Conclusion: Erectile function scores were slightly lower in AS group than the control group in our study. ED risk factors were shown as disease activitiy and psychological status.