The state of erectile function in patients with chronic pelvic pain syndrome
The article presents data on the state of erectile dysfunction in patients with chronic pelvic pain syndrome (CPPS). Disordered erectile dysfunction was found in 54.7% of patients. The degree of erectile dysfunction, according to a questionnaire survey, significantly increased with the age of patients (р = 0.002). Clinical outcomes of intracavernous injection of alprostadil in patients with CPPS did not have a statistical dependence on age (р = 0.658). As was observed during Doppler ultrasound with a pharmacological agent, cases of an insufficient increase of blood flow velocity were prevalent in patients with marked symptoms of CPPS (р = 0.091). The obtained data permit to state that patients with CPPS have risk factors for ED characteristic of the population in general. But additional influence on the decrease of erectile dysfunction is exerted by the severity of pelvic pain symptoms. These assumptions provide a basis for therapeutic tactics in ED in patients with CPPS - use of vascular drugs and means for management of pelvic pain.