Effects of obstructive sleep apnea and its treatment over the erectile function: a systematic review

Erectile dysfunction (ED) is considered a condition with a broad range of etiologies. Obstructive sleep apnea (OSA) syndrome is one of the lesser studied risk factors for ED. We intend to summarize the current evidence on the relationship between OSA and sexual impairment, focusing on the results in...

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Main Authors: Felix Campos-Juanatey, Marcos Fernandez-Barriales, Monica Gonzalez, Jose A Portillo-Martin
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Asian Journal of Andrology
Subjects:
Online Access:http://www.ajandrology.com/article.asp?issn=1008-682X;year=2017;volume=19;issue=3;spage=303;epage=310;aulast=Campos-Juanatey
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author Felix Campos-Juanatey
Marcos Fernandez-Barriales
Monica Gonzalez
Jose A Portillo-Martin
author_facet Felix Campos-Juanatey
Marcos Fernandez-Barriales
Monica Gonzalez
Jose A Portillo-Martin
author_sort Felix Campos-Juanatey
collection DOAJ
description Erectile dysfunction (ED) is considered a condition with a broad range of etiologies. Obstructive sleep apnea (OSA) syndrome is one of the lesser studied risk factors for ED. We intend to summarize the current evidence on the relationship between OSA and sexual impairment, focusing on the results in terms of erectile function of the different therapies offered to OSA patients. A systematic review was conducted, selecting articles related to the physiology of OSA and ED, and to the treatments of OSA syndrome and their reported outcomes in erectile and sexual function. Higher prevalences of ED in the OSA groups have been published. However, whether this effect on the erectile function occurs in the entire range of OSA severities remains unclear. Several hypotheses were proposed to explain the physiology of this association. Continuous Positive Airway Pressure as a treatment for OSA patients with ED has achieved a significative improvement in the sexual parameters in most of the studies. Phosphodiesterase type 5 inhibitors (iPDE5) on demand are useful as a treatment for ED in this subgroup of patients, with high satisfaction rates. The surgical treatment for the OSA evidenced benefits over the erectile function, and the effect on the sexual satisfaction of the therapy using Mandibular Advancement Devices is still undefined.
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spelling doaj.art-0dd5af9bf9e349b4b8bd52948f0471562022-12-22T03:52:20ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622017-01-0119330331010.4103/1008-682X.170440Effects of obstructive sleep apnea and its treatment over the erectile function: a systematic reviewFelix Campos-JuanateyMarcos Fernandez-BarrialesMonica GonzalezJose A Portillo-MartinErectile dysfunction (ED) is considered a condition with a broad range of etiologies. Obstructive sleep apnea (OSA) syndrome is one of the lesser studied risk factors for ED. We intend to summarize the current evidence on the relationship between OSA and sexual impairment, focusing on the results in terms of erectile function of the different therapies offered to OSA patients. A systematic review was conducted, selecting articles related to the physiology of OSA and ED, and to the treatments of OSA syndrome and their reported outcomes in erectile and sexual function. Higher prevalences of ED in the OSA groups have been published. However, whether this effect on the erectile function occurs in the entire range of OSA severities remains unclear. Several hypotheses were proposed to explain the physiology of this association. Continuous Positive Airway Pressure as a treatment for OSA patients with ED has achieved a significative improvement in the sexual parameters in most of the studies. Phosphodiesterase type 5 inhibitors (iPDE5) on demand are useful as a treatment for ED in this subgroup of patients, with high satisfaction rates. The surgical treatment for the OSA evidenced benefits over the erectile function, and the effect on the sexual satisfaction of the therapy using Mandibular Advancement Devices is still undefined.http://www.ajandrology.com/article.asp?issn=1008-682X;year=2017;volume=19;issue=3;spage=303;epage=310;aulast=Campos-Juanateycontinuous positive airway pressure; erectile dysfunction; obstructive sleep apnea; operative surgical procedures; phosphodiesterase type 5 inhibitors
spellingShingle Felix Campos-Juanatey
Marcos Fernandez-Barriales
Monica Gonzalez
Jose A Portillo-Martin
Effects of obstructive sleep apnea and its treatment over the erectile function: a systematic review
Asian Journal of Andrology
continuous positive airway pressure; erectile dysfunction; obstructive sleep apnea; operative surgical procedures; phosphodiesterase type 5 inhibitors
title Effects of obstructive sleep apnea and its treatment over the erectile function: a systematic review
title_full Effects of obstructive sleep apnea and its treatment over the erectile function: a systematic review
title_fullStr Effects of obstructive sleep apnea and its treatment over the erectile function: a systematic review
title_full_unstemmed Effects of obstructive sleep apnea and its treatment over the erectile function: a systematic review
title_short Effects of obstructive sleep apnea and its treatment over the erectile function: a systematic review
title_sort effects of obstructive sleep apnea and its treatment over the erectile function a systematic review
topic continuous positive airway pressure; erectile dysfunction; obstructive sleep apnea; operative surgical procedures; phosphodiesterase type 5 inhibitors
url http://www.ajandrology.com/article.asp?issn=1008-682X;year=2017;volume=19;issue=3;spage=303;epage=310;aulast=Campos-Juanatey
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AT monicagonzalez effectsofobstructivesleepapneaanditstreatmentovertheerectilefunctionasystematicreview
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