Is There a Correlation between Endoscopic Sinus Surgery and Improvement in Erectile Dysfunction?

Background: In recent years, the focus on respiratory disorders has increased, notably on chronic rhinosinusitis (CRS), an inflammatory condition of the upper airway that can significantly impact one’s quality of life. Interestingly, CRS has emerged as a potential comorbidity in erectile dysfunction...

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Main Authors: Antonio Romano, Umberto Committeri, Vincenzo Abbate, Marco Sarcinella, Francesco Maffia, Simona Barone, Stefania Troise, Giovanni Salzano, Riccardo Nocini, Paola Bonavolontà, Giovanni Dell’Aversana Orabona
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/20/6626
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author Antonio Romano
Umberto Committeri
Vincenzo Abbate
Marco Sarcinella
Francesco Maffia
Simona Barone
Stefania Troise
Giovanni Salzano
Riccardo Nocini
Paola Bonavolontà
Giovanni Dell’Aversana Orabona
author_facet Antonio Romano
Umberto Committeri
Vincenzo Abbate
Marco Sarcinella
Francesco Maffia
Simona Barone
Stefania Troise
Giovanni Salzano
Riccardo Nocini
Paola Bonavolontà
Giovanni Dell’Aversana Orabona
author_sort Antonio Romano
collection DOAJ
description Background: In recent years, the focus on respiratory disorders has increased, notably on chronic rhinosinusitis (CRS), an inflammatory condition of the upper airway that can significantly impact one’s quality of life. Interestingly, CRS has emerged as a potential comorbidity in erectile dysfunction (ED). This study aims to assess the impact of endoscopic sinus surgery for CRS on sexual function. Materials and Methods: The authors conducted a prospective study of patients who visited their clinics for chronic rhinosinusitis between June 2018 and June 2022. The study involved 53 patients aged between 40 and 70 years who were treated for CRS with nasal polyps (CRSwNP) and CRS without nasal polyps (CRSsNP). Preoperative and postoperative assessments were performed using the Nasal Obstruction Symptoms Evaluation Score (NOSE score) and the 5th International Index of Erectile Function Score (IIEF-5 score) to evaluate potential improvements in sexual function following endoscopic sinus surgery. Results: Before surgery, the average NOSE score was 72.6, which decreased to 24.9 postoperatively. The average preoperative IIEF-5 score was 16.35, while the postoperative average increased to 19.52. Statistical analysis revealed a significant improvement in erectile function for penetration (<i>p</i>-value = 0.024) and overall satisfaction after intercourse (<i>p</i>-value < 0.001) regarding the degree of nasal obstruction. Conclusion: This study underscores the potential benefits of treating chronic obstructive upper airway diseases such as sinusitis in improving the sexual outcomes of patients clinically diagnosed with erectile dysfunction.
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spelling doaj.art-126b5b59b55a41fbafd5c0c44dbbf80c2023-11-19T16:53:44ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011220662610.3390/jcm12206626Is There a Correlation between Endoscopic Sinus Surgery and Improvement in Erectile Dysfunction?Antonio Romano0Umberto Committeri1Vincenzo Abbate2Marco Sarcinella3Francesco Maffia4Simona Barone5Stefania Troise6Giovanni Salzano7Riccardo Nocini8Paola Bonavolontà9Giovanni Dell’Aversana Orabona10Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, Via Pansini 5, 80100 Naples, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, Via Pansini 5, 80100 Naples, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, Via Pansini 5, 80100 Naples, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, Via Pansini 5, 80100 Naples, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, Via Pansini 5, 80100 Naples, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, Via Pansini 5, 80100 Naples, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, Via Pansini 5, 80100 Naples, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, Via Pansini 5, 80100 Naples, ItalyUnit of Otolaryngology, Head and Neck Department, University of Verona, 37134 Verona, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, Via Pansini 5, 80100 Naples, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, Via Pansini 5, 80100 Naples, ItalyBackground: In recent years, the focus on respiratory disorders has increased, notably on chronic rhinosinusitis (CRS), an inflammatory condition of the upper airway that can significantly impact one’s quality of life. Interestingly, CRS has emerged as a potential comorbidity in erectile dysfunction (ED). This study aims to assess the impact of endoscopic sinus surgery for CRS on sexual function. Materials and Methods: The authors conducted a prospective study of patients who visited their clinics for chronic rhinosinusitis between June 2018 and June 2022. The study involved 53 patients aged between 40 and 70 years who were treated for CRS with nasal polyps (CRSwNP) and CRS without nasal polyps (CRSsNP). Preoperative and postoperative assessments were performed using the Nasal Obstruction Symptoms Evaluation Score (NOSE score) and the 5th International Index of Erectile Function Score (IIEF-5 score) to evaluate potential improvements in sexual function following endoscopic sinus surgery. Results: Before surgery, the average NOSE score was 72.6, which decreased to 24.9 postoperatively. The average preoperative IIEF-5 score was 16.35, while the postoperative average increased to 19.52. Statistical analysis revealed a significant improvement in erectile function for penetration (<i>p</i>-value = 0.024) and overall satisfaction after intercourse (<i>p</i>-value < 0.001) regarding the degree of nasal obstruction. Conclusion: This study underscores the potential benefits of treating chronic obstructive upper airway diseases such as sinusitis in improving the sexual outcomes of patients clinically diagnosed with erectile dysfunction.https://www.mdpi.com/2077-0383/12/20/6626chronic rhinosinusitisendoscopic sinus surgerynasal obstructionerectile dysfunction
spellingShingle Antonio Romano
Umberto Committeri
Vincenzo Abbate
Marco Sarcinella
Francesco Maffia
Simona Barone
Stefania Troise
Giovanni Salzano
Riccardo Nocini
Paola Bonavolontà
Giovanni Dell’Aversana Orabona
Is There a Correlation between Endoscopic Sinus Surgery and Improvement in Erectile Dysfunction?
Journal of Clinical Medicine
chronic rhinosinusitis
endoscopic sinus surgery
nasal obstruction
erectile dysfunction
title Is There a Correlation between Endoscopic Sinus Surgery and Improvement in Erectile Dysfunction?
title_full Is There a Correlation between Endoscopic Sinus Surgery and Improvement in Erectile Dysfunction?
title_fullStr Is There a Correlation between Endoscopic Sinus Surgery and Improvement in Erectile Dysfunction?
title_full_unstemmed Is There a Correlation between Endoscopic Sinus Surgery and Improvement in Erectile Dysfunction?
title_short Is There a Correlation between Endoscopic Sinus Surgery and Improvement in Erectile Dysfunction?
title_sort is there a correlation between endoscopic sinus surgery and improvement in erectile dysfunction
topic chronic rhinosinusitis
endoscopic sinus surgery
nasal obstruction
erectile dysfunction
url https://www.mdpi.com/2077-0383/12/20/6626
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