https://doi.org/10.4081/aiua.2023.11236

Sexual dysfunction: Time for a multidisciplinary approach?

Vol. 95 No. 1 (2023)
Submitted: February 3, 2023
Accepted: February 17, 2023
Published: March 15, 2023
Erectile dysfunction, MetS, Libido, Sexual health
Abstract Views: 1124
PDF: 526
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Authors

Luigi Cirillo
Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy.
Giovanni Maria Fusco
Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy.
Francesco Di Bello
fran.dibello12@gmail.com
https://orcid.org/0000-0002-8585-3701
Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy.
Vincenzo Morgera
Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy.
Gianluigi Cacace
Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy.
Ernesto Di Mauro
Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy.
Francesco Mastrangelo
Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy.
Lorenzo Romano
Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy.
Francesco Paolo Calace
Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy.
Roberto La Rocca
Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy.
Luigi Napolitano
https://orcid.org/0000-0003-2036-0356
Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy.

Sexual health impairment is one of the most important issues worldwide, with an increasing number of men and women affected. Specifically in male sexual dysfunction (SD), several risk factors were established such as atherosclerosis, hypertension, diabetes mellitus, smoking or obesity. The co-presence of more than one of risk factors identifies a condition, defined as the metabolic syndrome (MetS), related directly to the SD. However, not all the physicians involved in the MetS management routinely discussed the sexual impairment, increasing the bothering feelings of patients. Furthermore, the lack of knowledge, insufficient time, lack of attention, ambiguities about responsibility, insufficient training and experience, shared among physicians, regarding the communication and treatment of sexual dysfunction, are all reported factors involved in under-valuation of SD. The current paper represents a warning to the experts, with the aim of increasing the awareness of SD among clinicians and to promote the education, training and collaboration with sex therapists, through a multidisciplinary team, that can lead to a holistic approach in SD assessment and treatment.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Rew KT, Heidelbaugh JJ. Erectile Dysfunction. Am Fam Physician 2016; 94:820-7.
Flynn KE, Lin L, Bruner DW, et al. Sexual Satisfaction and the Importance of Sexual Health to Quality of Life Throughout the Life Course of U.S. Adults. J Sex Med.2016; 13:1642-50. DOI: https://doi.org/10.1016/j.jsxm.2016.08.011
Napolitano L, Fusco GM, Cirillo L, et al. Erectile dysfunction and mobile phone applications: Quality, content and adherence to European Association guidelines on male sexual dysfunction. Arch Ital Urol Androl 2022; 94:211-6. DOI: https://doi.org/10.4081/aiua.2022.2.211
Napolitano L, Cirillo L, Fusco GM, et al. Natural treatments for erectile dysfunction: A focus on mobile health applications. Arch Ital Urol Androl 2022; 94:373-4. DOI: https://doi.org/10.4081/aiua.2022.3.373
Mirone V, Napolitano L, D’Emmanuele di Villa Bianca R, et al. A new original nutraceutical formulation ameliorates the effect of Tadalafil on clinical score and cGMP accumulation. Arch Ital Urol Androl 2021; 93:221-6. DOI: https://doi.org/10.4081/aiua.2021.2.221
Napolitano L, Cirillo L, Fusco GM, et al. Premature ejaculation in the era of mobile health application: A current analysis and evaluation of adherence to EAU guidelines. Arch Ital Urol Androl 2022; 94:328-33. DOI: https://doi.org/10.4081/aiua.2022.3.328
Fusco GM, Cirillo L, Abate M, et al. Male infertility, what Mobile Health Applications «know»: quality analysis and adherence to European Association of Urology Guidelines. Arch Ital Urol Androl 2022; 94:470-5. DOI: https://doi.org/10.4081/aiua.2022.4.470
Di Bello F, Creta M, Napolitano L, et al. Male Sexual Dysfunction and Infertility in Spinal Cord Injury Patients: State-of-the-Art and Future Perspectives. J Pers Med. 2022; 12:873. DOI: https://doi.org/10.3390/jpm12060873
Napolitano L, Barone B, Crocetto F, et al. The COVID-19 Pandemic: Is It A Wolf Consuming Fertility? Int J Fertil Steril. 2020; 14:159-60.
Dong JY, Zhang YH, Qin LQ. Erectile dysfunction and risk of cardiovascular disease: meta-analysis of prospective cohort studies. J Am Coll Cardiol. 2011; 58:1378-85. DOI: https://doi.org/10.1016/j.jacc.2011.06.024
Zippe C, Nandipati K, Agarwal A, Raina R. Sexual dysfunction after pelvic surgery. Int J Impot Res. 2006; 18:1-18. DOI: https://doi.org/10.1038/sj.ijir.3901353
Nicolai MPJ, Both S, Liem SS, Pelger RCM, et al. Discussing sexual function in the cardiology practice. Clin Res Cardiol 2013; 102:329-36. DOI: https://doi.org/10.1007/s00392-013-0549-2
Vlachopoulos C, Rokkas K, Ioakeimidis N, Stefanadis C. Inflammation, metabolic syndrome, erectile dysfunction, and coronary artery disease: common links. Eur Urol. 2007; 52:1590-600. DOI: https://doi.org/10.1016/j.eururo.2007.08.004
Montorsi P, Ravagnani PM, Galli S, et al. Association between erectile dysfunction and coronary artery disease. Role of coronary clinical presentation and extent of coronary vessels involvement: the COBRA trial. Eur Heart J. 2006; 27:2632-9. DOI: https://doi.org/10.1093/eurheartj/ehl142
Carneiro FS, Webb RC, Tostes RC. Emerging role for TNF-a in erectile dysfunction. J Sex Med. 2010; 7:3823-34. DOI: https://doi.org/10.1111/j.1743-6109.2010.01762.x
Nicolai MPJ, Liem SS, Both S, et al. A review of the positive and negative effects of cardiovascular drugs on sexual function: a proposed table
for use in clinical practice. Neth Heart J 2014; 22:11-9. DOI: https://doi.org/10.1007/s12471-013-0482-z
Perez-Garcia LF, Te Winkel B, Carrizales JP, et al. Sexual function and reproduction can be impaired in men with rheumatic diseases: A systematic review. Semin Arthritis Rheum. 2020; 50:557-73. DOI: https://doi.org/10.1016/j.semarthrit.2020.02.002
van Ek GF, Krouwel EM, Nicolai MP, et al. Discussing Sexual Dysfunction with Chronic Kidney Disease Patients: Practice Patterns in the Office of the Nephrologist. J Sex Med. 2015; 12:2350-63. DOI: https://doi.org/10.1111/jsm.13062
Korse NS, Nicolai MPJ, Both S, et al. Discussing sexual health in spinal care. Eur Spine J 2016; 25:766-73. DOI: https://doi.org/10.1007/s00586-015-3991-1
Romano L, Zagari RM, Arcaniolo D, et al. Sexual dysfunction in gastroenterological patients: Do gastroenterologists care enough? A nationwide survey from the Italian Society of Gastroenterology (SIGE). Dig Liver Dis 2022; 54:1494-501. DOI: https://doi.org/10.1016/j.dld.2022.05.016
Romano L, Granata L, Fusco F, et al. Sexual Dysfunction in Patients With Chronic Gastrointestinal and Liver Diseases: A neglected Issue. Sex Med Rev. 2022; 10:620-31. DOI: https://doi.org/10.1016/j.sxmr.2021.02.002
Romano L, Pellegrino R, Sciorio C, et al. Erectile and sexual dysfunction in male and female patients with celiac disease: A cross-sectional observational study. Andrology. 2022; 10:910-8. DOI: https://doi.org/10.1111/andr.13186

How to Cite

Cirillo, L., Fusco, G. M., Di Bello, F., Morgera, V., Cacace, G., Di Mauro, E., Mastrangelo, F., Romano, L., Calace, F. P., La Rocca, R., & Napolitano, L. (2023). Sexual dysfunction: Time for a multidisciplinary approach?. Archivio Italiano Di Urologia E Andrologia, 95(1). https://doi.org/10.4081/aiua.2023.11236
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