MP45-07 ERECTILE DYSFUNCTION AND HYPOGONADISM ARE UNDERREPORTED IN MEN WITH SPINA BIFIDA

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP45-07 ERECTILE DYSFUNCTION AND HYPOGONADISM ARE UNDERREPORTED IN MEN WITH SPINA BIFIDA Nyemkuna Fortingo, Garrick Greear, Tung-Chin Hsieh, Rupam Das, Joshua Horns, James Hotaling, and Yahir Santiago-Lastra Nyemkuna FortingoNyemkuna Fortingo More articles by this author , Garrick GreearGarrick Greear More articles by this author , Tung-Chin HsiehTung-Chin Hsieh More articles by this author , Rupam DasRupam Das More articles by this author , Joshua HornsJoshua Horns More articles by this author , James HotalingJames Hotaling More articles by this author , and Yahir Santiago-LastraYahir Santiago-Lastra More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003291.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Spina Bifida is a congenital neurological defect associated with genitourinary anomalies, requiring comprehensive urological care from pediatrics to adulthood. For men with spina bifida, a significant focus is on urinary tract surveillance to maintain continence, preserve kidney and bladder health, and optimize fertility and sexual function. While men with SB have an increasing interest in exploring their sexuality and sexual health, these concerns may be under-discussed and undertreated depending on their burden of illness. Concurrently, the impact of hypogonadism on the SB is unknown. Hypogonadism is associated with increased insulin resistance in young males, hyperlipidemia, and other adverse vascular effects. These risk factors play a role in the vascular etiology of erectile dysfunction and can be a burden on sexual health. Our objective was to calculate the estimated prevalence of erectile dysfunction and hypogonadism in adult men with spina bifida. METHODS: This retrospective claims study used the MarketScan® databases from 2008 to 2017 to derive prevalence estimates for erectile dysfunction and hypogonadism in men with spina bifida, to compare these estimates to those in men without spina bifida, and to describe treatment patterns in this cohort. RESULTS: The estimated prevalence of erectile dysfunction and hypogonadism in men with spina bifida was 7.83% and 7.71%, respectively. Men with spina bifida in the sample exhibited high rates of smoking and metabolic comorbidities, but were diagnosed less frequently with erectile dysfunction when controlling for age and metabolic comorbidities than men without spina bifida. CONCLUSIONS: Based on the results, claims data suggest that HG and ED are diagnosed less frequently than expected. While there are some limitations to the population being examined in this database, improving health care delivery of sexual health concerns during the surveillance of men with spina bifida will enhance their quality of life and optimize their sexual and metabolic function. Source of Funding: N/A © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e623 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nyemkuna Fortingo More articles by this author Garrick Greear More articles by this author Tung-Chin Hsieh More articles by this author Rupam Das More articles by this author Joshua Horns More articles by this author James Hotaling More articles by this author Yahir Santiago-Lastra More articles by this author Expand All Advertisement PDF downloadLoading ...