Erectile dysfunction and atrial fibrillation: A systematic review and meta-analysis

International Journal of Urology : Official Journal of the Japanese Urological Association
Ronpichai ChokesuwattanaskulWisit Cheungpasitporn

Abstract

To investigate the pooled incidence or the prevalence of erectile dysfunction, and to assess the risk of erectile dysfunction in patients with atrial fibrillation. A systematic review was carried out in the MEDLINE, EMBASE and Cochrane databases from inception through January 2018 to identify: (i) studies that reported the incidence and/or prevalence of erectile dysfunction in atrial fibrillation patients; or (ii) studies that assessed the association between atrial fibrillation and erectile dysfunction. Pooled odds ratios and 95% confidence intervals were calculated using a random effects model. Five observational studies (27 841 patients) were enrolled. The pooled estimated prevalence of erectile dysfunction in atrial fibrillation patients was 57% (95% confidence interval 50-64, I2  = 0). A study showed an incidence of newly diagnosed erectile dysfunction in atrial fibrillation patients of 0.96% during the mean follow-up duration of 4.67 ± 3.20 years. There was a significant association of atrial fibrillation with an increased risk of erectile dysfunction, with a pooled odds ratio of 1.79 (95% confidence interval 1.44-2.23, I2  = 0%). The data on the risk of atrial fibrillation development in patients with erectile dysfunctio...Continue Reading

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Citations

Jun 30, 2021·European Urology·Andrea SaloniaUNKNOWN EAU Working Group on Male Sexual and Reproductive Health

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