ArticleInternational braz j urol : official journal of the Brazilian Society of Urology
Erectile dysfunction in ankylosing spondylitis patients.
Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 19 citations in OpenAlex.
- From arthritis to erectile dysfunction: potential pathophysiological mechanisms and multidisciplinary integrated management.Frontiers in cell and developmental biology · 2026Review
- Sexual Dysfunction in Systemic Autoimmune Rheumatic Diseases: Prevalence, Impact, and Management Strategies.Mediterranean journal of rheumatology · 2025Review
- Psychosocial burden of axial spondyloarthritis and impact of different disease domains: a systematic literature review.Rheumatology advances in practice · 2025Review
- Arthritis increases the risk of erectile dysfunction: Results from the NHANES 2001-2004.Frontiers in endocrinology · 2024Article
- Erectile dysfunction in ankylosing spondylitis: a systematic review and meta-analysis.Sexual medicine · 2023Review
- Rheumatology-led pregnancy clinic: men perspective.Clinical rheumatology · 2021Review
- French survey on the crossed needs on sexual health for chronic inflammatory rheumatism patients and healthcare professionals.Rheumatology international · 2020Observational
- Effects of Ankylosing Spondylitis on Erectile Function.Sisli Etfal Hastanesi tip bulteni · 2020Article
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Authors and funding
6 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundRheumatic diseases such as ankylosing spondylitis (AS) may be associated with sexual dysfunction.
aimTo study erectile function of a group of Brazilian AS patients comparing them with controls. MATERIALS AND
methodsThis was a cross sectional study approved by the local Committee of Ethics in Research. The questionnaire IIEF (International Index of Erectile Function) was applied to 40 AS patients and 40 healthy controls. AS patients had determination of disease activity (through BASDAI or Bath Ankylosing Spondylitis Disease activity index), ASDAS (Ankylosing Spondylitis Disease Activity Score, MASES or Maastricht Ankylosing Spondylitis Score and SPARCC or Spondyloarthritis Research Consortium of Canada), function (through BASFI or Bath Ankylosing Spondylitis Functional Index and HAQ or Health Assessment Questionnaire) and BASMI (Bath Ankylosing Spondylitis Metrological Index).
resultsAS patients had a median score on IIEF of 22.0 (IQR=18-25) while controls had 29 (IQR=27-30) with p<0.0001 Only 17.5% of the AS patients had no erectile dysfunction, in opposite to 87.5% of controls (p<0.0001). IIEF scores had a negative association with BASDAI (p<0.0001), HAQ (p=0.05), body mass index (P=0.03), MASES (P=0.02) and SPARCC (P=0.02) in a univariate analysis. Multiple regression showed that BASDAI was the only variable independently associated with IIEF.
conclusionThere is a high prevalence of erectile dysfunction among AS patients that is associated with disease activity measured by BASDAI.
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