CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2024; 43(04): e245-e250
DOI: 10.1055/s-0044-1796654
Original Article

Comparison of Premature Ejaculation in Men with Focal Epilepsy and Generalized Tonic-Clonic Epilepsy

Comparação da ejaculação precoce em homens com Epilepsia Focal e Epilepsia Tônico-Clônica Generalizada
1   School of Medicine, Shahid Mostafa Khomaeini Hospital, Ilam University of Medical Sciences, Ilam, Iran
,
Masoumeh Otaghi
2   Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
,
Seyed Hossein Aghamiri
3   Department of Neurology, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
› Author Affiliations
Funding No funding was received.

Abstract

Introduction premature ejaculation (PE) is one of the most common sexual disorders in men.

Objectives Considering the importance of sexual health in men, especially patients with epilepsy, this study was conducted with the aim of comparing premature ejaculation in men with focal epilepsy and generalized tonic-clonic seizure (GTCS).

Methods In this cross-sectional and observational study, patients with epilepsy were included in the study. The examined patients were examined by psychiatrists and neurologists, and sampling was done according to the entry and exit criteria. The total sample size was 200 people, including 100 patients with focal epilepsy and 100 patients with GTCS. The tools used included demographic profile form, Men Sexual Health Questionnaire (MSHQ), Sexual Quality of Life-Men (SQOL-M), and Premature Ejaculation Diagnostic Tool (PEDT). The study was conducted to include patients referred to specialized clinics and hospitals and who had the necessary conditions to participate in the study. Considering that all the patients were male, the questioning was done by a male researcher. Then, the extracted data were entered into SPSS statistical software.

Results Result showed, the M(SD) age of the patients in the focal epilepsy group was equal to 30.18(3.85). M(SD) score of MSHQ tool was equal to 51.81 (11.98), SQOL-M tool was equal to 34.75 (9.36) and PEDT tool was equal to 8.63 (4.79). In this study, although the M(SD) of the PE score in the focal epilepsy group was reported to be 9.17 (4.49) higher than that of the GTCS group with a rate of 8.09 (5.04), but this difference was not significant. also, the findings showed that there was a significant relationship between the status of the PEDT score, the status of the SQOL-M score, and the MSH score (p < 0.05). MSHQ score and SQOL-M score were reported to be lower in patients with PE disorder.

Conclusion According to the findings, the prevalence of sexual disorders including PE in both groups of patients with epilepsy is significant. For this reason, it is necessary to carry out pharmacological and non-pharmacological interventions to reduce the rate of PE in these patients.

Resumo

Introdução A ejaculação precoce (EP) é um dos distúrbios sexuais mais comuns em homens.

Objetivos Considerando a importância da saúde sexual em homens especialmente pacientes com epilepsia este estudo foi conduzido visando comparar a ejaculação precoce em homens com epilepsia focal e crise tônico-clônica generalizada (CTCG).

Métodos Neste estudo transversal e observacional pacientes com epilepsia foram incluídos no estudo. Os pacientes examinados foram examinados por psiquiatras e neurologistas e a amostragem foi feita conforme os critérios de entrada e saída. O tamanho total da amostra foi de 200 pessoas incluindo 100 pacientes com epilepsia focal e 100 pacientes com CTCG. As ferramentas utilizadas incluíram formulário de perfil demográfico Questionário de Saúde Sexual Masculina (MSHQ) Qualidade de Vida Sexual-Masculina (SQOL-M) e Ferramenta de Diagnóstico de Ejaculação Precoce (PEDT). O estudo foi conduzido de forma a incluir os pacientes encaminhados para clínicas e hospitais especializados e que tivessem as condições necessárias para participar do estudo. Considerando que todos os pacientes eram do sexo masculino o questionamento foi feito por um pesquisador do sexo masculino. Em seguida os dados extraídos foram inseridos no software estatístico SPSS.

Resultados Os resultados mostraram que a idade M(DP) dos pacientes no grupo de epilepsia focal foi igual a 30.18 (3.85). A pontuação M(DP) da ferramenta MSHQ foi igual a 51.81 (11.98)a ferramenta SQOL-M foi igual a 34.75 (9.36) e a ferramenta PEDT foi igual a 8.63 (4.79). Neste estudo embora a M(DP) da pontuação PE no grupo de epilepsia focal tenha sido relatada como 9.17 (4.49) maior do que a do grupo GTCS com uma taxa de 8.09 (5.04) mas essa diferença não foi significativa. Além disso os resultados mostraram que houve uma relação significativa entre o status da pontuação PEDT o status da pontuação SQOL-M e a pontuação MSH (p < 0.05). A pontuação MSHQ e a pontuação SQOL-M foram relatadas como sendo menores em pacientes com transtorno de EP.

Conclusão Segundo as descobertas a prevalência de transtornos sexuais incluindo EP em ambos os grupos de pacientes com epilepsia é significativa. Por esse motivo é necessário realizar intervenções farmacológicas e não farmacológicas para reduzir a taxa de EP nesses pacientes.

Authors' Contribution

SHA, MO, and AD conceived the study, performed data analysis, and wrote the manuscript. SHA, MO, and AD collected data and wrote the manuscript. SHA, MO, and AD interpreted the results and wrote the manuscript. SHA, MO, and AD designed the study, and wrote, and edited the manuscript.


Data Reproducibility

The dataset presented in the study is available on request from the corresponding author during submission or after its publication. The data are not publicly available due to [confidentiality].


Ethical Approval

The current study was conducted after obtaining approval by the Ethics Committee of ilam University of Medical Sciences (IR.MEDILAM.REC.1403.027).


https://ethics.research.ac.ir/ProposalCertificateEn.php?id=463349&Print=true&NoPrintHeader=true&NoPrintFooter=true&NoPrintPageBorder=true&LetterPrint=true


Informed Consent

Informed consent was obtained.




Publication History

Received: 02 July 2024

Accepted: 18 October 2024

Article published online:
11 December 2024

© 2024. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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