title: High frequency of sexual dysfunction in patients with male accessory gland infections.
abstract: The aim of this study was to administer to two groups of patients with male accessory gland infection (MAGI), respectively, with positive or negative alterations in ultrasonography, a new diagnostic interview, arbitrarily named structured interview about MAGI (SI-MAGI), to evaluate differences between these groups, especially about the prevalence of sexual dysfunction. After ultrasound examinations, patients with MAGI were divided into two age-matched groups: positive and negative for ultrasound signs (US+ and US-). The SI-MAGI was structured into four domains (urinary tract symptoms, ejaculatory pain or discomfort, sexual dysfunction and quality-of-life impact) for a total of 30 questions with four possible answers. Infertile patients of MAGI US+ group showed scores significantly higher than MAGI US- and healthy control group in all domains (anovaP < 0.005) in relation to scores of patients with MAGI US+ and US-: in domain 1 = 16.0 ± 0.5 vs 9.0 ± 0.5, domain 2 = 21.0 ± 1.0 vs 11.0 ± 1.0, domain 3 = 23.0 ± 0.5 vs 12.0 ± 1.0 and, finally, in domain 4 = 13.0 ± 2.0 vs 6.0 ± 1.0. In particular, a higher frequency of sexual dysfunction (52%) was detected in MAGI US+ group when compared with MAGI US- (28%). This study introduces a specific set of questions, which combined with the sperm analysis, microbiological and ultrasound investigations, that altogether better express the clinical presentation of MAGI. Finally, MAGI US+ group showed a high percentage of sexual dysfunction.
authors.affiliation: Section of Endocrinology, Andrology and Internal Medicine and Master in Andrological, Human Reproduction and Biotechnology Sciences, Department of Internal Medicine and Systemic Diseases, University of Catania, Catania, Italy. sandrolavignera@email.it
authors.forename: S
authors.initials: S
authors.lastname: La Vignera
authors.forename: R
authors.initials: R
authors.lastname: Condorelli
authors.forename: E
authors.initials: E
authors.lastname: Vicari
authors.forename: R
authors.initials: R
authors.lastname: D'Agata
authors.forename: A E
authors.initials: AE
authors.lastname: Calogero
mesh_terms: D000328:Adult; D005832:Genital Diseases, Male / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D008297:Male; D011788:Quality of Life; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*; D011795:Surveys and Questionnaires