This study aimed to present the impact of coronavirus disease pandemic on seeking treatment in patients with erectile dysfunction ED and compare the clinical characteristics, demographics, and laboratory analysis of patients with ED during and before the pandemic period. The clinical and demographic characteristics and laboratory analysis of patients with ED were compared between the time interval of March 9,to June 1,and the previous 3 months from the pandemics. The International Index of Erectile Function-5 questionnaire was used to assess ED and the results from two groups were compared. The median age of patients was smaller in the pandemic period. Mild ED was significantly higher in the pandemic period and moderate ED was detected higher in the period before the pandemic. The admission rate of patients with ED has Male Escort Website Global in the pandemic period. The patients presenting with ED during the pandemic period were younger, with milder ED symptoms. Coronavirus disease has negatively affected sexual life, as well as all life aspects. Most of the studies were commentary or review articles, and only a few studies were designed as research articles that were based on online questionnaires. To the best of our knowledge, this study is one of the few clinical studies that compared the data of the pandemic period and normal period in literature. We revealed that patients who presented with erectile dysfunction ED during the pandemic period were younger, with milder ED symptoms. Erectile dysfunction ED is defined as the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance 1. ED is a worldwide health problem that is increasing with aging, with negative impacts on the quality of life among males 2. Disasters like the coronavirus disease Male Escort Website Global pandemics lead to an increased psychological burden, a result of both fear from the disease and problems caused by social isolation. This psychological burden can negatively affect the erectile functions in males. The worldwide total cases reached , and the total deaths reached 2, 9. The first case was reported on March 11,and the actual number of cases and deaths from COVID areand 9, respectively, in Turkey 9. During the COVID pandemic, the workload of hospitals has increased and several healthcare measures were taken by hospital systems and governments. Many of the hospitals have turned to quarantine or pandemic hospitals and had to serve solely patients with COVID The number of outpatient clinics of urology has been decreased and elective surgeries have been canceled 9, Hence, the practice of sexual medicine has been dramatically impacted, as most procedures and consultations are essentially elective. Some articles evaluated the challenges in the practice of sexual medicine in the COVID era in literature Most of the studies were commentary or review articles, only a few studies were designed as research articles that were based on online questionnaires This study aimed to present the impact of the COVID pandemic on seeking treatment in patients with ED and compare the clinical characteristics, demographics, and laboratory analysis of patients with ED between the pandemic period and before the pandemic period. To the best of our knowledge, this study is one of the few clinical studies that compared the data of pandemic and normal period in the literature. The total outpatient clinics and the number of patients with ED were retrospectively recorded. The clinical and Male Escort Website Global characteristics age, body mass index, smoking, comorbidities, etc. The severity of ED was also compared between the groups. The Statistical Package for the Social Sciences software version The Kolmogorov-Smirnov and Shapiro-Wilk normality tests were used to state the continuous normally distributed data. The chi-square test was used for the comparison of categorical data and the Mann-Whitney U test to compare parameters that were not normally distributed. The total number of outpatient clinics was 40, in the period before the pandemics and 9, in the pandemic period. The number of patients with ED was in the period before the pandemics and in the pandemic period. Smoking rates were significantly detected higher in the pandemic period When the severity of ED was compared between the groups; mild ED was significantly higher in the pandemic period 4. The comparison of the two groups in terms of demographics and clinical characteristics was presented in Table 1. According to laboratory analysis, the median values of LDL, total cholesterol, and total testosterone were significantly lower in the pandemic period Table 2. COVID has negatively affected sexual life, as well as all life aspects. Some reports were published about the challenges in the practice of sexual medicine in the COVID era from several countries Li et al. Jacob et al.
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