Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-22T19:21:26.216Z Has data issue: false hasContentIssue false
  • English
  • Français

Does surgical treatment of nasal airway obstruction improve sexual functions?

Published online by Cambridge University Press:  29 August 2019

S Cayir ,
O Hizli  and
M Gul
S Cayir
Affiliation:
Department of ENT, Aksaray University, Aksaray Education and Research Hospital, Turkey
O Hizli*
Affiliation:
Department of ENT, Giresun University, Prof Dr A Ilhan Ozdemir Education and Research Hospital, Turkey
M Gul
Affiliation:
Department of Urology, Aksaray University Faculty of Medicine, Turkey Laboratory of Reproductive Biology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
*
Author for correspondence: Dr Omer Hizli, Department of ENT, Giresun University, Prof Dr A Ilhan Ozdemir Education and Research Hospital, Giresun 28200, Turkey E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To investigate the effects of surgical treatment for nasal obstruction on sexual functions, regardless of the condition causing the nasal obstruction.

Methods

Of 238 patients identified with nasal obstruction, 57 complained of erectile dysfunction and were included in the analysis. Patients underwent septoplasty, functional endoscopic sinus surgery, concha bullosa excision or radiofrequency ablation of the inferior turbinates, depending on their obstruction-causing disease. Pre- and post-operative evaluation of perceived nasal obstruction was performed using the Nasal Obstruction Symptom Evaluation questionnaire. Pre- and post-operative assessment of sexual functions was performed using the International Index of Erectile Function.

Results

Mean post-operative scores for erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall sexual satisfaction were significantly higher compared to the pre-operative scores (p = 0.022, p = 0.036, p = 0.033, p = 0.016 and p = 0.029, respectively).

Conclusion

Surgical treatment of nasal obstruction by septoplasty, endoscopic sinus surgery, concha bullosa excision or radiofrequency can significantly improve sexual performance.

Keywords

Nasal ObstructionSinusitisSexual Dysfunctions, PhysiologicalErectile Dysfunction
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 9 , September 2019 , pp. 805 - 809
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr O Hizli takes responsibility for the integrity of the content of the paper

References

1Johansson, L, Bramerson, A, Holmberg, K, Melen, I, Akerlund, A, Bende, M. Clinical relevance of nasal polyps in individuals recruited from a general population-based study. Acta Otolaryngol 2004;124:77–81Google Scholar
2Fidan, V, Aksakal, E. Impact of septoplasty on pulmonary artery pressure in patients with markedly deviated septum. J Craniofac Surg 2011;22:1591–3Google Scholar
3Bergmark, RW, Gray, ST. Surgical management of turbinate hypertrophy. Otolaryngol Clin North Am 2018;51:919–28Google Scholar
4Kalaiarasi, R, Ramakrishnan, V, Poyyamoli, S. Anatomical variations of the middle turbinate concha bullosa and its relationship with chronic sinusitis: a prospective radiologic study. Int Arch Otorhinolaryngol 2018;22:297–302Google Scholar
5Meuleman, EJ. Prevalence of erectile dysfunction: need for treatment? Int J Impot Res 2002;14(suppl 1):S22–8Google Scholar
6NIH Consensus Development Panel on Impotence. NIH Consensus Conference. Impotence. JAMA 1993;270:83–90Google Scholar
7Benninger, MS, Benninger, RM. The impact of allergic rhinitis on sexual activity, sleep, and fatigue. Allergy Asthma Proc 2009;30:358–65Google Scholar
8Zapata, C, López-Escámez, JA. A pilot study of sexual health in patients with Ménière's disease [in Spanish]. Acta Otorrinolaringol Esp 2011;62:119–25Google Scholar
9Irer, B, Celikhisar, A, Celikhisar, H, Bozkurt, O, Demir, O. Evaluation of sexual dysfunction, lower urinary tract symptoms and quality of life in men with obstructive sleep apnea syndrome and the efficacy of continuous positive airway pressure therapy. Urology 2018;121:86–92Google Scholar
10Onerci Celebi, O, Araz Server, E, Yigit, O, Longur, ES. Adaptation and validation of the Turkish version of the Nasal Obstruction Symptom Evaluation scale. Int Forum Allergy Rhinol 2018;8:72–6Google Scholar
11Weiss, P, Brody, S. International Index of Erectile Function (IIEF) scores generated by men or female partners correlate equally well with own satisfaction (sexual, partnership, life, and mental health). J Sex Med 2011;8:1404–10Google Scholar
12Bayraktar, Z. The reliability of the Turkish version of the International Index of Erectile Function (IIEF): literature review [in Turkish]. New Journal of Urology 2017;12:63–70Google Scholar
13Cottle, M, Loring, R. Newer concepts of septum surgery; pre-sent status. Eye Ear Nose Throat Mon 1948;27:403–6Google Scholar
14Messerklinger, W. Endoscopy technique of the middle nasal meatus [in German]. Arch Otorhinolaryngol 1978;221:297–305Google Scholar
15Stammberger, H, Posawetz, W. Functional endoscopic sinus surgery. Concept, indications and results of the Messerklinger technique. Eur Arch Otorhinolaryngol 1990;247:63–76Google Scholar
16Rosen, RC, Fisher, WA, Eardley, I, Niederberger, C, Nadel, A, Sand, M et al. The multinational Men's Attitudes to Life Events and Sexuality (MALES) study: I. Prevalence of erectile dysfunction and related health concerns in the general population. Curr Med Res Opin 2004;20:607–17Google Scholar
17Kirmaz, C, Aydemir, O, Bayrak, P, Yuksel, H, Ozenturk, O, Degirmenci, S. Sexual dysfunction in patients with allergic rhinoconjunctivitis. Ann Allergy Asthma Immunol 2005;95:525–9Google Scholar
18Varendh, M, Johannisson, A, Hrubos-Strom, H, Andersson, M. Sleep quality improves with endoscopic sinus surgery in patients with chronic rhinosinusitis and nasal polyposis. Rhinology 2017;55:45–52Google Scholar
19Fidan, T, Fidan, V, Ak, M, Sutbeyaz, Y. Neuropsychiatric symptoms, quality of sleep and quality of life in patients diagnosed with nasal septal deviation. Kulak Burun Bogaz Ihtis Derg 2011;21:312–17Google Scholar
20Jankowski, JT, Seftel, AD, Strohl, KP. Erectile dysfunction and sleep related disorders. J Urol 2008;179:837–41Google Scholar
21Somers, VK, Dyken, ME, Clary, MP, Abboud, FM. Sympathetic neural mechanisms in obstructive sleep apnea. J Clin Invest 1995;96:1897–904Google Scholar
22Guo, QH, Tian, YL, Wang, Z, Li, AY, Ma, ZH, Guo, YJ et al. Endothelin receptors in augmented vasoconstrictor responses to endothelin-1 in chronic intermittent hypoxia. Clin Exp Pharmacol Physiol 2013;40:449–57Google Scholar
23Siques, P, Lopez de Pablo, AL, Brito, J, Arribas, SM, Flores, K, Arriaza, K et al. Nitric oxide and superoxide anion balance in rats exposed to chronic and long-term intermittent hypoxia. Biomed Res Int 2014;2014:610474Google Scholar