Risk Assessment of the Onset of Sleep-related Painful Erection
10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).20240004.008
- VernacularTitle:睡眠相关痛性勃起发病相关风险的评估
- Author:
Haibing HU
1
;
Kunkun ZHAO
1
;
Yongyi CHEN
1
;
Daosheng LUO
2
;
Wenjun BAI
3
;
Ping LI
4
;
Li ZHANG
5
Author Information
1. Department of Urology， Dongguan Tungwah Hospital， Dongguan 523000， China
2. Department of Urology， Dongguan People's Hospital of Southern Medical Hospital， Dongguan523059， China
3. Department of Urology， People's Hospital of Peking University， Beijing 100105， China
4. Department of Urology， Foresea Life Insurance Guangzhou General Hospital， Guangzhou 513000， China
5. Department of Respiratory Diseases， Dongguan Tungwah Hospital， Dongguan 523000， China
- Publication Type:Journal Article
- Keywords:
sleep;
abnormal erection;
painful erection;
erectile dysfunction： risk assessment
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2024;45(1):161-170
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveSleep-related painful erections （SRPE） is a rare sleep disorder characterized by repeated awakening due to painful interruptions of penile erections during nighttime sleep， and its etiology is currently unclear. The purpose of this study is to explore the impact of potential risk factors on the incidence of SRPE. MethodsInformation was collected through questionnaires administered to patients who presented at the urology department and suffered from SRPE or did not suffer from SRPE. A total of 290 participants completed the study， including 145 controls and 145 cases. Logistic regression analysis was used to assess the impact of age， occupation， sleep initiation time per night， frequency of sexual intercourse per week， psychological status， erectile dysfunction， chronic prostatitis， prostate enlargement， lumbar spine disease， central nervous system disease， hypertension， diabetes and family history on the onset of SRPE. ResultsSingle-factor logistic regression analysis found that a history of chronic prostatitis， intellectual labor occupation， central nervous system disease， late sleep onset， frequency of sexual activity， and anxiety status might be related to the onset of SRPE. After incorporating these factors into a multivariate regression analysis model， it was found that having sexual activity ≥2 times/week （OR 95%CI = 0.326（0.179，0.592） and late sleep onset （after 24：00） （OR 95%CI = 0.494（0.265，0.918）might be protective factors for SRPE， while a history of chronic prostatitis（OR 95%CI = 3.779（2.082，6.859） might be a risk factor for SRPE. However， there was no significant statistical difference in the impact of central nervous system diseases and occupation on multivariate analysis. ConclusionChronic prostatitis and anxiety status may be independent risk factors for SRPE； having sexual activity ≥2 times/week and delaying sleep time appropriately may be independent protective factors.
