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Published in: Systematic Reviews 1/2021

Open Access 01-12-2021 | Erectile Dysfunction | Systematic review update

Prevalence of sexual dysfunction in men with multiple sclerosis: a systematic review and meta-analysis

Authors: Maryam Dastoorpoor, Maryam Zamanian, Rahmatollah Moradzadeh, Seyed Massood Nabavi, Raana Kousari

Published in: Systematic Reviews | Issue 1/2021

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Abstract

Background

Symptoms in multiple sclerosis (MS) can lead to different types and ranges of sexual dysfunction in MS patients. Studies in different parts of the world have reported a high range of sexual dysfunction in men with MS. This study aimed to estimate pooled prevalence of sexual dysfunction in men with MS.

Methods

The authors searched Web of Science, PubMed, Scopus, Embase, Magiran, SID, and Iran Medical Papers Database using the keywords “multiple sclerosis”, “sexual dysfunctions”, “men”, “prevalence”, and their synonyms systematically. Meta-analysis was performed using the random effects model with inverse variance-weighted method to estimate the overall prevalence of sexual dysfunction in men with MS. The protocol for this meta-analysis is available in PROSPERO (ID CRD42020199005).

Results

A total of 351 documents were identified, and 20 articles published from 1996 to 2019 were analyzed. The articles used sample sizes from 9 to 101 individuals. However, two studies conducted online used 388 and 1568 samples. Prevalence of sexual dysfunction in all studies was reported from 31 to 92%, and the pooled prevalence of sexual dysfunction in men with MS in all studies was 62.9% with a 95% confidence interval 53 to 72.7% (heterogeneity: I2 = 96.3%, Q-statistic = 12.48, P value < 0.001). According to the results of Egger’s test, there was publication bias in the current study (β = 4.55, Se = 1.38, P value = 0.004).

Conclusion

Sexual dysfunction is highly prevalent in men with MS. Diagnosing sexual dysfunction in MS patients in clinics by specialists have to be considered a necessity.
Literature
1.
go back to reference Braback L, Kjellman NIM, Sandin A, Bjorksten B. Atopy among schoolchildren in northern and southern Sweden in relation to pet ownership and early life events. Pediatr Allergy Immunol. 2001;12(1):4–10.PubMedCrossRef Braback L, Kjellman NIM, Sandin A, Bjorksten B. Atopy among schoolchildren in northern and southern Sweden in relation to pet ownership and early life events. Pediatr Allergy Immunol. 2001;12(1):4–10.PubMedCrossRef
4.
go back to reference Menkes DL, Castro-Borrero W. Encyclopedia of the neurological sciences, second edn; 2014. Menkes DL, Castro-Borrero W. Encyclopedia of the neurological sciences, second edn; 2014.
5.
go back to reference Zhao S, Wang J, Liu Y, Luo Y, Zhu ZH, Li E, et al. Association between multiple sclerosis and risk of female sexual dysfunction: a systematic review and meta-analysis. J Sex Med. 2018;15:1716e1727.CrossRef Zhao S, Wang J, Liu Y, Luo Y, Zhu ZH, Li E, et al. Association between multiple sclerosis and risk of female sexual dysfunction: a systematic review and meta-analysis. J Sex Med. 2018;15:1716e1727.CrossRef
6.
go back to reference Redelman MJ. Sexual difficulties for persons with multiple sclerosis in New South Wales, Australia. Int J Rehabil Res. 2009;32(4):337–47.PubMedCrossRef Redelman MJ. Sexual difficulties for persons with multiple sclerosis in New South Wales, Australia. Int J Rehabil Res. 2009;32(4):337–47.PubMedCrossRef
7.
go back to reference Fakhri A, Morshedi H, Soleymanian A, Hosaini M. Psychometric properties of Iranian version of male sexual function index. Jundishapur Sci Med J. 2014;12(6):655–63. Fakhri A, Morshedi H, Soleymanian A, Hosaini M. Psychometric properties of Iranian version of male sexual function index. Jundishapur Sci Med J. 2014;12(6):655–63.
8.
go back to reference Hoy D, Brooks P, Woolf A, et al. Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol. 2012;65:934–9.PubMedCrossRef Hoy D, Brooks P, Woolf A, et al. Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol. 2012;65:934–9.PubMedCrossRef
9.
go back to reference Balsamo R, Arcaniolo D, Stizzo M, Illiano E, Autorino R, Natale F, et al. Increased risk of erectile dysfunction in men with multiple sclerosis: an Italian cross-sectional study. Central Eur J Urol. 2017;70(3):289–95. Balsamo R, Arcaniolo D, Stizzo M, Illiano E, Autorino R, Natale F, et al. Increased risk of erectile dysfunction in men with multiple sclerosis: an Italian cross-sectional study. Central Eur J Urol. 2017;70(3):289–95.
10.
go back to reference Barak Y, Achiron A, Elizur A, Gabbay U, Noy S, Sarova-Pinhas I. Sexual dysfunction in relapsing-remitting multiple sclerosis: magnetic resonance imaging, clinical, and psychological correlates. J Psych Neurosci. 1996;21(4):255–8. Barak Y, Achiron A, Elizur A, Gabbay U, Noy S, Sarova-Pinhas I. Sexual dysfunction in relapsing-remitting multiple sclerosis: magnetic resonance imaging, clinical, and psychological correlates. J Psych Neurosci. 1996;21(4):255–8.
11.
go back to reference Carnero Contentti E, Pettinicchi JP, Caride A, López PA. Sexual dysfunction in patients with multiple sclerosis from Argentina: what are the differences between women and men? Sex Disabil. 2019;37(4):521–39.CrossRef Carnero Contentti E, Pettinicchi JP, Caride A, López PA. Sexual dysfunction in patients with multiple sclerosis from Argentina: what are the differences between women and men? Sex Disabil. 2019;37(4):521–39.CrossRef
12.
go back to reference Çelik DB, Poyraz EÇ, Bingöl A, Idiman E, Özakbaş S, D. K. Sexual dysfunction in multiple sclerosis: gender differences. J Neurol Sci. 2013;324(1-2):17–20.PubMedCrossRef Çelik DB, Poyraz EÇ, Bingöl A, Idiman E, Özakbaş S, D. K. Sexual dysfunction in multiple sclerosis: gender differences. J Neurol Sci. 2013;324(1-2):17–20.PubMedCrossRef
13.
go back to reference Darija KT, Tatjana P, Goran T, Nebojsa S, Irena D, Sarlota M, et al. Sexual dysfunction in multiple sclerosis: a 6-year follow-up study. J Neurol Sci. 2015;358(1-2):317–23.CrossRef Darija KT, Tatjana P, Goran T, Nebojsa S, Irena D, Sarlota M, et al. Sexual dysfunction in multiple sclerosis: a 6-year follow-up study. J Neurol Sci. 2015;358(1-2):317–23.CrossRef
14.
go back to reference Demirkiran M, Sarica Y, Uguz S, Yerdelen D, Aslan K. Multiple sclerosis patients with and without sexual dysfunction: are there any differences? Mult Scler. 2006;12(2):209–14.PubMedCrossRef Demirkiran M, Sarica Y, Uguz S, Yerdelen D, Aslan K. Multiple sclerosis patients with and without sexual dysfunction: are there any differences? Mult Scler. 2006;12(2):209–14.PubMedCrossRef
15.
go back to reference Finkelsztejn A, Cristovam RDA, De Moraes GS, Lopes MGDSM, Da Silva AV, Garcia MS, et al. Clinical features of multiple sclerosis in the south of Brazil: a partial analysis. Arq Neuropsiquiatr. 2009;67(4):1071–5.PubMedCrossRef Finkelsztejn A, Cristovam RDA, De Moraes GS, Lopes MGDSM, Da Silva AV, Garcia MS, et al. Clinical features of multiple sclerosis in the south of Brazil: a partial analysis. Arq Neuropsiquiatr. 2009;67(4):1071–5.PubMedCrossRef
16.
go back to reference Ghezzi A, Zaffaroni M, Baldini S, Zibetti A. Sexual dysfunction in male multiple sclerosis patients in relation to clinical findings. Eur J Neurol. 1996;3(5):462–6.CrossRef Ghezzi A, Zaffaroni M, Baldini S, Zibetti A. Sexual dysfunction in male multiple sclerosis patients in relation to clinical findings. Eur J Neurol. 1996;3(5):462–6.CrossRef
17.
go back to reference Hennessey A, Robertson NP, Swingler R, Compston DAS. Urinary, faecal and sexual dysfunction in patients with multiple sclerosis. J Neurol. 1999;246(11):1027–32.PubMedCrossRef Hennessey A, Robertson NP, Swingler R, Compston DAS. Urinary, faecal and sexual dysfunction in patients with multiple sclerosis. J Neurol. 1999;246(11):1027–32.PubMedCrossRef
18.
go back to reference Lew-Starowicz M, Rola R. Sexual dysfunctions and sexual quality of life in men with multiple sclerosis. J Sex Med. 2014;11(5):1294–301.PubMedCrossRef Lew-Starowicz M, Rola R. Sexual dysfunctions and sexual quality of life in men with multiple sclerosis. J Sex Med. 2014;11(5):1294–301.PubMedCrossRef
19.
go back to reference Marck CH, Jelinek PL, Weiland TJ, Hocking JS, De Livera AM, Taylor KL, et al. Sexual function in multiple sclerosis and associations with demographic, disease and lifestyle characteristics: an international cross-sectional study. BMC Neurol. 2016;16(1):210. Marck CH, Jelinek PL, Weiland TJ, Hocking JS, De Livera AM, Taylor KL, et al. Sexual function in multiple sclerosis and associations with demographic, disease and lifestyle characteristics: an international cross-sectional study. BMC Neurol. 2016;16(1):210.
20.
go back to reference Nortvedt MW, Riise T, Frugård J, Mohn J, Bakke A, Skår AB, et al. Prevalence of bladder, bowel and sexual problems among multiple sclerosis patients two to five years after diagnosis. Mult Scler. 2007;13(1):106–12.PubMedCrossRef Nortvedt MW, Riise T, Frugård J, Mohn J, Bakke A, Skår AB, et al. Prevalence of bladder, bowel and sexual problems among multiple sclerosis patients two to five years after diagnosis. Mult Scler. 2007;13(1):106–12.PubMedCrossRef
21.
go back to reference Orasanu B, Frasure H, Wyman A, Mahajan ST. Sexual dysfunction in patients with multiple sclerosis. Mult Scler Relat Disord. 2013;2(2):117–23.PubMedCrossRef Orasanu B, Frasure H, Wyman A, Mahajan ST. Sexual dysfunction in patients with multiple sclerosis. Mult Scler Relat Disord. 2013;2(2):117–23.PubMedCrossRef
22.
go back to reference Tepavcevic DK, Kostic J, Basuroski ID, Stojsavljevic N, Pekmezovic T, Drulovic J. The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis. Mult Scler. 2008;14(8):1131–6.PubMedCrossRef Tepavcevic DK, Kostic J, Basuroski ID, Stojsavljevic N, Pekmezovic T, Drulovic J. The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis. Mult Scler. 2008;14(8):1131–6.PubMedCrossRef
23.
go back to reference Tomé ALF, Miranda EP, Júnior JDB, Bezerra CA, Pompeo ACL, Glina S, et al. Lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis. Clinics. 2019;74:1-7. Tomé ALF, Miranda EP, Júnior JDB, Bezerra CA, Pompeo ACL, Glina S, et al. Lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis. Clinics. 2019;74:1-7.
24.
go back to reference Vazirinejad R, Lilley J, Ward C. A health profile of adults with multiple sclerosis living in the community. Mult Scler. 2008;14(8):1099–105.PubMedCrossRef Vazirinejad R, Lilley J, Ward C. A health profile of adults with multiple sclerosis living in the community. Mult Scler. 2008;14(8):1099–105.PubMedCrossRef
25.
go back to reference Winder K, Linker RA, Seifert F, Deutsch M, Engelhorn T, Dörfler A, et al. Insular multiple sclerosis lesions are associated with erectile dysfunction. J Neurol. 2018;265(4):783–92.PubMedCrossRef Winder K, Linker RA, Seifert F, Deutsch M, Engelhorn T, Dörfler A, et al. Insular multiple sclerosis lesions are associated with erectile dysfunction. J Neurol. 2018;265(4):783–92.PubMedCrossRef
26.
go back to reference Zavoreo I, Gržinčić T, Preksavec M, Madžar T, Bašić KV. Sexual dysfunction and incidence of depression in multiple sclerosis patients. Acta Clin Croat. 2016;55:402–6.PubMedCrossRef Zavoreo I, Gržinčić T, Preksavec M, Madžar T, Bašić KV. Sexual dysfunction and incidence of depression in multiple sclerosis patients. Acta Clin Croat. 2016;55:402–6.PubMedCrossRef
27.
go back to reference Zorzon M, Zivadinov R, Bosco A, Bragadin LM, Moretti R, Bonfigli L, et al. Sexual dysfunction in multiple sclerosis: a case-control study. I. Frequency and comparison of groups. Mult Scler. 1999;5(6):418–27.PubMed Zorzon M, Zivadinov R, Bosco A, Bragadin LM, Moretti R, Bonfigli L, et al. Sexual dysfunction in multiple sclerosis: a case-control study. I. Frequency and comparison of groups. Mult Scler. 1999;5(6):418–27.PubMed
28.
go back to reference Dupont S. Multiple sclerosis and sexual functioning - a review. Clin Rehabil. 1995;9:135–41.CrossRef Dupont S. Multiple sclerosis and sexual functioning - a review. Clin Rehabil. 1995;9:135–41.CrossRef
29.
go back to reference Schmidt EZ, Hofmann P, Niederwieser G, Kapfhammer HP, Bonelli RM. Sexuality in multiple sclerosis. J Neural Transm. 2005;112:1201–11.PubMedCrossRef Schmidt EZ, Hofmann P, Niederwieser G, Kapfhammer HP, Bonelli RM. Sexuality in multiple sclerosis. J Neural Transm. 2005;112:1201–11.PubMedCrossRef
30.
go back to reference Azimi A, Hanaei S, Saharian MA, Mohamadifard M, Ramagopalan SV, Ghajarzadeh M. Prevalence of sexual dysfunction in women with multiple sclerosis: a systematic review and meta-analysis. MAEDICA – J Clin Med. 2019;14(4):408–12. Azimi A, Hanaei S, Saharian MA, Mohamadifard M, Ramagopalan SV, Ghajarzadeh M. Prevalence of sexual dysfunction in women with multiple sclerosis: a systematic review and meta-analysis. MAEDICA – J Clin Med. 2019;14(4):408–12.
31.
go back to reference Nazari F, Shaygannejad V, Mohammadi Sichani M, Mansourian M, Hajhashemi V. Sexual dysfunction in women with multiple sclerosis: prevalence and impact on quality of life. BMC Urol. 2020;20(15):15. Nazari F, Shaygannejad V, Mohammadi Sichani M, Mansourian M, Hajhashemi V. Sexual dysfunction in women with multiple sclerosis: prevalence and impact on quality of life. BMC Urol. 2020;20(15):15.
Metadata
Title
Prevalence of sexual dysfunction in men with multiple sclerosis: a systematic review and meta-analysis
Authors
Maryam Dastoorpoor
Maryam Zamanian
Rahmatollah Moradzadeh
Seyed Massood Nabavi
Raana Kousari
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2021
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-020-01560-x

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