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Chen J, Pang N, Lu J, Liu G, Lee SP, Wang W. The effect of calcium oxalate stones and uric acid stones on male sexual function. Int Urol Nephrol 2024:10.1007/s11255-024-04127-0. [PMID: 38958853 DOI: 10.1007/s11255-024-04127-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Accepted: 06/14/2024] [Indexed: 07/04/2024]
Abstract
PURPOSE This study compared the effects of calcium oxalate stones and uric acid stones on male sexual function. METHODS We enrolled 100 patients with ureteral stones. According to the composition of the stones, they were divided into the calcium oxalate stone group and the uric acid stone group. All patients underwent ureteroscopic holmium laser lithotripsy. General data such as age, body mass index, course of disease, stone diameter, and degree of renal hydronephrosis were compared. Sperm parameters, including sperm density, sperm viability, and sperm deformity rate, as well as International Index of Erectile Function-5 questionnaire (IIEF-5) scores, and Quality of Life (QOL) scores, were measured and compared before and 6 weeks after the surgery. RESULTS There were no statistically significant differences in general data and sperm parameters between the two groups before the surgery (P > 0.05). However, there were significantly lower IIEF scores but significantly higher QOL scores in the uric acid stone group. In the calcium oxalate stone group, there were no statistically significant differences in sperm parameters, IIEF score, and QOL score before and after the surgery (P > 0.05). In the uric acid stone group, there were no statistically significant differences in sperm parameters before and after surgery (P > 0.05), whereas there were significantly higher IIEF scores but significantly lower QOL scores after the surgery (P < 0.05). The prevalence of erectile dysfunction (ED) in the uric acid stone group was 38.18% (21/55), which was significantly higher compared to 20.00% (9/45) in the calcium oxalate stone group (P < 0.05). The multivariate binary logistic regression analysis showed that the independent risk factor related to ED was uric acid stones (odds ratio: 2.637, 95% confidence interval 1.040-6.689, P = 0.041). No statistically significant differences were found in sperm parameters between patients with and without ED. CONCLUSION Compared with the calcium oxalate stone group, patients with uric acid stones had a higher prevalence of ED and poorer sexual performance.
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Affiliation(s)
- Jian Chen
- Department of Urology, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, No. 1, Lijiang Road, Huqiu District, Suzhou, 215153, China
| | - Nannan Pang
- Department of Pathology, The First Affiliated Hospital of Shihezi University, Shihezi, 832008, China
| | - Jianlin Lu
- Department of Urology, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, No. 1, Lijiang Road, Huqiu District, Suzhou, 215153, China
| | - Guodao Liu
- Department of Urology, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, No. 1, Lijiang Road, Huqiu District, Suzhou, 215153, China
| | - Shih-Pin Lee
- Department of Public Health, International College, Krirk University, No. 3 Ram Inthra Rd, Anusawari, Bang Khen, Bangkok, 10220, Thailand.
| | - Weiguo Wang
- Department of Urology, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, No. 1, Lijiang Road, Huqiu District, Suzhou, 215153, China.
- Department of Public Health, International College, Krirk University, No. 3 Ram Inthra Rd, Anusawari, Bang Khen, Bangkok, 10220, Thailand.
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