Intervenciones no farmacológicas para la prevención de la disfunción eréctil

  • Ingrid Daniela Sánchez Aguirre Escuela de Medicina. Universidad del Valle, Cali, Colombia
  • Herney Andrés García-Perdomo Escuela de Medicina. Universidad del Valle, Cali, Colombia
Palabras clave: Disfunción sexual, dieta mediterránea, actividad física, terapia sexual, disfunción eréctil

Resumen

Objetivo: Describir la efectividad y seguridad de las intervenciones no farmacológicas preventivas para la disfunción eréctil.

Métodos: Se realizo una búsqueda sistemática de estudios identificados durante el periodo del año 2002 hasta el año 2018, con búsquedas en dos bases de datos electrónicas Medline (Pubmed) y Embase.

Resultados: Los estudios publicados mostraron que las intervenciones preventivas sobre los factores de riesgo como la actividad física aeróbica, la dieta mediterránea y la terapia sexual, contribuyen a la prevención del desarrollo de disfunción eréctil.

Conclusiones:Los hallazgos sugieren que realizar recomendaciones desde temprana edad sobre el aumento en la actividad física, una dieta adecuada rica en frutas, verduras y frutos secos, podría ayudar a prevenir la aparición de disfunción sexual en edades avanzadas.

Citas

Sanchez E, Pastuszak AW, Khera M. Erectile dysfunction, metabolic syndrome, and cardiovascular risks: facts and controversies. Transl Androl Urol. 2017;6(1):28–36. doi: 10.21037/tau.2016.10.01

Wespes E, Amar E, Eardley I, Giuliano F, Hatzichristou D, Hatzimouratidis K, et al. Guía clínica sobre la disfunción sexual masculina: Disfunción eréctil y eyaculación precoz. European Association of Urology; 2010. 899 p. [accessed 3 Apr 2019] Available from: https://www.researchgate.net/publication/291159363_Guia_clinica_sobre_la_disfuncion_sexual_masculina_Disfuncion_erectil_y_eyaculacion_precoz

Nicolosi A, Laumann EO, Glasser DB, Moreira ED, Paik A, Gingell C, et al. Sexual behavior and sexual dysfunctions after age 40: the global study of sexual attitudes and behaviors. Urology. 2004;64(5):991–7. doi: 10.1016/j.urology.2004.06.055

Esposito K, Giugliano F, Maiorino MI, Giugliano D. Dietary factors, Mediterranean diet and erectile dysfunction. J Sex Med. 2010;7(7):2338–45. doi: 10.1111/j.1743-6109.2010.01842.x

Glina S, Sharlip ID, Hellstrom WJG. Modifying risk factors to prevent and treat erectile dysfunction. J Sex Med. 2013;10(1):115–9. doi: 10.1111/j.1743-6109.2012.02816.x

OPS, OMS. Promoción de la salud sexual. Recomendaciones para la acción. 1st ed. Guatemala: OPS-OMS-WAS; 2000. 64 p.

Schmidt HM, Munder T, Gerger H, Frühauf S, Barth J. Combination of psychological intervention and phosphodiesterase-5 inhibitors for erectile dysfunction: a narrative review and meta-analysis. J Sex Med. 2014;11(6):1376–91. doi: 10.1111/jsm.12520

Yafi FA, Jenkins L, Albersen M, Corona G, Isidori AM, Goldfarb S, et al. Erectile dysfunction. Nat Rev Dis Primer. 2016;2:16003. doi: 10.1038/nrdp.2016.3

Morillo LE, Díaz J, Estevez E, Costa A, Méndez H, Dávila H, et al. Prevalence of erectile dysfunction in Colombia, Ecuador, and Venezuela: a population-based study (DENSA). Int J Impot Res. 2002;14(S2):S10–8. [accessed 3 Apr 2019] Available from: https://www.nature.com/articles/3900893

Ceballos M del P, Álvarez Villarraga JD, Silva Herrera JM, Uribe JF, Mantilla D. Guía de disfunción eréctil. Sociedad Colombiana de Urología. Urol Colomb. 2015;24(3):185.e1-185.e22. [accessed 3 Apr 2019] Available from: http://www.elsevier.es/es-revista-urologia-colombiana-398-articulo-guia-disfuncion-erectil-sociedad-colombiana-S0120789X15000167

Caskurlu T, Tasci AI, Resim S, Sahinkanat T, Ergenekon E. The etiology of erectile dysfunction and contributing factors in different age groups in Turkey. Int J Urol Off J Jpn Urol Assoc. 2004;11(7):525–9. doi: 10.1111/j.1442-2042.2004.00837.x

Hehemann MC, Kashanian JA. Can lifestyle modification affect men’s erectile function? Transl Androl Urol. 2016;5(2):187–94. doi: 10.21037/tau.2016.02.05

Maiorino MI, Bellastella G, Esposito K. Lifestyle modifications and erectile dysfunction: what can be expected? Asian J Androl. 2015;17(1):5–10. [accessed 3 Apr 2019] Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291878/

Ponholzer A, Temml C, Mock K, Marszalek M, Obermayr R, Madersbacher S. Prevalence and risk factors for erectile dysfunction in 2869 men using a validated questionnaire. Eur Urol. 2005;47(1):80–5; discussion 85-86. doi: 10.1016/j.eururo.2004.08.017

Montorsi F, Adaikan G, Becher E, Giuliano F, Khoury S, Lue TF, et al. Summary of the recommendations on sexual dysfunctions in men. J Sex Med. 2010;7(11):3572–88. doi: 10.1111/j.1743-6109.2010.02062.x

McVary KT. Erectile Dysfunction. N Engl J Med. 2007;357(24):2472–81. [accessed 3 Apr 2019] Available from: https://doi.org/10.1056/NEJMcp067261

Garza-Gangemi AM, Sotomayor-de Zavaleta M. Erectile dysfunction therapy in countries where implant is economically not feasible. Transl Androl Urol. 2017;6(2):176–82. [accessed 3 Apr 2019] Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5422700/

Mattioli AV, Palmiero P, Manfrini O, Puddu PE, Nodari S, Dei Cas A, et al. Mediterranean diet impact on cardiovascular diseases: a narrative review. J Cardiovasc Med Hagerstown Md. 2017;18(12):925–35. doi: 10.2459/JCM.0000000000000573

Ramírez R, Pedro-Botet J, García M, Corbella E, Merino J, Zambón D, et al. Erectile dysfunction and cardiovascular risk factors in a Mediterranean diet cohort. Intern Med J. 2016;46(1):52–6. doi: 10.1111/imj.12937

Esposito K, Ciotola M, Giugliano F, De Sio M, Giugliano G, D’armiento M, et al. Mediterranean diet improves erectile function in subjects with the metabolic syndrome. Int J Impot Res. 2006;18(4):405–10. doi: 10.1038/sj.ijir.3901447

Di Francesco S, Tenaglia RL. Mediterranean diet and erectile dysfunction: a current perspective. Cent Eur J Urol. 2017;70(2):185–7. doi: 10.5173/ceju.2017.1356

Maiorino MI, Bellastella G, Chiodini P, Romano O, Scappaticcio L, Giugliano D, et al. Primary Prevention of Sexual Dysfunction With Mediterranean Diet in Type 2 Diabetes: The MÈDITA Randomized Trial. Diabetes Care. 2016;39(9):e143-144. doi: 10.2337/dc16-0910

Wang F, Dai S, Wang M, Morrison H. Erectile dysfunction and fruit/vegetable consumption among diabetic Canadian men. Urology. 2013;82(6):1330–5. doi: 10.1016/j.urology.2013.07.061

Della Camera PA, Morselli S, Cito G, Tasso G, Cocci A, Laruccia N, et al. Sexual health, adherence to Mediterranean diet, body weight, physical activity and mental state: factors correlated to each other. Urologia. 2017;84(4):221–5. doi: 10.5301/uj.5000255

Meldrum DR, Gambone JC, Morris MA, Esposito K, Giugliano D, Ignarro LJ. Lifestyle and metabolic approaches to maximizing erectile and vascular health. Int J Impot Res. 2012;24(2):61–8. doi: 10.1038/ijir.2011.51

Leoni LAB, Fukushima AR, Rocha LY, Maifrino LBMM, Rodrigues B. Physical activity on endothelial and erectile dysfunction: a literature review. Aging Male Off J Int Soc Study Aging Male. 2014;17(3):125–30. doi: 10.3109/13685538.2014.923836

Esposito K, Ciotola M, Giugliano F, Maiorino MI, Autorino R, De Sio M, et al. Effects of intensive lifestyle changes on erectile dysfunction in men. J Sex Med. 2009;6(1):243–50. doi: 10.1111/j.1743-6109.2008.01030.x

La Vignera S, Condorelli R, Vicari E, D’Agata R, Calogero A. Aerobic physical activity improves endothelial function in the middle-aged patients with erectile dysfunction. Aging Male Off J Int Soc Study Aging Male. 2011;14(4):265–72. doi: 10.3109/13685538.2010.544344

Hsiao W, Shrewsberry AB, Moses KA, Johnson TV, Cai AW, Stuhldreher P, et al. Exercise is associated with better erectile function in men under 40 as evaluated by the International Index of Erectile Function. J Sex Med. 2012;9(2):524–30. doi: 10.1111/j.1743-6109.2011.02560.x

Loprinzi PD, Edwards M. Association Between Objectively Measured Physical Activity and Erectile Dysfunction among a Nationally Representative Sample of American Men. J Sex Med. 2015;12(9):1862–4. doi: 10.1111/jsm.12977

Silva AB, Sousa N, Azevedo LF, Martins C. Physical activity and exercise for erectile dysfunction: systematic review and meta-analysis. Br J Sports Med. 2017;51(19):1419–24. doi: 10.1136/bjsports-2016-096418

Wassersug R, Wibowo E. Non-pharmacological and non-surgical strategies to promote sexual recovery for men with erectile dysfunction. Transl Androl Urol. 2017;6(Suppl 5):S776–94. doi: 10.21037/tau.2017.04.09

Granero M. Sexología basada en la evidencia: historia y actualización. Rev Costarric Psicol. 2015;33(2):179–97. [accessed 3 Apr 2019] Available from: http://www.rcps-cr.org/openjournal/index.php/RCPs/article/view/34

Melnik T, Soares BGO, Nasello AG. The effectiveness of psychological interventions for the treatment of erectile dysfunction: systematic review and meta-analysis, including comparisons to sildenafil treatment, intracavernosal injection, and vacuum devices. J Sex Med. 2008;5(11):2562–74. doi: 10.1111/j.1743-6109.2008.00872.x

Banner LL, Anderson RU. Integrated sildenafil and cognitive-behavior sex therapy for psychogenic erectile dysfunction: a pilot study. J Sex Med. 2007;4(4 Pt 2):1117–25. doi: 10.1111/j.1743-6109.2007.00535.x

van der Windt F, Dohle GR, van der Tak J, Slob AK. Intracavernosal injection therapy with and without sexological counselling in men with erectile dysfunction. BJU Int. 2002;89(9):901–4.

Wylie KR, Jones RH, Walters S. The potential benefit of vacuum devices augmenting psychosexual therapy for erectile dysfunction: a randomized controlled trial. J Sex Marital Ther. 2003;29(3):227–36. doi: 10.1080/00926230390155131

Aubin S, Heiman JR, Berger RE, Murallo AV, Yung-Wen L. Comparing Sildenafil alone vs. Sildenafil plus brief couple sex therapy on erectile dysfunction and couples’ sexual and marital quality of life: a pilot study. J Sex Marital Ther. 2009;35(2):122–43. doi: 10.1080/00926230802712319

Melnik T, Abdo CHN. Psychogenic erectile dysfunction: comparative study of three therapeutic approaches. J Sex Marital Ther. 2005;31(3):243–55. doi: 10.1080/00926230590513465

Phelps JS, Jain A, Monga M. The PsychoedPlusMed Approach to Erectile Dysfunction Treatment: The Impact of Combining a Psychoeducational Intervention with Sildenafil. J Sex Marital Ther. 2004;30(5):305–14. Available from: https://doi.org/10.1080/00926230490463237

Shamloul R. CASE REPORT: Management of Honeymoon Impotence. J Sex Med. 2006;3(2):361–6. [accessed 3 Apr 2019] Available from: https://www.jsm.jsexmed.org/article/S1743-6095(15)31305-9/abstract

Barak A, Klein B, Proudfoot JG. Defining internet-supported therapeutic interventions. Ann Behav Med Publ Soc Behav Med. 2009;38(1):4–17. doi: 10.1007/s12160-009-9130-7

Andersson E, Walén C, Hallberg J, Paxling B, Dahlin M, Almlöv J, et al. A randomized controlled trial of guided Internet-delivered cognitive behavioral therapy for erectile dysfunction. J Sex Med. 2011;8(10):2800–9. doi: 10.1111/j.1743-6109.2011.02391.x

McCabe MP, Price E, Piterman L, Lording D. Evaluation of an internet-based psychological intervention for the treatment of erectile dysfunction. Int J Impot Res. 2008;20(3):324–30. doi: 10.1038/ijir.2008.3

Publicado
2019-04-09
Sección
Artículos de revisión