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논문 기본 정보

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학술저널
저자정보
Yasar Pazır (Department of Urology, Haseki Training and Research Hospital, Istanbul, Türkiye.) Haydar Guler (Department of Urology, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Türkiye.) Taha Burak Bulut (Department of Urology, Istanbul Training and Research Hospital, Istanbul, Türkiye.) Emre Ari (Department of Urology, Istanbul Training and Research Hospital, Istanbul, Türkiye.) Semih Aktas (Department of Urology, Istanbul Training and Research Hospital, Istanbul, Türkiye.) Mustafa Kadıhasanoglu (Department of Urology, Cerrahpaşa Faculty of Medicine, Istanbul University - Cerrahpaşa, Istanbul, Türkiye.)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.65 No.2
발행연도
2024.3
수록면
173 - 179 (7page)
DOI
https://doi.org/10.4111/icu.20230213

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Purpose: To investigate whether serum hormone (testosterone, prolactin, gonadotropins, and thyroid hormones) and vitamin (vitamin B12, folic acid, and vitamin D) levels are associated with premature ejaculation (PE). Materials and Methods: This prospective case-control study included 126 patients with PE (lifelong PE [LPE] in 94 and acquired PE [APE] in 32) who presented to the urology outpatient clinic between April 2016 and January 2023 and 92 healthy men as a control group. The diagnosis of PE was based on the criteria defined by the International Society for Sexual Medicine. Serum total testosterone (TT), free and bioavailable testosterone, follicle-stimulating hormone, luteinizing hormone, prolactin, thyroid-stimulating hormone, free triiodothyronine, thyroxine (fT4), vitamin B12, folic acid, and vitamin D levels were measured. Results: Serum TT, fT4, and vitamin D levels were significantly higher in patients with PE than in the control group (p=0.022, p=0.002, and p=0.044, respectively). However, the serum vitamin B12 level was significantly lower in the PE group (p=0.021). In the multivariate logistic regression analysis, only vitamin B12 was found to be an independent risk factor for PE, with an estimated odds ratio of 0.997 (95% confidence interval 0.994–0.999, p=0.036). Conclusions: This study demonstrated that lower vitamin B12 levels are associated with the presence of PE. Therefore, we believe that it would be beneficial to consider vitamin B12 levels in the evaluation of patients with PE.

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