Combined pathogenetic therapy of erectile dysfunction

Introduction. Erectile dysfunction (ED) is a common condition that reduces the quality of life of numerous men. Therefore, optimising treatment protocols is always a challenge.Objective. To evaluate the efficacy of "Edelim®" for pathogenetic therapy for erectile dysfunction.Materials and m...

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Main Authors: S. S. Krasnyak, E. A. Efremov
Format: Article
Language:Russian
Published: Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education 2023-12-01
Series:Вестник урологии
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Online Access:https://www.urovest.ru/jour/article/view/798
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author S. S. Krasnyak
E. A. Efremov
author_facet S. S. Krasnyak
E. A. Efremov
author_sort S. S. Krasnyak
collection DOAJ
description Introduction. Erectile dysfunction (ED) is a common condition that reduces the quality of life of numerous men. Therefore, optimising treatment protocols is always a challenge.Objective. To evaluate the efficacy of "Edelim®" for pathogenetic therapy for erectile dysfunction.Materials and methods. The study included 67 men (40 – 65 years old) with ED. The patients were divided into two treatment groups: the main group received tadalafil 5 mg PO o.d. + “Edelim®”, the control group received tadalafil 5 mg PO o.d. only. As effectiveness criteria anthropometric studies were used, IIEF-5 scale, metabolic profile blood tests, and systemic endothelial function was assessed.Results. Over 12 months of therapy, the IIEF-5 score increased by 28.2% in the main group and by 10.3% in the control group. After 12 months in the main group total cholesterol, LDL, triglycerides decreased by 14.8%, 10.7% and 13.9% respectively. The reactive hyperaemia index after 3, 6 and 12 months increased by 6.6%, 10.9% and 22.0%, respectively. In the control group these indices did not change significantly. The main group showed a stable decrease in body mass and waist circumference by an average of 2.6% and 3.8% respectively after 12 months. In the control group, body mass did not change significantly.Conclusion. Some patients require combination therapy to address metabolic risk factors and disorders, despite the high efficacy of PDE-5 inhibitors in improving erection quality. “Edelim®” is the first product created specifically for long-term combined pathogenetic therapy of ED with metabolic disorders.
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spelling doaj-art-575f78d2a8d04609a559743f6475a82e2025-08-20T03:57:21ZrusMinistry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional EducationВестник урологии2308-64242023-12-01114728010.21886/2308-6424-2023-11-4-72-80490Combined pathogenetic therapy of erectile dysfunctionS. S. Krasnyak0E. A. Efremov1Lopatkin Scientific Research Institute of Urology and Interventional RadiologyPirogov Russian National Research Medical UniversityIntroduction. Erectile dysfunction (ED) is a common condition that reduces the quality of life of numerous men. Therefore, optimising treatment protocols is always a challenge.Objective. To evaluate the efficacy of "Edelim®" for pathogenetic therapy for erectile dysfunction.Materials and methods. The study included 67 men (40 – 65 years old) with ED. The patients were divided into two treatment groups: the main group received tadalafil 5 mg PO o.d. + “Edelim®”, the control group received tadalafil 5 mg PO o.d. only. As effectiveness criteria anthropometric studies were used, IIEF-5 scale, metabolic profile blood tests, and systemic endothelial function was assessed.Results. Over 12 months of therapy, the IIEF-5 score increased by 28.2% in the main group and by 10.3% in the control group. After 12 months in the main group total cholesterol, LDL, triglycerides decreased by 14.8%, 10.7% and 13.9% respectively. The reactive hyperaemia index after 3, 6 and 12 months increased by 6.6%, 10.9% and 22.0%, respectively. In the control group these indices did not change significantly. The main group showed a stable decrease in body mass and waist circumference by an average of 2.6% and 3.8% respectively after 12 months. In the control group, body mass did not change significantly.Conclusion. Some patients require combination therapy to address metabolic risk factors and disorders, despite the high efficacy of PDE-5 inhibitors in improving erection quality. “Edelim®” is the first product created specifically for long-term combined pathogenetic therapy of ED with metabolic disorders.https://www.urovest.ru/jour/article/view/798erectile dysfunctionedtherapy, pathogenetictherapy, symptomaticendothelial function
spellingShingle S. S. Krasnyak
E. A. Efremov
Combined pathogenetic therapy of erectile dysfunction
Вестник урологии
erectile dysfunction
ed
therapy, pathogenetic
therapy, symptomatic
endothelial function
title Combined pathogenetic therapy of erectile dysfunction
title_full Combined pathogenetic therapy of erectile dysfunction
title_fullStr Combined pathogenetic therapy of erectile dysfunction
title_full_unstemmed Combined pathogenetic therapy of erectile dysfunction
title_short Combined pathogenetic therapy of erectile dysfunction
title_sort combined pathogenetic therapy of erectile dysfunction
topic erectile dysfunction
ed
therapy, pathogenetic
therapy, symptomatic
endothelial function
url https://www.urovest.ru/jour/article/view/798
work_keys_str_mv AT sskrasnyak combinedpathogenetictherapyoferectiledysfunction
AT eaefremov combinedpathogenetictherapyoferectiledysfunction