Traumatic masturbation and erectile dysfunction: A matched case-control study

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dc.authoridCanakci, Cengiz/0000-0002-2654-1986
dc.authoridDinçer, Erdinç/0000-0002-0644-8282
dc.authorwosidCanakci, Cengiz/JDW-9882-2023
dc.authorwosidDinçer, Erdinç/AAN-2073-2020
dc.contributor.authorCan, Utku
dc.contributor.authorKafkasli, Alper
dc.contributor.authorCoskun, Alper
dc.contributor.authorCanakci, Cengiz
dc.contributor.authorDincer, Erdinc
dc.contributor.authorTuncer, Murat
dc.contributor.authorKaratas, Berk
dc.date.accessioned2024-05-19T14:41:21Z
dc.date.available2024-05-19T14:41:21Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractObjective: To identify atypical masturbatory behaviors (AMB) and to reveal their effects on both sexual and masturbational erection hardness in men with erectile dysfunction (ED).Methods: Patients with ED and healthy controls were questioned about their masturbation habits. Accordingly, rubbing in a prone position, pressure on penis, and masturbation through clothes were included in the traumatic masturbation syndrome (TMS) group. Erection hardness score (EHS) is used to measure the erectile functions during masturbation (mast), foreplay (presex), and sexual intercourse (sex), separately.Results: The data of 448 participants, 266 (59%) from the patient group, and 182 (41%) from the control group were analyzed. The mean ages were 30 years in both groups (p = 0.734). The rate of rubbing in a prone position and penile pressure while masturbating was higher in patients than the controls (10.2% vs. 6%, p = 0.024 and 8.6% vs. 3.3%, p = 0.0002, respectively). Patients had 2.2-fold (odds ratio, 2.21; 95% confidence interval, 1.40-3.47; p = 0.001) increased risks of having at least one AMB, compared with controls. In the secondary analysis, the patient group was divided into 2 subgroups according to having TMS (ED + TMS) or not (ED). The percentage of patients with EHS=3 during masturbation was higher than those during sex and presex in the ED + TMS group (60.2%, 38.8%, and 37.2%, respectively, p = 0.0001; n = 98). Comparing the percentage of patients with EHS=3 during mast, presex, and, sex was found to be similar in the ED group (58.9%, 56.5%, and 56%, respectively, p = 0.753; n = 168).Conclusion: Atypical masturbatory behaviors are more common in young men presenting with erectile dysfunction. These patients have higher erection hardness scores during masturbation compared to partnered sex.en_US
dc.identifier.doi10.1111/iju.15279
dc.identifier.endpage1140en_US
dc.identifier.issn0919-8172
dc.identifier.issn1442-2042
dc.identifier.issue12en_US
dc.identifier.pmid37605604en_US
dc.identifier.scopus2-s2.0-85168663795en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1134en_US
dc.identifier.urihttps://doi.org10.1111/iju.15279
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5097
dc.identifier.volume30en_US
dc.identifier.wosWOS:001052424400001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofInternational Journal of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectErectile Dysfunctionen_US
dc.subjectMale Sexual Dysfunctionen_US
dc.subjectMasturbationen_US
dc.subjectSexen_US
dc.subjectTraumatic Masturbation Syndromeen_US
dc.titleTraumatic masturbation and erectile dysfunction: A matched case-control studyen_US
dc.typeArticleen_US

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