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La relazione tra malattie andrologiche e genitourinarie maschili e disturbi del sonno è stata precedentemente segnalata solo in studi a singola istituzione con piccole coorti. È stato recentemente svolto uno studio dal titolo Sleep disorders are associated with testosterone deficiency and erectile dysfunction, il cui obiettivo era valutare l'associazione tra disfunzione erettile (DE) e carenza di testosterone con vari disturbi del sonno utilizzando un ampio database. Cosa dice lo studio? Il database TriNetX Diamond è stato analizzato nel giugno 2022. Negli uomini di età compresa tra 40 e 70 anni, l'insonnia, l'apnea notturna e il disturbo del ritmo circadiano del sonno sono stati valutati ciascuno in modo indipendente per determinare l'associazione con disfunzione erettile e carenza di testosterone e quindi seguiti dalla corrispondenza del punteggio di propensione eseguita per età, ipertensione, iperlipidemia, diabete mellito, cardiopatia ischemica, consumo di tabacco e obesità. La carenza di testosterone era più probabile negli uomini con diagnosi di apnea notturna (odds ratio (OR) 1,66 [95% intervallo di confidenza (CI) 1,65-1,67]), insonnia (OR 1,74 [95% CI 1,73-1,76]) e disfunzione del ritmo circadiano (OR 2,63 [95% CI 2,54-2,73]) rispetto ai controlli. La disfunzione erettile era più probabile negli uomini con diagnosi di apnea notturna (OR 1,02 [95% CI 1,01-1,03]), insonnia (OR 1,30 [95% CI 1,30-1,31]) e disfunzione del ritmo circadiano (OR 1,54 [95% CI 1,30-1,31]) CI 1,49-1,59]) rispetto ai controlli. I nostri sottolineano l'impatto negativo della scarsa qualità e quantità del sonno sulle malattie del sistema genito-urinario e andrologiche maschile identificando queste relazioni nella più grande coorte negli Stati Uniti studiata fino ad oggi. Fonte: Sleep disorders are associated with testosterone deficiency and erectile dysfunction-a U.S. claims database analysis AUTORE andrea.militello Dr. Andrea Militello Urologo, Andrologo, Sessuologo, Patologo della riproduzione Laureato in Medicina e Chirurgia nel 1991 presso Università La Sapienza di Roma. Iscritto all'Ordine dei Medici di Roma tesserino n° 43740. Premiato quale miglior andrologo d'Italia ai Top doctors Award 2022. Laurea in “Medicina e Chirurgia" conseguita nel luglio 1991 con votazione di 110/110 e lode presso l’Universita’ degli Studi di Roma “La Sapienza”, discutendo la tesi sperimentale: ”Chemioterapia endocavitaria con epidoxorubicina e interferone per via sistemica nella profilassi dei tumori superficiali della vescica”. Nel novembre 1996 ha conseguito la specializzazione in Urologia con votazione di 70/70 e lode presso il Dipartimento di Urologia “U. Bracci” del Policlinico “Umberto I” di Roma discutendo la tesi sperimentale: ”L’ecografia trans rettale, il PSA ed il PSAD. Tre metodiche a confronto nella diagnostica del carcinoma della prostata”. Nel 2014 conseguimento di Master di II livello in Andrologia ,implantologia e chirurgia protesica. Nel 2016 conseguimento Master di secondo livello in Seminologia e Fisiopatologia della Riproduzione Umana. Dal 2018 revisore delle riviste scientifiche Central European Journal of Urology , Hormone and Metabolic Research Journal. Dal 2018 libero docente presso l’Università Federiciana di Cosenza. Nel 2014 vincitore del Doctoralia Awards quale miglior Urologo Andrologo d’Italia , nel 2018 Vincitore del Mio Dottore Awards quale miglior Urologo Andrologo d’Italia. #andrologia #informazione #medicina #myyearonyoutube #testosterone

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