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      The Epidemic of COVID-19-Related Erectile Dysfunction: A Scoping Review and Health Care Perspective

      review-article
      Author(s): , MD 1 , * , , MSc 2 , , PhD 3 , , COC, PAHM 4 , , MD 5
      Publication date (Electronic):
      Journal: Sexual Medicine Reviews
      Publisher: International Society of Sexual Medicine. Published by Elsevier Inc.
      Keywords: ACE2, angiotensin-converting enzyme 2, BMI, body mass index, ED, erectile dysfunction, FSFI, Female Sexual Function Index, IIEF, International Index of Erectile Function, IL, interleukin, IQR, interquartile range, IS, intercourse satisfaction, NHANES, National Health and Nutrition Examination Survey, OS, overall satisfaction, PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, PRISMA-ScR, Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews , PTSD, post-traumatic stress disorder, SARS-CoV-2, severe acute respiratory syndrome coronavirus 2, SD, sexual desire, TNF, tumor necrosis factor

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          Abstract

          Introduction

          COVID-19 infection is expected to be associated with an increased likelihood of erectile dysfunction (ED). Considering the high transmissibility of COVID-19, ED may be a concerning consequence for a large segment of the population.

          Aims

          To (1) summarize existing published evidence for the impact of COVID-19 on the prevalence, severity, treatment, and management of ED; and (2) identify health-related trends in the emerging literature and identify gaps in the existing research literature and make recommendations for future research needs in the area.

          Methods

          A scoping literature search was conducted on April 27, 2021. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews (PRISMA-ScR) checklist was followed. The literature search was performed in PubMed using the terms: COVID-19, erectile, sexual, and dysfunction. A total of 693 publications were screened for relevance. Studies were appraised for their level of evidence based on study design and the rigor of methodology.

          Results

          The evidence that COVID-19 infection causes or impacts ED is compelling. Four topics emerged regarding the nature of the association between COVID-19 and ED: (1) the biological impact of COVID-19 infection on ED; (2) the mental health impact of COVID-19 on ED; (3) the impact of COVID-19 on the management of ED and access to ED treatment; and (4) health disparities and the impact of COVID-19 on ED. Long-term and well-designed studies are needed to clarify the extent of the impact of COVID-19 on ED. The pandemic exposed several vulnerabilities within worldwide healthcare and social systems.

          Conclusion

          COVID-19 has a uniquely harmful impact on men's health and erectile function through biological, mental health, and healthcare access mechanisms. As the pandemic wanes, strategies to identify long-term effects and additional health care support may be needed to adequately mitigate the impact of COVID-19 on men's health.

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          PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

          Adrian Aldcroft, Chantelle Garritty, Simon Lewin … (2018)
          Scoping reviews, a type of knowledge synthesis, follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. Although more scoping reviews are being done, their methodological and reporting quality need improvement. This document presents the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist and explanation. The checklist was developed by a 24-member expert panel and 2 research leads following published guidance from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. The final checklist contains 20 essential reporting items and 2 optional items. The authors provide a rationale and an example of good reporting for each item. The intent of the PRISMA-ScR is to help readers (including researchers, publishers, commissioners, policymakers, health care providers, guideline developers, and patients or consumers) develop a greater understanding of relevant terminology, core concepts, and key items to report for scoping reviews.
          Article 0 comments Cited 8950 times – based on 0 reviews     Review now
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            Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China

            Ling Mao, Huijuan Jin, Mengdie Wang … (2020)
            The outbreak of coronavirus disease 2019 (COVID-19) in Wuhan, China, is serious and has the potential to become an epidemic worldwide. Several studies have described typical clinical manifestations including fever, cough, diarrhea, and fatigue. However, to our knowledge, it has not been reported that patients with COVID-19 had any neurologic manifestations.
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              Is Open Access

              Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach

              Zachary Munn, Micah D J Peters, Cindy Stern … (2018)
              Background Scoping reviews are a relatively new approach to evidence synthesis and currently there exists little guidance regarding the decision to choose between a systematic review or scoping review approach when synthesising evidence. The purpose of this article is to clearly describe the differences in indications between scoping reviews and systematic reviews and to provide guidance for when a scoping review is (and is not) appropriate. Results Researchers may conduct scoping reviews instead of systematic reviews where the purpose of the review is to identify knowledge gaps, scope a body of literature, clarify concepts or to investigate research conduct. While useful in their own right, scoping reviews may also be helpful precursors to systematic reviews and can be used to confirm the relevance of inclusion criteria and potential questions. Conclusions Scoping reviews are a useful tool in the ever increasing arsenal of evidence synthesis approaches. Although conducted for different purposes compared to systematic reviews, scoping reviews still require rigorous and transparent methods in their conduct to ensure that the results are trustworthy. Our hope is that with clear guidance available regarding whether to conduct a scoping review or a systematic review, there will be less scoping reviews being performed for inappropriate indications better served by a systematic review, and vice-versa.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Sex Med Rev
                Journal ID (iso-abbrev): Sex Med Rev
                Title: Sexual Medicine Reviews
                Publisher: International Society of Sexual Medicine. Published by Elsevier Inc.
                ISSN (Print): 2050-0513
                ISSN (Electronic): 2050-0521
                Publication date PMC-release: 20 September 2021
                Publication date (Electronic): 20 September 2021
                Affiliations
                [1 ]University of California, San Diego, La Jolla, CA, 92037, USA
                [2 ]Health Services Consulting Corporation; 169 Summer Rd., Boxborough, MA, 01719, USA
                [3 ]Health Economics and Market Access; Boston Scientific Corporation; 100 Boston Scientific Way, Marlborough, MA, 01752, USA
                [4 ]Global Health Economics & Market Access, Women's Health & Prosthetic Urology-Men's Health; Boston Scientific Corporation, Urology Pelvic Health Division; 100 Boston Scientific Way, Marlborough, MA, 01752, USA
                [5 ]Department of Urology, James Buchanan Brady Urological Institute; Johns Hopkins University School of Medicine; 600 North Wolfe Street, Marburg 407; Baltimore, MD, 21287, USA
                Author notes
                [* ]Corresponding Author: T. Mike Hsieh, MD, Professor of Urology, Director, UCSD Men's Health Center, 9333 Genesee Avenue, 3rd Floor, Suite 320, La Jolla, CA 92121-0950, USA, T: 858-249-3537
                Article
                Publisher Item ID: S2050-0521(21)00077-9
                DOI: 10.1016/j.sxmr.2021.09.002
                PMC ID: 8450276
                PubMed ID: 34732316
                SO-VID: f91d7a38-3e49-4e02-b65e-13f08400f605
                Copyright © Copyright © 2021, International Society of Sexual Medicine. Published by Elsevier Inc. All rights reserved.
                License:

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                Date received : 19 July 2021
                Date accepted : 9 September 2021
                Categories
                Subject: Reviews

                Keywords: ace2, angiotensin-converting enzyme 2,bmi, body mass index,ed, erectile dysfunction,fsfi, female sexual function index,iief, international index of erectile function,il, interleukin,iqr, interquartile range,is, intercourse satisfaction,nhanes, national health and nutrition examination survey,os, overall satisfaction,prisma, preferred reporting items for systematic reviews and meta-analyses,prisma-scr, preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews,ptsd, post-traumatic stress disorder,sars-cov-2, severe acute respiratory syndrome coronavirus 2,sd, sexual desire,tnf, tumor necrosis factor
                Data availability:
                Keywords: ace2, angiotensin-converting enzyme 2, bmi, body mass index, ed, erectile dysfunction, fsfi, female sexual function index, iief, international index of erectile function, il, interleukin, iqr, interquartile range, is, intercourse satisfaction, nhanes, national health and nutrition examination survey, os, overall satisfaction, prisma, preferred reporting items for systematic reviews and meta-analyses, prisma-scr, preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews, ptsd, post-traumatic stress disorder, sars-cov-2, severe acute respiratory syndrome coronavirus 2, sd, sexual desire, tnf, tumor necrosis factor

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