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Dysfonction érectile et traitement antihypertenseur

Erectile dysfunction and antihypertensive drugs

Andrologie volume 18, pages 137–139 (2008)Cite this article

Résumé

Une dysfonction érectile préexiste chez 15 à 20% des patients hypertendus avant même léintroduction déun traitement antihypertenseur. La fréquence de la dysfonction érectile passe à 40–50% sous traitement antihypertenseur. Les études cliniques de bonne méthodologie ont montré que les diurétiques étaient les principaux pourvoyeurs de dysfonction érectile. La plurithérapie antihypertensive est un facteur aggravant. Chez léhypertendu souffrant déinsuffisance érectile, les inhibiteurs des phosphodiestérases 5 peuvent être utilisés après exclusion des contre-indications.

Abstract

Fifteen to 20% of hypertensive patients suffer from erectile dysfunction prior to initiation of antihypertensive therapy and the frequency of erectile dysfunction increases to 40–50% after initiation of antihypertensive therapy.

Clinical studies conducted according to a rigorous methodology have shown that diuretics are the main cause of erectile dysfunction. Antihypertensive combination therapy is an aggravating factor.

Phosphodiesterase-5 inhibitors can be used in hypertensive patients with erectile insufficiency in the absence of any contraindications.

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Authors and Affiliations

  1. Service hypertension artérielle et maladies vasculaires, pharmacologie clinique, 1 place de l’Hôpital, BP 426, 67091, CHRU Strasbourg cedex

    Dominique Stephan, Sébastien Gaertner, Cécile Bertrand & Julie Quelet

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  1. Dominique Stephan
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  2. Sébastien Gaertner
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  3. Cécile Bertrand
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  4. Julie Quelet
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Correspondence to Dominique Stephan.

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Stephan, D., Gaertner, S., Bertrand, C. et al. Dysfonction érectile et traitement antihypertenseur. Androl. 18, 137–139 (2008). https://doi.org/10.1007/BF03040392

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Basic and Clinical Andrology

ISSN: 2051-4190