S8 The sexual and psychological conditions of male patients with klinefelter syndrome and vasal agenesis Eur Urol Suppl 2013;12;e1116

Baydilli N., Demirtas A., Ozkaya M., Sabur V., Akinsal E.C., Ekmekcioglu O.

Erciyes University, Medical Faculty, Dept. of Urology, Kayseri, Turkey

INTRODUCTION & OBJECTIVES: To evaluate the sexual and psychological conditions of the infertile patients with

Klinfelter Syndrome (KS) and Vasal agenesis (VA) and compare the results with the fertile population.

MATERIAL & METHODS: Forty-eight patients with KS and 29 patients with VA and their spouses whose treatments and

follow-up’s were conducted in our clinic were included as case groups. As a control group, 42 fertile patients and their spouses

were included. The sexual and psychological questionnaires, hormone profiles and semen volumes were evaluated. Separately,

the patients with KS were divided into groups according to bioavailable testosterone levels and whether or not they are receiving

androgen replacement treatment and their sexual and psychological questionnaires were compared.

RESULTS: Patients' data were given Table 1. Patients with KS were found to be more depressive and their controls over

ejaculation were weaker when compared with the control group. The patient with VA were not found to be more depressive but

as it is in the KS patients, their controls over ejaculation were found to be weaker when compared with the control group. The

patients with KS and vasal agenesis, who have weaker controls over ejaculation, were observed to experience more problems

with their spouses Table 2.

Table 1. Patients' data.

Klinefelter syndrome (n=48) Vasal agenesis (n=29) Control (n=42) *P *One Way (ANOVA)

Age (years) 36.8 ± 5.4 35.9 ±7.6 33.8 ± 5.4 0.062

Height (cm) 176 ± 6 172 ± 7 175 ± 7 0.040

Weight (kg) 81.35 ± 14 77.6 ± 13.3 81.3 ± 12.4 0.441

BMI 25.9 ± 3.9 25.9 ± 3.7 26.4 ± 3.4 0,081

Table 2: Scores questioning of patients with KS and with VA.

Klinefelter syndrome (n=48) Vasal agenesis (n=29) Control (n=42) *P *One Way (ANOVA)

BECK 15.5± 12 10.3± 16 9.2±9.3 0.041

AİPE 24.7±5.7 23.7±6.1 27.7±5.4 0.009

PEDT 9.8±5.7 9.2±7.6 5.4±4.3 0.001

CONCLUSIONS: When treating a patient with infertility after the diagnosis of an organic reason, their psychological conditions

also must be kept in mind.