Results
Mean age, smoking volume, T and T / E2 ratios of the groups were similar (p> 0.05). The mean BMI and WC were significantly higher in Group 1 than Group 2 (p<0.05). Proportions of obesity and morbid obesity were much higher in Group 1 than Group 2. The majority of Group 1 patients had at least four or five MeTS criteria (50% + 11.5) (Table 2). The majority of Group 2 patients had one or two criteria of MeTS (37.6% + 43.9 %). Mean VAI was two-fold higher in patients in Group 1 than Group 2 (p <0.001). Mean sexual satisfaction, desire, orgasm, and general satisfaction rates were similar between groups (p> 0.05). Group 1 had higher diabetes, hypertension and coronary artery disease rates than Group 2 (p = 0.001). The mean erectile function score was 13.6±7.7 in Group 1 compared to 18.8±7.9 in Group 2 (p = 0.001). Severe and moderate ED scores were observed in 61.5% of the cases in Group 1, while this rate was 39.1% in Group 2. (Table 2). Multivariate logistic regression analysis showed that the VAI was associated with a 1.4-fold increased risk of ED (p <0.01, OR = 1.4 (95% CI 1.4-1.7) and higher T values were associated with a better erectile function (p = 0.03, OR = 0.7, 95% CI 0.5-1). Regarding the VAI, the receiver-operating characteristic (ROC) analysis showed for the VAI=4.33 value, the area under the curve (AUC) was 0.835 (95% CI: 0.786-0.884) with a sensitivity of 89.6 % and specificity of 57.7 % (Figure 1).