{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:11:28Z","timestamp":1789996288052,"version":"4.0.1"},"reference-count":33,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Erectile dysfunction (ED) and acute coronary events are closely linked, yet the trajectory of ED following percutaneous coronary intervention (PCI) remains incompletely understood. The residual SYNTAX score (RSS) quantifies incomplete revascularization and is an established prognostic tool in cardiology; however, its role in erectile function recovery after myocardial infarction (MI) is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate whether RSS predicts recovery of erectile function after MI treated with PCI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>In this prospective cohort study, 82 men aged 40\u201370 years who underwent PCI for MI were evaluated. ED was assessed using the International Index of Erectile Function\u20105 (IIEF\u20105) at baseline (after recovery from PCI, reflecting erectile functions before MI), and at 3 and 6 months. ED was defined as an IIEF\u20105 score \u226421. Patients were stratified according to RSS (&lt;8 vs. \u22658). Anxiety (sexual\u2010fear subscale) and depressive symptoms (BDI\u2010II) were also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ED was present in 57.3% of patients at baseline, increased to 68.7% at 3 months, and decreased to 37.3% at 6 months. At 6 months, mean IIEF\u20105 scores improved significantly in men with RSS &lt;8 (from 17.9 to 21.2;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), but not in those with RSS \u22658 (from 17.2 to 16.3;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.314). While severe ED remained largely unchanged over time, mild\u2010to\u2010moderate ED demonstrated the greatest improvement. Anxiety independently predicted ED at 3 months (OR 1.223,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.049). At 6 months, RSS \u22658 independently predicted persistent ED (OR 3.22,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.033), with moderate discriminatory accuracy (AUC 0.72).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RSS \u22658 may identify men at increased risk for persistent ED after MI. The differential recovery patterns suggest that reversible functional impairment may predominate in milder forms of ED, whereas persistent severe ED may reflect more extensive systemic and penile vascular disease. Early recognition of anxiety and targeted sexual counseling may support erectile recovery following PCI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/andr.70178","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T13:29:22Z","timestamp":1768829362000},"page":"2189-2198","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Prognostic Role of Residual SYNTAX Score in the Recovery of Erectile Function Following Myocardial Infarction Treated with Percutaneous Coronary Intervention"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3992-2013","authenticated-orcid":false,"given":"Timucin","family":"Sipal","sequence":"first","affiliation":[{"name":"Department of Urology Faculty of Medicine Kirikkale University  Kirikkale Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5984-1857","authenticated-orcid":false,"given":"\u00c7a\u011flar","family":"Alp","sequence":"additional","affiliation":[{"name":"Department of Cardiology Faculty of Medicine Kirikkale University  Kirikkale Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-4353","authenticated-orcid":false,"given":"Ferhat Yakup","family":"Su\u00e7eken","sequence":"additional","affiliation":[{"name":"Department of Urology Health Sciences University, Umraniye Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5136-9690","authenticated-orcid":false,"given":"\u00c7a\u011flar","family":"Sario\u011flu","sequence":"additional","affiliation":[{"name":"Department of Urology Health Sciences University, Bilkent Training and Research Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2432-0378","authenticated-orcid":false,"given":"Muhammet","family":"Karadeniz","sequence":"additional","affiliation":[{"name":"Department of Cardiology Faculty of Medicine Kirikkale University  Kirikkale Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6782-0087","authenticated-orcid":false,"given":"Erdal","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine Kirikkale University  Kirikkale Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.04.052"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000446-200012000-00038"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.012709"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl142"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1557988316630305"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1677\u20105538.IBJU.2013.04.03"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.esxm.2021.100376"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1677\u20105538.IBJU.2015.0002"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.03.010"},{"issue":"4","key":"e_1_2_11_11_1","first-page":"236","article-title":"Residual SYNTAX Score and One\u2010Year Outcome in Elderly Patients with Acute Coronary Syndrome","volume":"2","author":"Morici N.","year":"2020","journal-title":"Calcium Antagonists"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehad191"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbr.2023.114802"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001372"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12041"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2006.12.001"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2020.03.002"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.001803"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.11.034"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29118"},{"issue":"3","key":"e_1_2_11_21_1","first-page":"62","article-title":"Comparison between Percutaneous Coronary Intervention and Medical Treatment in the Management of Egyptian Patients with Chronic Coronary Syndrome: A Randomized Controlled Trial","volume":"9","author":"Sanhoury M. 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