• Tatjana Bačun, Aleksandar Kibel, Dunja Degmečić, and Roman Pavić.
• 1Department of Internal Medicine, Osijek University Hospital Centre, Osijek, Croatia; 2Department of Internal Medicine, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 3Department of Physiology and Immunology, Faculty of Medicine, University of Osijek, Osijek, Croatia; 4Department of Psychiatry, Osijek University Hospital Centre, Osijek, Croatia; 5Department of Psychiatry, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 6University Hospital of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 7Department of Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
• Acta Clin Croat. 2020 Mar 1; 59 (1): 173-176.

AbstractEndocrinopathies are relatively rare causes of erectile dysfunction. Cases of hyperprolactinemia and pituitary adenomas have been previously reported. We present a clinical case of a 27-year-old male with suspected infertility and recent symptoms of erectile dysfunction. Additional radiological and endocrinologic workup revealed underlying subependymoma, which was expanding in the sellar and suprasellar regions, causing pressure against the pituitary gland. The resulting endocrine disorder caused problems that were subjectively at first manifested mainly as erectile dysfunction. The case is an educative example pointing to the need of taking possible intracranial lesions in consideration when starting workup in a patient presenting with erectile dysfunction. It may be of broad clinical interest not only for endocrinologists but also for practitioners in various fields.

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