Clinical Correlates of Type 2 Diabetic Patients with Erectile Dysfunction Attending the Family Medicine Clinic in a Southern State of Nigeria
Journal of Advances in Medical and Pharmaceutical Sciences,
Page 9-15
DOI:
10.9734/jamps/2022/v24i11585
Abstract
Aims: This study aimed to provide evidence on the clinical correlates of type 2 diabetic patients with erectile dysfunction leading to improved quality of life.
Study Design: Cross-sectional study.
Place and Duration of Study: Family Medicine Clinic of Braithwaite Memorial Specialist Hospital (BMSH) [now Rivers University Teaching Hospital] Port Harcourt. The data was collected from January 2012 to April 2012.
Methodology: This hospital-based study was conducted on 324 male type 2 diabetic patients using systematic random sampling. The data were collected with a structured questionnaire; and the level of erectile dysfunction was measured using the international index of erectile function. Data was entered and analyzed using SPSS version 16. Logistic regression was employed to test associations between independent and outcome variables.
Results: Three hundred and twenty-four patients enrolled for the study. Only 31 participants (9.5%) had normal erectile function while 273 (90.5%) had varying degree of erectile dysfunction. Majority of the participants 205(63.2%) had diabetes above 20 years, more than half (64.9%) had poor glucose control, 169(52.1%) were overweight, while 284(87.6%) had normal cholesterol level and 186(57.4%) with elevated diastolic blood pressure. Duration of diabetes and diastolic hypertension were the only factors associated with erectile dysfunction p<0.0001 and p<0.004 respectively.
Conclusion: This study confirmed a high prevalence of ED in type 2 diabetic male patients especially among those with elevated blood pressure and those living with diabetes mellitus for many years.
Keywords:
- Diabetes mellitus
- erectile dysfunction
- clinical correlates
How to Cite
References
Sanchez E, Pastuszak AW, Khera M. Erectile dysfunction, metabolic syndrome, and cardiovascular risks: facts and controversies. Transl Androl Urol. 2017; 6(1):28-36.
NIH Consensus development panel on impotence. JAMA. 1993;270: 83-90
Aydin C, Senel E. Impotence literature: Scientometric analysis of erectile dysfunction articles between 1975 and 2018. Andrologia. 2020;52:e13520.
Available:https://doi.org/10.1111/and.13520
Defeudis G, Gianfrilli D, Di Emidio C, Pofi R, Tuccinardi D, Palermo A, et al. Erectile dysfunction and its management in patients with diabetes mellitus. Rev Endocr Metab Disord; 2015.
DOI: 10.1007/s11154-015-9321-4. Epub ahead of print. PMID: 26497842.
Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Peña BM. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impo Res. 1999;11(6):319–2
Olafimihan K, Ayinmode B, Odeigah L, Akande AA. Erectile dysfunction as a marker of impaired fasting blood glucose (IFG). International Journal of Medicine and Medical Sciences. 2010;2: 342-346.
Kemp T, Rheeder P. The prevalence and associations of erectile dysfunction in a South African male diabetic urban population. Journal of Endocrinology, Metabolism and Diabetes of South Africa. 2015;20(3):134-139. Available:https://www.tandfonline.com/doi/full/10.1080/16089677.2015.1090185
Dan A, Chakraborty K, Mondal M, Neogi R, Chatterjee S, Makhal M. Erectile dysfunction in patients with diabetes mellitus: Its magnitude, predictors and their bio-psycho-social interaction: A study from a developing country. Asian Journal of Psychiatry. 2014;7:58–65.
Minami H, Furukawa S, Sakai T, Niiya T, Miyaoka H, Miyake T, et al. Physical activity and prevalence of erectile dysfunction in Japanese patients with type 2 diabetes mellitus: The Dogo Study. J Diabetes Investig. 2018;9(1):193-198.
Ugwu T, Ezeani I, Onung S, Kolawole B, Ikem R. Predictors of erectile dysfunction in men with type 2 diabetes mellitus referred to a tertiary healthcare centre. Adv Endocrinol; 2016.
Article ID: 9753154.
Available:https://doi.org/10.1155/2016/9753154
Abay M. Prevalence and determinants of erectile dysfunction among diabetic patients attending in hospitals of central and northwestern zone of Tigray. BMC Endocrine Disord BMC. 2017;17(16).
Zeleke M, Hailu D, Daka D. Erectile dysfunction and associated factors among diabetic patients at, Hawassa, Southern, Ethiopia. BMC Endocr Disord . 2021;139. Available:https://doi.org/10.1186/s12902-021-00807-5
Seid A, Hadgu G, Tarko S, Zenebe Y, Mezemir R. Prevalence and determinants of erectile dysfunction among diabetic patients attending in hospitals of central and northwestern zone of Tigray, northern Ethiopia: a cross-sectional study. BMC Endocrine Disorders. 2017;17:16.
Phé V, Rouprêt M. Erectile dysfunction and diabetes: A review of the current evidence-based medicine and a synthesis of the main available therapies. Diabetes Metab. 2012;38:1-3.
Ugwumba F O, Okafor C , Nnabugwu I, Udeh E , Echetabu K N, Okoh A D, et al. Prevalence of, and risk factors for erectile dysfunction in male type 2 diabetic outpatient attendees in Enugu, South East Nigeria. 2018;17(4):215-220.
Mutagaywa R.K, Lutale J, Aboud M, Kamala B. A. Prevalence of erectile dysfunction and associated factors among diabetic men attending diabetic clinic at Muhimbili National Hospital in Dar-es-Salaam, Tanzania. Pan African Medical Journal. 2014;17:227. DOI:10.11604/pamj.2014.17.227.2695
Olarinoye JK, Kuranga SA, Katibi IA, Jimoh AA, Sanya EO. Prevalence and determinant of Erectile dysfunction among people with type 2 diabetes in Ilorin. Niger Postgrad Med J 2006; 13:291-296.
Ahmed I, Aamir Au, Anwar E, Ali SS, Ali A, Ali A, et al. Erectile dysfunction and type 2 diabetes mellitus in Northern Pakistan. J Pak Med Assoc. 2013;63:1486-90.
Hassan A, Aburisheh K, Sheikh TJ, Meo SA, Ahmed NA, Al Sharqawi AH, et al. Prevalence of erectile dysfunction among saudi type 2 diabetic patients. Eur Rev Med Pharmacol Sci. 2014;18: 1048–57.
Zedan H, Hareadei A.A, Abd-Elsayed AA, Abdel-Maguid EM. Cigarette smoking, hypertension and diabetes mellitus as risk factors for erectile dysfunction in upper Egypt. EMHJ 2010;16:(3). 281-285.
Nasser J, Habib F, Al Saad A, Al Hashimi D, Abdulla A, Al Tajer L. Prevalence of Risk Factors of Erectile Dysfunction among Men with Diabetes. Bahrain Medical Bulletin. 2015;37(3):1-9.
Eulises DMCL, Nesty Olivares A, Carlos MT, Rita Angélica G, Carlos Aguilar S, et al. Erectile Dysfunction: A Chronic Complication of the Diabetes Mellitus, Erectile Dysfunction - Disease-Associated Mechanisms and Novel Insights into Therapy. Mexico: Department of Reproductive Biology; 2012.
Oyelade BO, Jemilohun AC, Aderibigbe SA. Prevalence of erectile dysfunction and possible risk factors among men of South-Western Nigeria: A population-based study. Pan Afr Med J 2016;24:124.
Koroglu G, Kaya-Sezginer E, Yilmaz-Oral D, Gur S. Management of Erectile Dysfunction: An Under-Recognition of Hypertension. Curr Pharm Des. 2018; 24(30):3506-3519.
-
Abstract View: 48 times
PDF Download: 18 times
