Erectile dysfunction and associated factors among men with diabetes mellitus from a tertiary diabetic center in Northern Sri Lanka

被引：24

作者：

Nisahan, Balasingam ^{[1
]}

Kumanan, Thirunavukarasu ^{[2
]}

Rajeshkannan, Nadarajah ^{[3
]}

Peranantharajah, Thampipillai ^{[1
]}

Aravinthan, Mahalingam ^{[1
]}

机构：

[1] Teaching Hosp Jaffna, Jaffna, Sri Lanka

[2] Univ Jaffna, Dept Med, Fac Med, Jaffna, Sri Lanka

[3] Civ Pk Med Ctr, Sydney, NSW 2145, Australia

来源：

BMC RESEARCH NOTES | 2019年 / 12卷 / 1期

关键词：

Co existing hypertension; Diabetes; Erectile dysfunction;

D O I：

10.1186/s13104-019-4244-x

中图分类号：

Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

ObjectivePrevalence of erectile dysfunction (ED) in diabetic men is considerably high but it is often underdiagnosed and undermanaged. There were no data available about the prevalence and the risk factors of ED in our region. So a cross-sectional study was conducted to identify the prevalence and associated risk factors of ED in a tertiary care diabetic center in Northern Sri Lanka.Results326 diabetic male patients between ages 18-60years were interviewed. Majority (62.9%; 95% CI 57.5-68.0%) of the diabetic patients suffered from ED and 22.4% (95% CI 17.8-26.8%) were found to have severe ED. Most of the patients (98.8%) were not screened or treated for ED. Bivariate analysis showed age above 40, duration of DM (>5years), type of diabetes (type 2), having micro-vascular complications, co-existing hypertension, BMI, consuming unsafe level of alcohol and taking beta-blockers were associated with ED at 5% level (P<0.05). This study failed to show association with dyslipidemia, macro vascular complications such as coronary artery disease (CAD, P-0.052), glycemic control (P-0.082) and smoking. Regression analysis revealed age >40 (AOR: 2.13; 95% CI 1.05-4.33), duration of diabetes (AOR: 2.90; 95% CI 1.67-5.01), co-existing hypertension (AOR: 1.8; 95% CI 1.06-3.06), and unsafe level alcohol intake (AOR: 3.14; 95% CI 1.76-5.59) were independent risk factors.

引用

页数：6

共 22 条

[1]

Impotence: NIH Consensus Developemental Panal on Impotence, JAMA, 270, 1, pp. 83-90, (1993)

[2]

Malavige L.S., Levy J.C., Erectile dysfunction in diabetes mellitus, J Sex Med, 6, pp. 1232-1247, (2009)

[3]

Sexual and Urologic Problems of Diabetes, (2008)

[4]

Penson D.F., Latini D.M., Lubek D.P., Wallace K.L., Henning J.M., Lue T.F., Do impotent men with diabetes have more severe erectile dysfunction and worse quality of life than the general population of impotent patients? Results from the Exploratory comprehensive evaluation of erectile dysfunction (ExCEED) database, Diabetes Care, 26, pp. 1093-1099, (2003)

[5]

Pastuszak A.W., Current diagnosis and management of erectile dysfunction, Curr Sex Health Rep., 6, 3, pp. 164-176, (2014)

[6]

Seftel A.D., Sun P., Swindle R., The prevalence of hypertension, hyperlipidemia, diabetes mellitus and depression in men with erectile dysfunction, J Urol, 171, pp. 2341-2345, (2004)

[7]

Feldman H.A., Goldstein I., Hatzichristou D.G., Krane R.J., McKinlay J.B., Impotence and its medical and psychosocial correlates: Results of the Massachusetts male aging study, J Urol, 151, 1, pp. 54-61, (1994)

[8]

Giugliano F., Maiorino M., Bellastella G., Gicchino M., Giugliano D., Esposito K., Determinants of erectile dysfunction in type 2 diabetes, Int J Impot Res, 22, 3, pp. 204-209, (2010)

[9]

Al-Hunayan A., Al-Mutar M., Kehinde E.O., Thalib L., Al-Ghorory M., The prevalence and predictors of erectile dysfunction in men with newly diagnosed type 2 diabetes mellitus, BIU Int, 99, pp. 130-134, (2007)

[10]

Rosen R.C., Cappelleri J.C., Smith M.D., Lipsky J., Pena B.M., 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, 11, 6, pp. 319-326, (1999)

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