Prevalence of erectile dysfunction and associated factors among diabetic men attending diabetic clinic at Muhimbili National Hospital in Dar-es-Salaam, Tanzania

Abstract

IntroductionThere has been an increase in the prevalence of erectile dysfunction (ED) in the general population especially among Diabetic patients. This seems to be neglected problem in low-income countries. This study aims at establishing the prevalence of ED and associated risk factors in diabetic patients attended at Diabetic Clinic at Muhimbili National Hospital.MethodsA cross-sectional hospital based study was conducted among 312 diabetic patients attending diabetic clinic at Muhimbili National Hospital between May and December 2011.ResultsMore than half (55.1%) of the patients were found to have some form of ED (12.8% had mild dysfunction, 11.5% moderate and 27.9% severe dysfunction). The severity of ED was correlated with increased age. Multivariate logistic regression revealed that ED was significantly predicted by old age (odds ratio (OR) = 7.1, 95% CI 1.2-40.7), evidence of peripheral neuropathy (OR) =5.9, 95% CI 1.6-21.3), and evidence of peripheral vascular disease (OR =2.5, 95% CI 1.2-5.3). Also longer duration of DM was marginally associated with ED (p=0.056). Patients with ED were also more likely to suffer other sexual domains (p<0.001). No lifestyle factor was associated with ED.ConclusionThe prevalence of ED is high among DM patients. Interventions aimed at prevention, early diagnosis and detection of DM and its complications, and adherence to treatment to prevent complications should be implemented. Further studies should emphasize on temporal variation to show true causality of DM on erectile dysfunction.

Endothelial Nitric Oxide Synthase Polymorphisms and Erectile Dysfunction: A Meta-Analysis

“…Recruitment strategy about ED patients is also a significant covariate. Epidemiological studies have shown that ED could be caused by psychogenic and physiologic factors [29]. The studies included in this meta-analysis consisted of ED patients, whereas some did not.…”

Prevalence of erectile dysfunction patients with diabetes mellitus and its association with body mass index and glycated hemoglobin in Africa: a systematic review and meta-analysis

“…Overall information regarding the prevalence was obtained from various countries in Africa. Three of the studies were from Nigeria [42][43][44], three from Ethiopia [11,45,46], two from Zimbabwe [41,47] ,two from South Africa [40,48], one each from Guinea [49], Benin [18], Morocco [50], Egypt [24], Senegal [51], Kenya [52], Ivory coast [53], Tanzania [54], Uganda [55],and Ghana [20].…”

Erectile Dysfunction among Diabetic Patients at Parirenyatwa Group of Hospitals in Zimbabwe

“…Erectile dysfunction has been identified to be a major problem amongst diabetes mellitus patients (Mutagaywa et al 2014). Erectile dysfunction has been defined as the inability to achieve and maintain an erection which is sufficient to permit satisfactory sexual intercourse (Mutagaywa et al 2014) (Hackett 2009). The causes of erectile dysfunction are classified into organic or psychogenic.…”

“…Organic causes of sexual dysfunction are drug induced, traumatic/post-surgical, vascular, endocrine induced and neurological. Whilst psychogenic causes include relationship problems, performance anxiety and depression (Mutagaywa et al 2014).…”

“…The main risk factors of erectile dysfunction amongst diabetes mellitus patients are neuropathy, vascular insufficiency, poor glycaemic control, hypertension, low testosterone levels and life style which include smoking, alcohol and inactivity. The prevalence of erectile dysfunction increases with age (Mutagaywa et al 2014). Sexual problems are not usually discussed with doctors due to embarrassment and lack of understanding of the condition thus the patients suffer silently.…”