The impact of poor glycaemic control on the prevalence of erectile dysfunction in men with type 2 diabetes mellitus: a systematic review

Binmoammar, Turki A; Hassounah, Sondus; Alsaad, Saad R; Rawaf, Salman; Majeed, Azeem

doi:10.1177/2054270415622602

Cited by 56 publications

(55 citation statements)

References 41 publications

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“…This further supports the relevance of the role of ED ascertainment in assessing risk of Type 2 diabetes. It has been reported that ED is a Type 2 diabetesassociated factor [3], with even higher prevalence where metabolic control is not optimal [13]. In men with Type 2 diabetes who are aware of their condition this could signal insufficient treatment or low adherence.…”

Section: Results Interpretationmentioning

confidence: 99%

Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus

Carrillo‐Larco

Luza-Dueñas²,

Urdániga-Hung³

et al. 2018

Diabet. Med.

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AimsTo assess the diagnostic accuracy of four undiagnosed Type 2 diabetes mellitus risk scores accounting for erectile dysfunction status.MethodsThis was a population‐based cross‐sectional study. Type 2 diabetes was defined according to a oral glucose tolerance test and self‐reported physician diagnosis. Erectile dysfunction was defined according to the answer to the question, ‘Have you had difficulties obtaining an erection in the last 6 months?’ (yes/no). The risk scores used were the FINDRISC, LA‐FINDRISC, American Diabetes Association score and the Peruvian Risk Score. A Poisson regression model was fitted to assess the association between Type 2 diabetes and erectile dysfunction. The area under the receiver‐operating characteristic curve was estimated overall and by erectile dysfunction status.ResultsA total of 799 men with a mean (sd) age of 48.6 (10.7) years were included in the study. The overall prevalence of Type 2 diabetes was 9.3%. Compared with healthy men, men with Type 2 diabetes had 2.71 (95% CI 1.57–4.66) higher chances of having erectile dysfunction. Having excluded men aware of Type 2 diabetes status (N=38), the area under the receiver‐operating characteristic curve of three of the risk scores (not the American Diabetes Association score) improved among those who had erectile dysfunction in comparison with those who did not; for example, the area under the receiver‐operating characteristic curve of the LA‐FINDRISC score was 89.6 (95% CI 78.7–99.9) in men with erectile dysfunction and 76.5 (95% CI 68.5–84.4) overall.ConclusionsIn a population‐based study, erectile dysfunction was more common in men with Type 2 diabetes than in the otherwise healthy men. Screening for erectile dysfunction before screening for Type 2 diabetes seems to improve the accuracy of well‐known risk scores for undiagnosed Type 2 diabetes.

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Section: Results Interpretationmentioning

confidence: 99%

Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus

Carrillo‐Larco

Luza-Dueñas²,

Urdániga-Hung³

et al. 2018

Diabet. Med.

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“…Some studies have observed association between poor glycaemic control as expressed by elevated levels of glycosylated haemoglobin whist other studied did not report any association (Esposito, Maiorino, and Bellastella 2014). Further research is required to clarify causal link between prolonged hyperglycaemia and erectile dysfunction (Binmoammar et al 2016).…”

Section: Discussionmentioning

confidence: 94%

“…The male participants had an International Index of Erectile Function (IIEF-5) Questionnaire administered on them by a male medical doctor. Erectile dysfunction scores of 22 to 25 were classified as no erectile dysfunction where as a score of 21 and below were classified as erectile dysfunction (Shi et al 2014) (Binmoammar et al 2016).…”

Section: Methodsmentioning

confidence: 99%

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

Machingura¹

2018

TIJPH

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Erectile dysfunction is a major problem amongst diabetes mellitus patients. However sexual problems are not usually discussed with doctors due to embarrassment and lack of understanding of the condition thus the patients suffer silently. The study sought to determinate the prevalence of erectile dysfunction and associated factors amongst male diabetes mellitus patients attending the outpatient clinic at Parirenyatwa group of hospitals. Adult male diabetic patients who consented to participate in the study had a questionnaire administered on them to collect demographic data and an International Index of Erectile Function (IIEF-5) Questionnaire administered on them by a male medical doctor. Anthropometric measurements were conducted and samples were collected for laboratory investigations. The prevalence of erectile dysfunction was 73.9%. Erectile dysfunction was associated with higher age (p = 0.009), higher systolic blood pressure (p = 0.009) and being on hypertensive drugs (p = 0.007). The proportion of diabetic patients with higher glycosylated haemoglobin was higher among patients with erectile dysfunction (p = 0.020). This study shows high prevalence of erectile dysfunction in diabetes mellitus patients attending Parirenyatwa outpatient clinic. Erectile dysfunction was associated with higher age, higher systolic blood pressure and being on antihypertensive drugs. This study shows the need of consistent screening of erectile dysfunction among diabetic patients for early detection, treatment and prevention. There is also need for a large national study to confirm this prevalence and the associated factors.

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“…Diyabetik hastalarda ED, diyabetik olmayan erkeklerden 10-15 yıl önce ortaya çıkmaktadır (3,4). Diyabetik erkeklerde ED un daha ciddi olduğu ve daha kötü yaşam kalitesi ile ilişkili olduğu gösterilmiştir (5).…”

Section: Introductionunclassified

Erektil disfonksiyonlu diabetes mellitus olgularında penil Doppler ultrasonografi bulguları

2017

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Amaç: Penil Doppler ultrasonografi (US) incelemesi istenen erektil disfonksiyon şikayeti bulunan diabetes mellitus tanılı hastalarda US bulgularının erektil fonksiyon skorlama testi ile karşılaştırılarak değerlendirilmesi amaçlandı. Gereç ve Yöntem:Penil Doppler US incelemesi yapılan 27 hasta prospektif yürütülen bu çalışmaya dahil edildi. Hastalara US ünitesinde, penil kavernöz cisme papaverin enjeksiyonunu takiben Doppler US yapılarak penil kan akımı değerlendirildi. Pik sistolik akım hızı, diyastol sonu hız kaydedilerek Doppler US tanısı belirlendi. Ereksiyon düzeyi, ereksiyon sertlik derecelendirme skalasına göre 4 puan üzerinden değerlendirildi. Erektil fonksiyon için IIEF-5 (erektil fonksiyon uluslararası indeksi) anketi ile skorlama yapıldı ve SHIM (erkekler için seksüel sağlık envanteri) seviyesi belirlendi. Elde edilen Doppler US tanıları ile SHIM seviyeleri karşılaştırıldı. Abstract Aim: To evaluate the correlation between penile Doppler ultrasound (US) findings and erectile function scoring test in patients with diabetes mellitus requested penile Doppler US examination and suffering from erectile dysfunction. Materials and Methods: Twenty-seven patients who underwent penile Doppler US were recruited to this prospective study. Penile blood flow following intracavernosal papaverine injection using Doppler US was evaluated in the ultrasound unit. The peak systolic velocity and end-diastolic velocity were recorded and the diagnosis according to Doppler US was determined. Erection score according to Erection Hardness Grading Scale was evaluated, which ranked the scores from 1 to 4. A scoring for erectile function was performed with the International Index of Erectile Function (IIEF-5), and the Sexual Health Inventory for Men (SHIM) was defined. Doppler US findings were compared with SHIM scales.Results: There were a total of 27 patients with a mean age of 55.74±9.02 (39-70) Conclusion:The rate of vascular problems in diabetic men with erectile dysfunction is high and venous insufficiency was found to be more often in our study.

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The impact of poor glycaemic control on the prevalence of erectile dysfunction in men with type 2 diabetes mellitus: a systematic review

Cited by 56 publications

References 41 publications

Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus

Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus

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

Erektil disfonksiyonlu diabetes mellitus olgularında penil Doppler ultrasonografi bulguları

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