Background: Erectile dysfunction (ED) is a common condition in general population.
It has a negative impact on the couple’s quality of life. In 1995, it was
estimated that it affected 152 million people worldwide, and that it would
affect more than 322 million people in 2025 with a large increase in developing
countries. Several studies have suggested a causal link between ED and
cardiovascular disease. In the Democratic Republic of Congo, no studies exist
on this subject. Nonetheless, we are seeing increased promotion on the
management of sexual disorders in our media, which could testify to the extent
of this problem. Objective: To assess the extent of cardiovascular risk
factors for ED in Kinshasa. Material and Methods: This is a cross-sectional study for analytical purposes. It collected
several categories of individuals from May 1 to October 31, 2018. The severity
of ED was assessed by the IIEF-5 score and the associated risk factors sought
via logistic regression. Results: The mean age of the respondents was 59.9 ± 19.2 years, more than half of
the respondents were over the age of 60 years old (60%). The ED proportion was
78.8%, and 75% of respondents had at least moderate ED. This anomaly was
significantly elevated among respondents aged over 60 years (94.8%), diabetics
(87.5%), hypertensive patients (92.3%) and stroke victims (86%). The
independently associated risk factors were: age > 60
years [ORa: 9.87; 95% CI: 6.42 - 10.48, p < 0.001],
diabetes mellitus [ORa: 2.99; 95% CI: 1.80 - 4.95, p = 0.013] and the stroke [ORa: 2.1; 95%
CI: 1.36 - 3.39; p = 0.012%]. The age
threshold predicting ED was 67 years. Conclusion: ED is a frequent disorder in our environment and likely to affect the
quality of life of men who suffer from it. There is an ED and cardiovascular
risk factors correlation. A proactive attitude of the caregiver in current
practice would allow early detection of ED with a view to early and optimal
management.
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