Background: Erectile dysfunction (ED) is a common, bothersome and relatively under diagnosed complication of diabetes mellitus. This study was aimed to determine the prevalence of erectile dysfunction and its determinants. Methods: A cross-sectional hospital-based study was carried out in the Diabetology Units of the Buea and Limbe Regional Hospitals involving 332 male patients with diabetes and aged over 21 years. Data was analyzed using Stata and R version 3.5.3. Results: The mean age of the participants was 55years. Most participants (64.46%) were married. About half (50.60%) of the participants actively consumed alcohol, 11.45% were smokers and 57.83% were sedentary. 18 participants (5.42%) recorded high risk sexual behaviour. 54.32% of participants had a comorbidity and 43.90% were overweight. The prevalence of diabetic ED was 78.92%. Age, Fasting Blood Sugar and Glycated hemoglobin were found to be positive determinants of diabetic ED (odds ratio (OR) = 0.77, 95% CI ？0.1 - 0.07). Conclusion: The prevalence of diabetic ED in this hospital population study is high, and both physician and patient—initiated measures are needed to reduce this prevalence and improve awareness, recognition and care of this condition.
References
[1]
(1993) NIH Consensus Conference. Impotence. NIH Consensus Development Panel on Impotence. JAMA, 270, 83-90.
[2]
Ahmed, A., Alnaama, A., Shams, K. and Salem, M. (2011) Prevalence and Risk Factors of Erectile Dysfunction among Patients Attending Primary Health Care Centres in Qatar. EasternMediterraneanHealthJournal, 17, 587-592. https://doi.org/10.26719/2011.17.7.587
[3]
Feldman, H.A., Goldstein, I., Hatzichristou, D.G., Krane, R.J. and McKinlay, J.B. (1994) Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study. JournalofUrology, 151, 54-61. https://doi.org/10.1016/s0022-5347(17)34871-1
[4]
Klein, R., Klein, B.E.K., Lee, K.E., Moss, S.E. and Cruickshanks, K.J. (1996) Prevalence of Self-Reported Erectile Dysfunction in People with Long-Term IDDM. DiabetesCare, 19, 135-141. https://doi.org/10.2337/diacare.19.2.135
[5]
Adebusoye, L.A., Olapade-olaopa, O.E., Ladipo, M.M. and Owoaje, E.T. (2012) Prevalence and Correlates of Erectile Dysfunction among Primary Care Clinic Attendees in Nigeria. GlobalJournalofHealthScience, 4, Article 107. https://doi.org/10.5539/gjhs.v4n4p107
[6]
Seid, A., Gerensea, H., Tarko, S., Zenebe, Y. and Mezemir, R. (2017) 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. BMCEndocrineDisorders, 17. https://doi.org/10.1186/s12902-017-0167-5
[7]
Kemp, T. and Rheeder, P. (2015) The Prevalence and Associations of Erectile Dysfunction in a South African Male Diabetic Urban Population. JournalofEndocrinology,MetabolismandDiabetesofSouthAfrica, 20, 134-139. https://doi.org/10.1080/16089677.2015.1090185
[8]
Reuben, K., Mutagaywa, J., Muhsin, A. and Banjamin, A. (2014) 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, 17, Article 227. https://doi.org/10.11604/pamj.2014.17.227.2695
[9]
Mofid, A., Zandieh, S., Ali Naghi, S.A.S. and Yazdani, T. (2007) Prevalence of Erectile Dysfunction in Tehranian Diabetic Men. Iranian South Medical Journal, 10, 46-53. http://ismj.bpums.ac.ir/article-1-7-en.html.
[10]
De Berardis, G., Franciosi, M., Belfiglio, M., Di Nardo, B., Greenfield, S., Kaplan, S.H., et al. (2002) Erectile Dysfunction and Quality of Life in Type 2 Diabetic Patients. DiabetesCare, 25, 284-291. https://doi.org/10.2337/diacare.25.2.284
[11]
Sharifi, F., Asghari, M., Jaberi, Y., Salehi, O. and Mirzamohammadi, F. (2012) Independent Predictors of Erectile Dysfunction in Type 2 Diabetes Mellitus: Is It True What They Say about Risk Factors? ISRNEndocrinology, 2012, 1-5. https://doi.org/10.5402/2012/502353
[12]
Zheng, H., Fan, W., Li, G. and Tam, T. (2006) Predictors for Erectile Dysfunction among Diabetics. DiabetesResearchandClinicalPractice, 71, 313-319. https://doi.org/10.1016/j.diabres.2005.07.011
[13]
Ziaei-Rad, M., Vahdaninia, M. and Montazeri, A. (2010) Sexual Dysfunctions in Patients with Diabetes: A Study from Iran. ReproductiveBiologyandEndocrinology, 8, Article No. 50. https://doi.org/10.1186/1477-7827-8-50
[14]
Selvin, E., Burnett, A.L. and Platz, E.A. (2007) Prevalence and Risk Factors for Erectile Dysfunction in the US. TheAmericanJournalofMedicine, 120, 151-157. https://doi.org/10.1016/j.amjmed.2006.06.010
[15]
Roth, A., Kalter-Leibovid, O., Kerbis, Y., Tenenbaum-Koren, E., Chen, J. and Sobol, T. (2010) Prevalence and Risk Factors of ED in Men with Diabetes, Hypertension and Both Diseases. Clinical Cardiology, 26, 25-30. https://doi.org/10.1002/clc.4960260106
[16]
Chu, N.V. and Edelman, S.V. (2001) Diabetes and Erectile Dysfunction. ClinicalDiabetes, 19, 45-47. https://doi.org/10.2337/diaclin.19.1.45
[17]
Burke, J.P., Jacobson, D.J., McGree, M.E., Nehra, A., Roberts, R.O., Girman, C.J., et al. (2007) Diabetes and Sexual Dysfunction: Results from the Olmsted County Study of Urinary Symptoms and Health Status among Men. JournalofUrology, 177, 1438-1442. https://doi.org/10.1016/j.juro.2006.11.059
