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

Balasingam Nisahan,Thirunavukarasu Kumanan,Thampipillai Peranantharajah,Mahalingam Aravinthan,Nadarajah Rajeshkannan

doi:10.1186/s13104-019-4244-x

Balasingam Nisahan, Thirunavukarasu Kumanan + Show 3 more

Open Access

https://doi.org/10.1186/s13104-019-4244-x

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Journal: BMC research notes	Publication Date: Apr 5, 2019
Citations: 22	License type: open-access

Affiliation: Jaffna Teaching Hospital, University of Jaffna

Abstract

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 18–60 years 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 (> 5 years), 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.

Highlights

Erectile dysfunction is defined as persistent inability to achieve or maintain erection of the penis firm enough to have satisfactory sexual intercourse [1]
Significant percentage (45.7%) of participants were identified to having micro vascular complications such as neuropathy (15.3%), nephropathy (25.5%) and retinopathy (22.5%), but only 9.2% were identified as having macro vascular complications such as cerebrovascular accident (CVA), coronary artery disease (CAD) and peripheral vascular disease (PVD)
Erectile dysfunction is prevalent among 62.9% of male diabetic patients

Summary

Results

Characteristic of study population The mean age of the 326 male diabetics was 49 ± 7.5 years. Micro vascular complications such as diabetic neuropathy (OR = 1.33; 95% CI 1.12–1.51, P-0.007) and nephropathy (OR = 1.32; CI 1.12–1.54, P-0.002); co-existing hypertension (OR = 1.39; CI 1.18–1.64, P < 0.005); BMI > 25 (P = 0.035, OR: 1.74; CI 1.09–2.79), consuming unsafe level of alcohol (OR = 1.34; CI 1.14–1.56) and taking beta-blockers (OR = 1.50; CI 1.27–1.78; P-0.019) (Table 1). Type 1 Type 2 Duration of diabetes** > 5 years Poor diabetic control (HbA1C ≥ 7) Unsafe level of alcohol consumption** Smoker With micro-vascular complications** With diabetic neuropathy** With diabetic nephropathy** With retinopathy With macro vascular complications Co-existing hypertension** Hyperlipidaemia Taking beta-blockers** BMI ≥ 25**. Multivariate logistic analysis revealed age above 40 (AOR: 2.13; CI 1.05–4.33), duration of diabetes (more than 5 years) (AOR: 2.90; CI 1.67–5.02), co-existing hypertension (AOR: 1.80; CI 1.07–3.06), and unsafe level alcohol intake (AOR: 3.14; CI 1.76–5.59) were independent risk factors (Additional file 1: Table S1)

Introduction

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Discussion

Impotence