Introduction: The objective of this study was to describe the risk factors of erectile dysfunction (ED) in diabetic patients at the University Hospital of Libreville. Material and Methods: This was a prospective descriptive-analytical study of type 1 and 2 diabetic patients aged over 18 years whose erectile function was assessed using the French translation of the IIEF-5 score. Results: 396 patients were selected with a mean age of 53 ± 13.6 years. People with type 2 diabetes represented 84.1% of the cases. Of the patients selected, 186 (47%) had diabetes for less than 5 years. Erectile dysfunction was found in 79.8% of patients (n=316), with a severe form in 19.7% of cases. Among the patients affected, 74.4% (n=235) had not sought medical advice before the onset of ED. Several risk factors were found, such as duration of diabetes (p<0.001), alcohol (p<0.001), diabetic retinopathy (p<0.001), diabetic nephropathy (p=0.004), and heart disease (p=0.004). In multivariate analysis, only advanced age, unbalanced diabetes, alcohol consumption, microangiopathy, mixed degenerative pathology, and duration of diabetes greater than 10 years remained statistically significant in ED. Conclusion: The prevalence of erectile dysfunction is significant in people with diabetes. Several factors associated with ED are clearly identified. They should be sought at the time of diagnosis of diabetes to make patients aware of the risk of ED associated with it. This would allow the physician to talk to the patient about ED, thus short-circuiting any difficulty the patients may have in discussing it voluntarily even when they are suffering from it.
| Published in | International Journal of Clinical Urology (Volume 6, Issue 1) |
| DOI | 10.11648/j.ijcu.20220601.20 |
| Page(s) | 39-44 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Erectile Dysfunction, Diabete, Risk Factor, Libreville
| [1] | National Institute of Health Consensus Conference. Impotence: consensus development Panel on Impotence. Journal of the American Medical Association, 1993, 270: 83–90. |
| [2] | Chu NV, Edelman SV. Diabetes and erectile dysfunction. Clin Diabetes 2001; 19 (1): 45–7. |
| [3] | S ́Aenz-de-Tejada I, Anglin G, Knight JR, Emmick JT. Effects of tada-lafil on erectile dysfunction in men with diabetes. Diabetes Care 2002; 25: 2159–64. |
| [4] | Selvin E, Burnett AL, Platz EA. Prevalence and risk factors for erectile dysfunction in the US. Am J Med. 2007; 120: 151–7. |
| [5] | Colson MH, Roussey G. Dépistage et prise en charge de la dysfonction érectile des patients diabétiques: une nécessité pour tout praticien. Revue de littérature. [screening and management of erectile dysfunction in diabetic patients: a necessity for all practitioners. Literature review]. Sexologies 2013; 22 (1): 3-9. |
| [6] | Fedele D, Bortolotti A, Coscelli C, Santeusanio F, Chatenoud L, Colli E et al. Erectile dysfunction in type 1 and type 2 diabetics in Italy. Int J Epidemiol 2000; 29: 524–531. |
| [7] | El-Sakka AI, Tayeb KA. Erectile dysfunction risk factors in non-insulin dependent diabetic Saudi patients. J Urol 2003; 169: 1043–1047. |
| [8] | Siu SC, Lo SK, Wong KW, Ip KM, Wong YS, Prevalence of and risk factors for erectile dysfunction in Hong Kong diabetic patients. Diabet Med 2001; 18 (9): 732–8. |
| [9] | Giuliano FA, Leriche A, Jaudinot EO, De Gendre AS. Prevalence of erectile dysfunction among 7689 patients with diabetes or hypertension, or both. Urology 2004; 64 (6): 1196–201. |
| [10] | Monabeka HG, Bouya PA, Odzebe SW, et al. Aspects Epidemiologique Et Clinique De La Dysfonction Erectile Chez Les Sujets Diabetiques à Brazzaville. [Epidemiological and clinical aspects of erectile dysfunction in diabetics subjects in Brazzavile]. Ann Univ M. Ngouabi 2010; 11 (5): 26–32. |
| [11] | Baldé NM, Diallo AB, Baldé MC, et al. Dysfonction érectile et diabète à Conakry (Guinée): fréquence et profil clinique à partir de 187 observations. [Erectile dysfunction and diabetes in Conakry (Guinée): frequency and clinical profile from 187 observations]. Ann Endocrinol 2006; 67 (4): 338–42. |
| [12] | Rhoden EL, Ribeiro EP, Riedner CE, Teloken C, Souto CA. Glyco- sylated haemoglobin levels and the severity of erectile function in diabetic men. BJU Int 2005; 95: 615-7. |
| [13] | Zeleke M, Hailu D, Daka D. Erectile dysfunction and associated factors among diabetic patients at Hawassa southern, Ethiopia. BMC Endocrine Disorders (2021) 21: 139. |
| [14] | El Achhab Y, Berraho M, Benslimane A, et al. Diabète et dysfonction érectile au Maroc: Étude épidémiologique auprès d’une population de consultants. [Diabetes and erectile dysfunction in Morocco: Epidemiological study in a consultant population]. East Mediterr Heal J 2008; 14 (5): 1090–100. |
| [15] | Bortolotti A, Fedele D, Chatenoud L et al. Cigarette Smoking: A Risk Factor for Erectile Dysfunction in Diabetics. Eur Urol 2001; 40: 392–397. |
| [16] | Cho NH, Ahn CW, Park JY, Ahn TY, Lee HW, Park TS, et al. Prevalence of erectile dysfunction in Korean men with type 2 diabetes mellitus. Diabet Med. 2005; 23: 198–203. |
| [17] | Al-Hunayan A, Al-Mutar M, Kehinde EO, Thalib L, Al-Ghorory M. The prevalence and predictors of erectile dysfunction in men with newly diagnosed with type 2 diabetes mellitus. BJU Int. 2007; 99 (1): 130–4. https://doi.org/10.1111/j.1464-410X.2006.06550.x. |
| [18] | Nutalapati S, Ghagane SC, Nerli RB, Jali M V, Dixit NS, Association of erectile dysfunction and type II diabetes mellitus at a tertiary care centre of south India, Diabetes Metab Syndr Clin Res Rev, 2020; 14 (4): 649–53. |
| [19] | Phé V, Rouprêt M, Ferhi k, Traxer O, Haab F, Beley S, Étiologie et prise en charge de la dysfonction érectile chez le patient diabétique,[Aetiology and management of erectile dysfunction in patients with diabetes mellitus]. Prog en Urol 2009; 19 (6): 364-71. |
| [20] | Lokrou A, Soumahoro S, La dysfonction érectile chez les personnes atteintes de diabète en Côte-d’Ivoire, [erectile dysfunction in people with diabetes in Ivory Coast]. Med des Mal Metab 2011; 5 (2): 203–7. |
| [21] | Seid A, Gerensea H, Tarko S, Zenebe Y, Mezemir R, Prevalence and determinants of erectile dysfunction among diabetic patients attending in hospitals of central and northwestern zone of tigray, northem Ethiopia: a cross-sectional study, BMC Endocrine Disorders 2017; 17 (1): 1-7. |
| [22] | Mutagaywa RK, Lutale J, Muhsin A, Kamala BA, Prevalence of erectile dysfunction and associated factors among diabetic men attending diabetic clinic at muhimbili national hospital in Dar-es-Salaam, Tanzania, Pan Afr Med J 2014; 17: 1–8. |
| [23] | Kemp T, Rheeder P, The prevalence and associations of erectile dysfunction in a South African male diabetic urban population, J Endocrinol Metab Diabetes South Africa 2015; 20 (3): 36–42. |
| [24] | Sasaki H, Yamasaki H, Ogawa K, Nanjo K, Kawamori R, Iwamoto Y, et al, Prevalence and risk factors for erectile dysfunction in Japanese diabetics, Diabetes Res Clin Pract, 2005; 70 (1): 81–9. |
APA Style
Steevy Ndang Ngou Milama, Adrien Mougougou, Dimitri Mbethe, Olagui Giscard Smith, Herman Gael Boundama, et al. (2022). Study of the Risk Factors of Erectile Dysfunction in Diabetic Subjects at the University Hospital of Libreville. International Journal of Clinical Urology, 6(1), 39-44. https://doi.org/10.11648/j.ijcu.20220601.20
ACS Style
Steevy Ndang Ngou Milama; Adrien Mougougou; Dimitri Mbethe; Olagui Giscard Smith; Herman Gael Boundama, et al. Study of the Risk Factors of Erectile Dysfunction in Diabetic Subjects at the University Hospital of Libreville. Int. J. Clin. Urol. 2022, 6(1), 39-44. doi: 10.11648/j.ijcu.20220601.20
AMA Style
Steevy Ndang Ngou Milama, Adrien Mougougou, Dimitri Mbethe, Olagui Giscard Smith, Herman Gael Boundama, et al. Study of the Risk Factors of Erectile Dysfunction in Diabetic Subjects at the University Hospital of Libreville. Int J Clin Urol. 2022;6(1):39-44. doi: 10.11648/j.ijcu.20220601.20
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijcu.20220601.20,
author = {Steevy Ndang Ngou Milama and Adrien Mougougou and Dimitri Mbethe and Olagui Giscard Smith and Herman Gael Boundama and Edgard Brice Ngoungou},
title = {Study of the Risk Factors of Erectile Dysfunction in Diabetic Subjects at the University Hospital of Libreville},
journal = {International Journal of Clinical Urology},
volume = {6},
number = {1},
pages = {39-44},
doi = {10.11648/j.ijcu.20220601.20},
url = {https://doi.org/10.11648/j.ijcu.20220601.20},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20220601.20},
abstract = {Introduction: The objective of this study was to describe the risk factors of erectile dysfunction (ED) in diabetic patients at the University Hospital of Libreville. Material and Methods: This was a prospective descriptive-analytical study of type 1 and 2 diabetic patients aged over 18 years whose erectile function was assessed using the French translation of the IIEF-5 score. Results: 396 patients were selected with a mean age of 53 ± 13.6 years. People with type 2 diabetes represented 84.1% of the cases. Of the patients selected, 186 (47%) had diabetes for less than 5 years. Erectile dysfunction was found in 79.8% of patients (n=316), with a severe form in 19.7% of cases. Among the patients affected, 74.4% (n=235) had not sought medical advice before the onset of ED. Several risk factors were found, such as duration of diabetes (pConclusion: The prevalence of erectile dysfunction is significant in people with diabetes. Several factors associated with ED are clearly identified. They should be sought at the time of diagnosis of diabetes to make patients aware of the risk of ED associated with it. This would allow the physician to talk to the patient about ED, thus short-circuiting any difficulty the patients may have in discussing it voluntarily even when they are suffering from it.},
year = {2022}
}
TY - JOUR T1 - Study of the Risk Factors of Erectile Dysfunction in Diabetic Subjects at the University Hospital of Libreville AU - Steevy Ndang Ngou Milama AU - Adrien Mougougou AU - Dimitri Mbethe AU - Olagui Giscard Smith AU - Herman Gael Boundama AU - Edgard Brice Ngoungou Y1 - 2022/02/28 PY - 2022 N1 - https://doi.org/10.11648/j.ijcu.20220601.20 DO - 10.11648/j.ijcu.20220601.20 T2 - International Journal of Clinical Urology JF - International Journal of Clinical Urology JO - International Journal of Clinical Urology SP - 39 EP - 44 PB - Science Publishing Group SN - 2640-1355 UR - https://doi.org/10.11648/j.ijcu.20220601.20 AB - Introduction: The objective of this study was to describe the risk factors of erectile dysfunction (ED) in diabetic patients at the University Hospital of Libreville. Material and Methods: This was a prospective descriptive-analytical study of type 1 and 2 diabetic patients aged over 18 years whose erectile function was assessed using the French translation of the IIEF-5 score. Results: 396 patients were selected with a mean age of 53 ± 13.6 years. People with type 2 diabetes represented 84.1% of the cases. Of the patients selected, 186 (47%) had diabetes for less than 5 years. Erectile dysfunction was found in 79.8% of patients (n=316), with a severe form in 19.7% of cases. Among the patients affected, 74.4% (n=235) had not sought medical advice before the onset of ED. Several risk factors were found, such as duration of diabetes (pConclusion: The prevalence of erectile dysfunction is significant in people with diabetes. Several factors associated with ED are clearly identified. They should be sought at the time of diagnosis of diabetes to make patients aware of the risk of ED associated with it. This would allow the physician to talk to the patient about ED, thus short-circuiting any difficulty the patients may have in discussing it voluntarily even when they are suffering from it. VL - 6 IS - 1 ER -
Information
Email: