DOI: http://dx.doi.org/10.18203/2349-2902.isj20191128

Erectile dysfunction: prevalence and determinants among T2DM men attending a tertiary care hospital in northern India

Raja Langer, Elias Sharma, Bhavna Langer, Rajiv K. Gupta, Rashmi Kumari, Mudasir Majeed

Abstract


Background: Erectile dysfunction (ED), though an important complication of T2DM is grossly under reported in this part of the world. The present study aimed to determine the prevalence and associated risk factors of ED in T2DM men in northern India.

Methods: A cross-sectional study was conducted from January to August 2018 among male patients with T2DM in the medical OPD of a tertiary care teaching hospital in Jammu. IIEF- international index of erectile function was the tool used in the present study.

Results: ED prevalence was 62.08%. Among socio-demographic variables, age was significantly associated with ED (p<0.05) while no association was found with education, occupation and family income. Smoking as a life style and hypertension as a co-morbid condition were significantly associated with ED (p<0.05). Duration of diabetes and type of diabetic complications were also found to be statistically significant.

Conclusions: Prevalence of ED in T2DM men was quiet high in this region of India. Preventive interventions, early diagnosis and detection of T2DM along with treatment adherence to prevent diabetic complications is strongly recommended. Further research is recommended to establish temporal causality of ED in T2DM.


Keywords


T2DM men, Erectile dysfunction, Prevalence, North India

Full Text:

PDF

References


Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994;151:54-61.

Braun M, Wassmer G, Klotz T, Reifenrath B, Mathers M, Engelmann U. Epidemiology of erectile dysfunction; results of the ʻCologne Male Surveyʼ. Int J Impot Res. 2000;12:305-11.

Morillo LE, Diaz J, Estevez E, Costa A, Mendez H, Davila H, et al. Prevalence of erectile dysfunction in Colombia, Ecuador, and Venezuela: a population-based study (DENSA). Int J Impot Res. 2002;14(Suppl 2):S10-8.

Nicolosi A, Moreira ED Jr, Shirai M, Bin Mohd Tambi MI, Glasser DB. Epidemiology of erectile dysfunction in 4 countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology. 2003;61:201-6.

Kubin M, Wagner G, Fugl-Meyer AR. Epidemiology of erectile dysfunction. Int J Impot Res. 2003;15:63-71.

Malavige LS, Levy JC. Erectile dysfunction in diabetes mellitus. J Sex Med. 2009;6:1232-47.

Eardley I, Fisher W, Rosen RC, Niederberger C, Nadel AS. The multinational Men's Attitudes to Life Events and Sexuality study: the influence of diabetes on self-reported erectile function, attitudes and treatment-seeking patterns in men with erectile dysfunction. Int J Clin Pract. 2007;61:1446-53.

Hidalgo-Tamola J, Chitaley K. Type 2 diabetes mellitus and erectile dysfunction. J Sex Med. 2009;6:916-26.

Summary of Revisions to the 2014 Clinical practice recommendations. Diabetes care. 2014;37(Suppl 1):S4-4.

Rosen RC. The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49:822–30.

Giugliano F, Maiorino M, Bellastella G, Gicchino M, Giugliano D, Esposito K. Determinants of erectile dysfunction in type 2 diabetes. Int J Impot Res. 2010;22(3):204–9.

Khatib F, Jarrah N, Shegem N, Bateiha A, Abu-Ali R, Ajlouni K. Sexual dysfunction among Jordanian men with diabetes. Saudi Med J. 2006;27(3):351-5.

Nasser J, Habib F, Al Saad A, Hashmi DA, Abdulla A, Tajer LA. Prevalence of risk factors of erectile dysfunction among men with diabetes. Bahrain Med Bull. 2015;37(3):168-72.

Mutagaywa RK, Lautale J, Aboud M, 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 African Med J. 2014;17:227.

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 type 2 diabetes mellitus. BIU Int. 2007;99:130-4.

Ahmed I, Aamir Au, Anwar E, Ali SS, Ali A, Ali A. Erectile Dysfunction and Type 2 Diabetes Mellitus in Northern Pakistan. J Pak Med Assoc. 2013;63(12):1486-90.

Martin CE. Factors affecting sexual functioning in 60–79-year-old married males. Arch Sex Behav. 1981;10:399–420.

McCulloch DK, Campbell IW, Wu FC,Prescott RJ, Clarke BF. The prevalence of diabetic impotence. Diabetologia. 1980;18:279–83.

Klein R, Klein BE, Lee KE, Moss SE, Cruickshanks KJ. Prevalence of self reported erectile dysfunction in people with long-term IDDM. Diabetes Care. 1996;19:135–41.

Fedele D, Coscelli C, Santeusanio F, Bortolotti A, Chatenoud L, Colli E et al. Erectile dysfunction in diabetic subjects in Italy. Diabetes Care. 1998;21:1973–7.

Wing RR, Rosen RC, Fava JL, Bahnson J, Brancati F, Gendrano III IN, et al. Effects of weight loss intervention on erectile function in older men with type 2 diabetes in the look AHEAD trial. J Sex Med. 2009;6:1414–22.

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. 2006;23:198–203.