Erectile Dysfunction among Nigerian Men with Diabetes: A Systematic Review (original) (raw)
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Diagnosis and investigation of men with erectile dysfunction
The Journal of Men's Health & Gender, 2005
Given that most men who present with erectile dysfunction (ED) are likely to be treated with oral therapy in the first instance, their diagnosis and investigation should reflect this. The objectives of this assessment should focus on identification of important risk factors for ED, such as diabetes, hypertension and hyperlipidaemia and on those (few) men who have curable ED. As such there are a number of baseline tests that should be done in all patients, with specialised investigations restricted to a few men. ß 2005 WPMH GmbH. Published by Elsevier Ireland Ltd.
Erectile Dysfunction: Causes and Diagnosis, Clinical Case Reports Journal
Erectyle Dysfunction: Causes and Treatment, 2018
In a survey published in 2003, the results of a standardized questionnaire survey of about 600 men aged 40 to 70 years in four countries of the world were cited, according to which the ED rate in Brazil was 15%, in Italy 17%, in Malaysia -22% and in Japan -34% [1].
Journal of family medicine and primary care, 2021
Objective: Even though several scholars have conducted study in different part of the world on erectile dysfunction in patients diagnosed with diabetes mellitus, it's magnitude vary among their finding with the range between 20 and 90%. This study aimed at assessing the prevalence of erectile dysfunction and associated factors among diabetic clients. Results: A cross sectional study was conducted from January 2016 to March, 2016. Systematic random sampling technique was used. Data were collected using a structured questionnaire and level of erectile dysfunction was measured using the international index of erectile function. A total of 422 diabetic patients were participated with 100% response rate. The proportion of erectile dysfunction was 85.5% and it was significantly associated with higher age (AOR: 6.46, 95% CI 2.55-16.44) and Diabetic complication (AOR: 3.97, 95% CI 1.06-17.36). Therefore, screening for ED in diabetic patients, particularly for those who are in advanced age and living with DM for more than 10 years is needed for it's early detection, prevention and management.
Erectile dysfunction in patients of diabetes mellitus: a cross sectional study
International Surgery Journal
Background: One of the independent risk factor for erectile dysfunction is diabetes mellitus. The present study planned to determine the prevalence and factors associated with ED in DM.Methods: A one year cross-sectional study on a total of 208 patients with type 1 or 2 diabetes. National Institutes of Health (NIH) approved questionnaire for International Index of Erectile Function (IIEF) was used to interview each patient to assess for ED.Results: In this study 12.98% of patients had ED score between 13 to 18 suggestive of mild to moderate ED and 9.62% with 19 to 24 scores suggestive of mild degree. The prevalence of erectile dysfunction was 32.21%. The mean age in patients with erectile dysfunction was significantly high (58.40±10.96 years) compared to those without erectile dysfunction (51.00±11.16 years) (p<0.001) Of the 119 patients with duration of diabetes between one to five years 42.02% had ED and of the 3 patients with duration of more than five years 66.67% had ED (p&l...
Prevalence and correlates of erectile dysfunction: results of the Brazilian study of sexual behavior
Urology, 2001
Introduction: Erectile dysfunction (ED) has become a public health issue in Nigeria because of its increasing magnitude, association with chronic medical conditions and negative impact on sexual life. Materials and Methods: Cross-sectional study of 450 male patients aged 18-70years who presented with non-ED related complaints. Main outcome measurements were prevalence and severity of ED which was assessed with International Index of Erectile Function (IIEF-5) and single-item sexual function questionnaire. Also assessed were socio-demographic characteristics, physical activities, sexual satisfaction and morbidities. Results: The prevalence of ED was 55.1% (mild, moderate and severe were 32.6%, 17.8% and 4.7% respectively). Prevalence of ED was significantly associated with age (p < 0.0001), marital status (p = 0.032), income (p = 0.001), social class (p = 0.004), physical activities (p = 0.006) and BMI (p = 0.012). Prevalence of ED was significantly high among men with diabetes mellitus (72.7%), hypertension (70.7%), peptic ulcer disease (70.4%) and previous prostate surgery (76.2%). Logistic regression showed dissatisfaction with sexual life (OR = 0.689, CI = 1.233-5.866; p = 0.013) and having sexual activities less than desired (OR = 3.331, CI = 1.416-7.839; p = 0.006) to be the most significant factors associated with ED. There was a strong positive correlation between the IIEF-5 and single-item sexual function questionnaire (r = 0.747, p < 0.0001). Conclusion: The prevalence of ED is high among males attending a primary care clinic in Nigeria with non-ED related complaints. ED was more prevalent in men with chronic medical illnesses and sedentary lifestyle. Family physicians should inquire about this condition in these men and refer them early for specialist consultation.
SOP: Physical Examination and Laboratory Testing for Men with Erectile Dysfunction
The Journal of Sexual Medicine, 2013
Introduction. Physical examination and laboratory evaluation of men with erectile dysfunction (ED) are opportunities to identify potentially life-threatening etiologies and comorbid conditions. Aim. To review genital anatomy, identify any physical abnormalities, assess for comorbid conditions, and reveal significant risk factors for ED. Methods. Expert opinion was based on evidence-based medical literature and consensus discussions between members of this International Society for Sexual Medicine (ISSM) standards committee. Results. For men with ED, a general examination including blood pressure and pulse measurements and a focused genital exam are advised. Fasting blood sugar, serum total testosterone, prolactin levels, and a lipid profile may reveal significant comorbid conditions. Conclusions. Though physical examination and laboratory evaluation of most men with ED may not reveal the exact diagnosis, these opportunities to identify critical comorbid conditions should not be missed. Ghanem HM, Salonia A, and Martin-Morales A. SOP: Physical examination and laboratory testing for men with erectile dysfunction. J Sex Med **;**:**-**.
Erectile Dysfunction: An Underestimated Presentation in Patients with Diabetes Mellitus
Indian journal of psychological medicine
Erectile dysfunction (ED) is a common complication of diabetes mellitus. ED, like other sexual disorders, is often under-reported and under-diagnosed, as talking about sex is considered a taboo in our society. All the male patients with diabetes mellitus (with or without active complaints of ED) attending Medicine or Psychiatry OPD of the institute during the study period were enrolled in the study. They were investigated for their body-mass index (BMI), blood sugar and lipid profile; and were assessed on HAM-D, General Health Questionnaire-30, IIEF, sex myth checklist and QOL Instrument for Indian Diabetes Patients (QOLID). In the present study, a total of 138 diabetic patients were assessed, and those with severe ED were found to have poor glycemic control, worse lipid profile, higher body mass index, later age of onset, and longer duration of untreated diabetes as compared to non-ED patients. ED patients also scored higher on depression rating scale, had poorer general health and...
Duration of Erectile Dysfunction: Correlation with Clinical and Laboratory Variables in Nigerians
We evaluated the clinical data (age, systolic and diastolic blood pressures, duration of erectile dysfunction, height, weight and Body Mass Index (BMI)) and relevant laboratory data (total cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol, triglyceride, testosterone, gonadotrophins, prolactin, thyroid hormones, and blood glucose) of our patients with Erectile Dysfunction (ED) and correlated it with the duration of their ED with a view to know what happens to these variables as the duration of ED progresses. Correlation analysis between patients' duration of ED and the other variables revealed a significant positive correlation between duration of ED and the patient's age (r = 0.458 & P=0.001), BMI (r = 0.367 & P=0.008), systolic blood pressure (r = 0.342 & P=0.014), diastolic blood pressure (r = 0.386 & P=0.005), triglyceride (r = 0.434 & P=0.001) and low density lipoprotein cholesterol (r = 0.287 & P=0.041). On the other hand there was a...
Erectile dysfunction: they don't talk, we don't ask
Diabetic medicine : a journal of the British Diabetic Association, 2018
Erectile dysfunction is an under-reported complication of diabetes mellitus affecting over half of male patients [1]. Although many men with diabetes consider that erectile dysfunction has a negative influence on their quality of life, they are reluctant to report it; and while most would like treatment, they prefer physicians to start the conversation [2-4]. Erectile dysfunction predicts future cardiovascular disease, and screening for erectile dysfunction is advocated in several cardiovascular risk assessment algorithms [5]. This article is protected by copyright. All rights reserved.