Study Of Erectile Dysfunction In A Diabetic Population - A One Year Cross Sectional Study At KLE'S Prabhakar Kore Hospital

Abstract

BACKGROUND: Diabetes mellitus is a major public health problem in India. Erectile dysfunction is reported to be highly prevalent but neglected disease among diabetic population. OBJECTIVES: To assess the prevalence and factors associated with erectile dysfunction (ED) among the diabetic population. MATERIALS AND METHODS: The current study was a cross sectional study of 509 Type 2 diabetes mellitus patients, conducted in the department of general medicine of a tertiary care teaching hospital from January 2016 to January 2017. ED was assessed by International Index of Erectile Function (IIEF-5) Questionnaire. RESULTS: The prevalence of ED was 59.3%. The severity was mild and mild-moderate in 27.31% and 19.25% respectively, moderate in 5.3% and severe in 13.16% of the population. After adjusting for all potential confounders, the odds of ED were 3.61 times (95% CI 1.91 to 6.80, P Value < 0.001) more in 41 to 50 year age group as compared to below 40 year age group. It was 9.57 (95% CI 5.12 to 17.90, p value <0.001) times and 7.06 (95% CI 3.29 to 17.53, P value < 0.001) times more in 51 to 60 and above 60 age groups respectively. After adjusting for all potential confounders, the odds of ED were 3.63 times (95% CI 0.850 to 15.52,P value <0.001) in poor glycemic control and 5.65 (95% CI 1.46 to 21.84, p value 0.012) in people with very poor glycemic control groups as compared to people with good glycemic control. None of the other factors had any independent association with ED. CONCLUSIONS: Erectile dysfunction is highly prevalent and under diagnosed in diabetic population. Higher age of the person and poor glycaemic control are strongly associated with ED. Active screening of all the diabetic population with appropriate tools and effective management of the condition is needed. BACKGROUND: Diabetes mellitus is a major public health problem in India. Erectile dysfunction is reported to be highly prevalent but neglected disease among diabetic population. OBJECTIVES: To assess the prevalence and factors associated with erectile dysfunction (ED) among the diabetic population. MATERIALS AND METHODS: The current study was a cross sectional study of 509 Type 2 diabetes mellitus patients, conducted in the department of general medicine of a tertiary care teaching hospital from January 2016 to January 2017. ED was assessed by International Index of Erectile Function (IIEF-5) Questionnaire. RESULTS: The prevalence of ED was 59.3%. The severity was mild and mild-moderate in 27.31% and 19.25% respectively, moderate in 5.3% and severe in 13.16% of the population. After adjusting for all potential confounders, the odds of ED were 3.61 times (95% CI 1.91 to 6.80, P Value < 0.001) more in 41 to 50 year age group as compared to below 40 year age group. It was 9.57 (95% CI 5.12 to 17.90, p value <0.001) times and 7.06 (95% CI 3.29 to 17.53, P value < 0.001) times more in 51 to 60 and above 60 age groups respectively. After adjusting for all potential confounders, the odds of ED were 3.63 times (95% CI 0.850 to 15.52,P value <0.001) in poor glycemic control and 5.65 (95% CI 1.46 to 21.84, p value 0.012) in people with very poor glycemic control groups as compared to people with good glycemic control. None of the other factors had any independent association with ED. CONCLUSIONS: Erectile dysfunction is highly prevalent and under diagnosed in diabetic population. Higher age of the person and poor glycaemic control are strongly associated with ED. Active screening of all the diabetic population with appropriate tools and effective management of the condition is needed.