Prevalence of erectile dysfunction among 7689 patients with diabetes or hypertension, or both

Prevalence of erectile dysfunction among 7689 patients with diabetes or hypertension, or both

To survey the presence of, and attitudes toward, erectile dysfunction (ED) among patients with hypertension and/or diabetes mellitus who sought general medical care for any reason. The abbreviated five-item version of the International Index of Erectile Function (IIEF-5) was used to determine the pr...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) Vol. 64; no. 6; pp. 1196 - 1201
Main Authors: Giuliano, François A., Leriche, Albert, Jaudinot, Eric O., de Gendre, Anne Solesse
Format: Journal Article
Language:English
Published: New York, NY Elsevier Inc 01-12-2004
Elsevier Science
Subjects:
Aged
Biological and medical sciences
Comorbidity
Diabetes Mellitus - epidemiology
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Erectile Dysfunction - epidemiology
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Humans
Hypertension - epidemiology
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Prevalence
Endocrinopathy
Human
Hypertension
Nephrology
Prevalence
Erection disorders
Diabetes mellitus
Cardiovascular disease
Male genital diseases
Epidemiology
Urology
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Summary:To survey the presence of, and attitudes toward, erectile dysfunction (ED) among patients with hypertension and/or diabetes mellitus who sought general medical care for any reason. The abbreviated five-item version of the International Index of Erectile Function (IIEF-5) was used to determine the presence of ED. A patient questionnaire was used to assess attitudes about ED. We surveyed 7689 patients (mean ± SD age 58.9 ± 9.2 years), including 6719 (87%) in a stable sexual relationship. In patients with hypertension alone (n = 3906) and diabetes alone (n = 2377), ED was reported by 2379 (61%) and 1603 (67%) and was present in 2634 (67%) and 1677 (71%), respectively, as defined by an IIEF-5 score of less than 21. The corresponding mean scores were 12.0 (±4.6) and 11.5 (±4.6) in patients with ED and 20.5 (±3.6) and 20.2 (±3.8) in those without ED. Prevalence was affected by disease characteristics and history, and the number and type of antihypertensive medications. ED was reported by 924 (78%) of 1186 patients with both diseases and was present in 917 (77%) according to the IIEF-5 score. Overall, ED was reported by 5063 patients (66%) with hypertension and/or diabetes, was present in 5391 (70%) according to the IIEF-5 score, and increased in prevalence with age. ED was fairly to very bothersome in 4027 (80%) but untreated in 3312 (65%), of whom 2278 (69%) wanted treatment. Most of those wanting treatment would have welcomed discussion with their physician (1861 [82%] of 2278), and most wanted their physician to broach the subject (1292 [69%] of 1861). Our study results have shown that patients with diabetes and/or hypertension have a high prevalence of bothersome untreated ED and want their general practitioner to initiate a discussion and provide treatment.
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ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2004.08.059