Prevalence of Erectile Dysfunction and its Associated Factors among Vietnamese Men with Type 2 Diabetes
Objective. This study sought to estimate the prevalence of erectile dysfunction (ED) and to ascertain risk factors among Vietnamese men with diabetes.
Methodology. One hundred and fifty one diabetic patients were recruited from the People’s Hospital 115 between August 2011 and March 2012. They were asked to complete a self-administered questionnaire that included the International Index for Erectile Function Questionnaire (IIEF-5) and the World Health Organization (WHO) - Five Well-being Index. Medical history, anthropometric measures, and laboratory test results were recorded. ED was classified based on the IIEF-5 total score.
Results. Of the 151 diabetic men, 135 (89%) completed the IIEF-5. The overall prevalence of ED was 84%; majority (65%) were classified as mild to moderate, while 10% were considered severe. The prevalence of ED was higher among those with peripheral neuropathy [adjusted odds ratio (OR) 5.22, 95% confidence interval (CI) 1.14-21.89] and longer duration of diabetes (OR 1.11, 95% CI 1.00-1.24).
Conclusion. ED represents a prevalent major complication among men with type 2 diabetes. The presence of peripheral neuropathy and long duration of diabetes may be useful indicators of ED.
Ho CC, Singam P, Hong GE, et al. Male sexual dysfunction in Asia. Asian J Androl. 2011;13(4):537-4.
Cheng JY, Ng EM, Chen RY, et al. Prevalence of erectile dysfunction in Asian populations: A meta-analysis. Int J Impot Res. 2007;19(3):229-44.
Nicolosi A, Moreira ED Jr, Shirai M, et al. Epidemiology of erectile dysfunction in four countries: Cross-national study of the prevalence and correlates of erectile dysfunction. Urology. 2003;61(1):201-6.
Malavige LS, Levy JC. Erectile dysfunction in diabetes mellitus. J Sex Med. 2009;6(5):1232-47.
Ponholzer A, Temml C, Mock K, et al. Prevalence and risk factors for erectile dysfunction in 2869 men using a validated questionnaire. Eur Urol. 2005;47(1):80-5.
Phé V, Rouprêt M. Erectile dysfunction and diabetes: A review of the current evidence-based medicine and a synthesis of the main available therapies. Diabetes Metab. 2012;38(1):1-13.
Giang CHT, Nhu NT, Chuyen VL. Prevalence of erectile dysfunction of admitted patients more than 40 years old at the Department of Urology A, Binh Dan Hospital. Ho Chi Minh City Journal of Medicine. 2007;11:257-61. (In Vietnamese)
Viet PN, Tin PM, Duc NH, et al. Prevalence of erectile dysfunction in type 2 diabetic patients. Ho Chi Minh City Journal of Medicine. 2009;13:201-4. (In Vietnamese)
Rosen RC, Cappelleri JC, Smith MD, et al. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res. 1999;11(6):319-26.
Yokokawa H, Khue NT, Goto A, et al. Diabetes control among Vietnamese patients in Ho Chi Minh city: An observational cross-sectional study. International Electronic Journal of Health Education. 2010;13:1-13.
Cornblath DR. Diabetic neuropathy: Diagnostic methods. Adv Stud Med. 2004;4(8A):S650-61.
Perkins BA, Olaleye D, Zinman B, et al. Simple screening tests for peripheral neuropathy in the diabetes clinic. Diabetes Care. 2001;24(2):250-6.
Cho NH, Ahn CW, Park JY, et al. Prevalence of erectile dysfunction in Korean men with type 2 diabetes mellitus. Diabet Med. 2006;23(2):198-203.
Giugliano F, Maiorino M, Bellastella G, et al. Determinants of erectile dysfunction in type 2 diabetes. Int J Impot Res. 2010;22(3):204-9.
Yu LW, Kong AP, Tong PC, et al. Evaluation of erectile dysfunction and associated cardiovascular risk using structured questionnaires in Chinese type 2 diabetic men. Int J Androl. 2010;33(6):853-60.
Bacon CG, Hu FB, Giovannucci E, et al. Association of type and duration of diabetes with erectile dysfunction in a large cohort of men. Diabetes Care. 2002;25(8):1458-63.
Kalter-Leibovici O, Wainstein J, Ziv A, et al. Clinical, socioeconomic, and lifestyle parameters associated with erectile dysfunction among diabetic men. Diabetes Care. 2005;28(7):1739-44.
Sasaki H, Yamasaki H, Ogawa K, et al. Prevalence and risk factors for erectile dysfunction in Japanese diabetics. Diabetes Res Clin Pract. 2005;70(1):81-9.
Grant PS, Lipscomb D. How often do we ask about erectile dysfunction in the diabetes review clinic? Development of a neuropathy screening tool. Acta Diabetol. 2009;46:285-90.
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