Gout and Association with Erectile Dysfunction

Gelber, Allan C.

doi:10.3899/jrheum.150814

Cited by 2 publications

(1 citation statement)

References 17 publications

(14 reference statements)

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“…Furthermore, we reported no increased risk of ED reporting among those with diabetes and chronic renal disease, which suggests stronger influence of those conditions on ED than gout. Our findings support the likely physiological influence of hyperuricaemia on vasculature including induction of vascular smooth muscle proliferation, oxidative stress, and activation of the renin-angiotensin axis in vascular beds [14] which begins in asymptomatic hyperuricaemia before the clinical diagnosis of gout.…”

Section: Discussionsupporting

confidence: 84%

Gout and subsequent erectile dysfunction: a population-based cohort study from England

et al. 2017

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BackgroundAn association has been suggested between gout and erectile dysfunction (ED), however studies quantifying the risk of ED amongst gout patients are lacking. We aimed to precisely determine the population-level absolute and relative rate of ED reporting among men with gout over a decade in England.MethodsWe utilised the UK-based Clinical Practice Research Datalink to identify 9653 men with incident gout age- and practice-matched to 38,218 controls. Absolute and relative rates of incident ED were calculated using Cox regression models. Absolute rates within specific time periods before and after gout diagnosis were compared to control using a Poisson regression model.ResultsOverall, the absolute rate of ED post-gout diagnosis was 193 (95% confidence interval (CI): 184–202) per 10,000 person-years. This corresponded to a 31% (hazard ratio (HR): 1.31 95%CI: 1.24–1.40) increased relative risk and 0.6% excess absolute risk compared to those without gout. We did not observe statistically significant differences in the risk of ED among those prescribed ULT within 1 and 3 years after gout diagnosis. Compared to those unexposed, the risk of ED was also high in the year before gout diagnosis (relative rate = 1.63 95%CI 1.27–2.08). Similar findings were also observed for severe ED warranting pharmacological intervention.ConclusionsWe have shown a statistically significant increased risk of ED among men with gout. Our findings will have important implications in planning a multidisciplinary approach to managing patients with gout.

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Section: Discussionsupporting

confidence: 84%