Prevalence and Severity of Erectile Dysfunction as Assessed by IIEF-5 in North Indian Type 2 Diabetic Males and Its Correlation with Variables

Goyal, Arvind Kumar; Singh, Parminder; Ahuja, Ashish

doi:10.7860/jcdr/2013/7718.3777

Cited by 18 publications

(19 citation statements)

References 17 publications

(18 reference statements)

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“…The current study showed that IIEF score declines with longer duration of diabetes and poorer glycaemic control using the questions directed to evaluate the erectile function, similar results reported by a study conducted by AlMogbel et.al 26 and agreed by the work published by Goyal et al, [27,28] .…”

Section: Discussionsupporting

confidence: 90%

Pharmacodynamic Changes in Penile Color-Doppler Ultrasound of Diabetic Patients

Amin¹,

Hefeda

2019

The Medical Journal of Cairo University

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Background: Erectile dysfunction in diabetic patients leads to changes of intima, media, and Lumina of arteries resulting in atherosclerosis. Aims of Study:To determine the association between diabetes mellitus and penile Doppler ultrasonography changes in patients with erectile dysfunction. Also, the influence of duration, control of diabetes and diabetes complications on Doppler parameters. Settings and Design: Prospective cohort study, AndrologyMaterial and Methods: Thirty diabetic patients with ED and 10 age matched healthy controls were enrolled. Patients underwent assessment with international index of erectile function score, cavernosal artery ultrasonography during flaccid state for measurement of internal diameter, intima media thickness and arterial wall mass index. Followed by ICI to measure peak systolic velocity, end diastolic velocity and resistive index.Statistical Analysis Used: Mean, standard deviation and Chi-square test by SPSS V.16.Results: Diabetic patients with ED showed statistically significant decrease in IIEF score and PSV, increase in IMT and AWMI compared to controls. Positive correlation between duration of diabetes, blood glucose level and IMT and AWMI, Negative correlation between duration of diabetes and IIEF, PSV and erectile response. Negative correlation between blood glucose level and IIEF, PSV. Negative correlation between IMT, AWMI with IIEF.Conclusions: Diabetic patients with ED have a higher prevalence of atherosclerosis represented as increased IMT and AWMI compared with controls. Diabetes was an independent risk factor associated with atherosclerosis. Cavernosal artery IMT and AWMI interpreted clinically as negative correlation with erectile function domain of IIEF. These new parameters give good prediction for atherosclerosis and could replace more invasive ICI. Key Words: Erectile dysfunction -Intima media thickness -Arterial wall mass index. Key Messages:Ultrasound changes of diabetic patients include; increased IMT, AWMI, decreased PSV. IMT, AWMI are new parameters could be done in flaccid state and give the same level of accuracy considering predicting data for cavernosal arteries pathological changes which affect erectile function and could replace ICI and avoid its side effect.

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Section: Discussionsupporting

confidence: 90%

Pharmacodynamic Changes in Penile Color-Doppler Ultrasound of Diabetic Patients

Amin¹,

Hefeda

2019

The Medical Journal of Cairo University

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“…increase from 0.4%(20-30 years) to 0.5%(41-50 years), 1.3% (51-60years) and to 9.6% in those who were aged 71-80 years (4). Another study conducted in Italy increase age was found to increase the odds of ED (15).…”

Section: Discussionmentioning

confidence: 88%

“…Another crosssectional cohort study done in Tehran, Iran reported that the prevalence of erectile dysfunction among DM patients is 18.8% (10). Another study done in North India the occurrence of erectile dysfunction among type 2 DM patients is 77.2% (4). A cross-sectional study conducted among 200 DM patients in Iran the prevalence of erectile dysfunction is 82.5% (N=200 Men=100 and Women=100) (11).…”

Section: Introductionmentioning

confidence: 99%

“…The international institutes of health (IIH) defines it is the constant inability to preserve a penile erection, sufficiently for satisfactory sexual intercourse (3). ED is a regular inability of the male in achieving or sustaining an erection of adequate rigidity for permitting a satisfactory sexual intercourse, in diabetic men erectile dysfunction usually occurs as a result of micro-vascular changes, neuropathy and endothelial dysfunction (4).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and associated factors of erectile dysfunction among men DM patients in Gondar university hospital, Gondar Ethiopia

Tesfaye

Bayisa

Mesfin

2020

Preprint

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Back ground- globally it is likely that 387 million people have DM and this number expected to increase to 592 million by the year 2035. WHO estimated the number of cases of diabetes in Ethiopia to be about 800thausadns in 2011 and expected that it would increase to about 1.8 million by the year 2030. Psychosomatic and sexual dysfunctions are one among different complication that DM patients come across during their disease course. Therefore this study aimed to estimate the prevalence and associated with erectile dysfunction among adult men DM patients in Ethiopia.Method-An institutional based cross-sectional study design was conducted among male DM patients at Gondar university referral hospital chronic illness clinic. Single population proportion sampling technique was used. 367 were selected proportionally using systematic random sampling technique. Face to face interview method was employed using a structured questionnaire for data collection. Data were analyzed descriptively and through bi-and multivariate logistic regression model.Result-The prevalence rate is 53.1%. The mean age of the respondents was 54.12(SD+16.5112) years age from 21-90 years. Majority of the respondents 158(43.1%) were Orthodox followers followed by Muslim, 113(30.8%), Protestant 55(15.0%) and Catholic 41(11.2%). the median monthly salary was 2000 Ethiopian Birr. BMI of most respondents was within the range of 18.5-24.9. ED was significantly associated with Age, Duration of DM and Alcohol.Conclusion- Finding of this study indicated that ED is a major public and self issue with its multi-factorial among male DM. The evidence from this study found that being aged, alcoholic and longer duration of DM was significantly associated with ED.Key words- Erectile dysfunction, prevalence, male DM patients, Gondar University Referral Hospital.

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“…The prevalence of ED in South Asian patients with diabetes has been reported to be between 38-97% (Table 6) [115][116][117][118][119][120][121]. The main factors associated with ED are age, duration of diabetes, glycemic control, presence of neuropathy and retinopathy.…”

Section: Erectile Dysfunctionmentioning

confidence: 99%

Epidemiology of Macrovascular Complications of Diabetes in South Asians and Comparison with Other Ethnicities

Gupta

Misra²

2016

ICFJ

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South Asians have been shown to have increased abdominal adiposity, visceral fat, low muscle mass and subclinical inflammation, all of which make them prone to diabetes and its macrovascular complications. Diabetes is the most important risk factor for coronary artery disease in South Asia and South Asians with diabetes have a higher prevalence of CAD than Caucasians. Similar trend has been seen with stroke and cerebrovascular disease.. Importantly peripheral vascular disease and diabetic foot occur less frequently in South Asians compared to Caucasians. In addition, erectile dysfunction is emerging as an important complication of diabetes in South Asians and its association with cardiovascular disease is being recognised increasingly.

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Prevalence and Severity of Erectile Dysfunction as Assessed by IIEF-5 in North Indian Type 2 Diabetic Males and Its Correlation with Variables

Cited by 18 publications

References 17 publications

Pharmacodynamic Changes in Penile Color-Doppler Ultrasound of Diabetic Patients

Pharmacodynamic Changes in Penile Color-Doppler Ultrasound of Diabetic Patients

Prevalence and associated factors of erectile dysfunction among men DM patients in Gondar university hospital, Gondar Ethiopia

Epidemiology of Macrovascular Complications of Diabetes in South Asians and Comparison with Other Ethnicities

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