Prevalence of erectile dysfunction among Egyptian male patients with type 2 diabetes mellitus.

Diabetes Metab Syndr

Internal Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt. Electronic address:

Published: December 2021

AI Article Synopsis

  • The study examined the prevalence of erectile dysfunction (ED) among 150 adult Egyptian men with type 2 diabetes mellitus (T2DM) and found that 80% experienced ED.
  • Significant correlations were identified, showing that higher age, longer diabetes duration, increased fasting blood glucose, and higher urinary albumin creatinine ratios were linked to worse ED scores, while higher testosterone levels were associated with better scores.
  • The findings suggest that poor blood sugar control and kidney issues could be independent risk factors for ED in this demographic.

Article Abstract

Background And Aims: The relation between type 2 diabetes mellitus (T2DM) and erectile dysfunction (ED) has been identified in multiple studies. The aim of this cross-sectional study was to estimate the prevalence and to determine some associated factors of ED among a sample of adult Egyptian male patients with T2DM.

Methods: This cross-sectional study included 150 adult male patients with T2DM (aged 40-60 years) who attended the outpatient clinic of Diabetes in Alexandria Main University hospital. They were evaluated for the presence of ED which was assessed by the validated Arabic-translated five-item version of the International Index of Erectile Function-5 (IIEF-5) questionnaire. Fasting blood glucose (FBG), HbA1c, total serum cholesterol, HDL-C, total serum testosterone (TT) and urinary albumin creatinine ratio (uACR) were measured for all study subjects.

Results: The prevalence of ED was 80% among the studied sample. Significant negative correlation was found between IIEF-5 score and age, duration of diabetes, FBG and urinary ACR; while there was a significant positive correlation between IIEF-5 score and serum total testosterone. On performing multiple linear regression analysis for the parameters affecting IIEF-5 questionnaire score, TT, urinary ACR, age and FBG were the independent predictors of ED.

Conclusion: ED was a common finding in our sample of Egyptian men with T2DM. Poor glycemic control and albuminuria may be considered as independent risk factors for ED.

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http://dx.doi.org/10.1016/j.dsx.2021.04.019DOI Listing

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