Prevalence and Risk Factors of Erectile Dysfunction in Patient Visiting Andropause Clinic, Srinagarind Hospital, Thailand
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Abstract
Objectives: To assess the prevalence and risk factors of erectile dysfunction (ED) in male patients visiting andropause clinic,Srinagarind Hospital, KhonKaen University, Thailand.
Material and Methods: A retrospective study was conducted in all patients who came to the clinic during 2003-2013. Data were collected from computerized medical records. ED was assessed by a Modified SHIM-IIEF5 questionnaire.
Results: Three hundred and sixty patients were reviewed. Mean age was 58.9 year-old (58.9+/-8.3 year-old) and mean BMI was 24.2 kg/m2(24.2+/-3.0 kg/m2). Of these 360 patients, 31.1%, 28.1%, and 17.5% had dyslipidemia, hypertension, and diabetes mellitus, respectively. The prevalence of benign prostatic hyperplasia, chronic kidney disease and malignancy were higher in older patients, especially of an age of more than 60 year-old. The prevalence of ED was 83.3% (95%CI, 79.07%-87.03%). The associated factors for ED were diabetes mellitus (OR 4.75; 95%CI, 1.44-15.69; P=0.005) and renal impairment (OR 1.21; 95% CI, 1.15-1.26; P=0.02).
Conclusion: In Andropause Clinic, prevalence of ED is notably high. Significant risk factors among these patients are diabetes mellitus and renal impairment. ED screening should be recommended among andropause men to detect and treat in a timely fashion for improving the quality of life.