8/3/22, 9:39 PM Association of erectile dysfunction and type II diabetes mellitus at a tertiary care centre of south India - PubMed

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Observational Study
Diabetes Metab Syndr. 2020 Jul-Aug;14(4):649-653.
doi: 10.1016/j.dsx.2020.04.039.
Epub 2020 May 7.

Association of erectile dysfunction and type II

diabetes mellitus at a tertiary care centre of south
India
Sreeharsha Nutalapati  1 , Shridhar C Ghagane  2 , R B Nerli  3 , M V Jali  4 , Neeraj S Dixit  5

Affiliations
PMID:
32438327
DOI:
10.1016/j.dsx.2020.04.039

Abstract
Background and aims:
Erectile Dysfunction (ED) is more common in diabetic men and, unfortunately,
occurs at an earlier age in diabetic patients when compared with the general population. The study
aims to evaluate the independent predictors of ED in adult men with type 2 diabetes mellitus (DM) at
a tertiary care center of South India.

Methods:
A total of 720 men aged 30-70 years who had been diagnosed with type 2 DM were
enrolled for the study from January 2017 to January 2020 from the outpatient diabetes clinic of the
Hospital. All patients completed the abridged version of the International Index of Erectile Function
(IIEF-5) questionnaire.

Results:
The mean age of the patients was (58.4 ± 7.8 years). 68.6% of subjects had varying degrees
of erectile dysfunction, of which 54.6% had moderate to severe ED. 55.8% had poor glycemic control
(HbA1c ≥ 7%). Subjects with ED had a longer duration of DM than those without ED (mean DM
duration was 8.1 ± 4.9 years versus 4.4 ± 3.5 years; p < 0.001). Longer duration of DM, poor glycemic
control, hypertension, peripheral arterial disease, testosterone deficiency were all independent
predictors ED (p < 0.05).

Conclusions:
A high incidence of erectile dysfunction was observed in type 2 DM patients attending
the diabetic clinic, and over half of the people affected were of moderate-to-severe in intensity. Poor
glycemic control, testosterone deficiency, peripheral arterial disease were the modifiable risk factors
for ED in diabetic subjects. At the same time, a longer duration of type 2 DM was noticed as a glaring
non-modifiable risk factor, according to our study.

Keywords:
Diabetes mellitus; Erectile dysfunction; Incidence and quality of life; Risk factors.

Copyright © 2020 Diabetes India. Published by Elsevier Ltd. All rights reserved.

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https://pubmed.ncbi.nlm.nih.gov/32438327/ 1/1