Prevalence of Erectile Dysfunction among Type 2 Diabetic Males at Government General Hospital, Nizamabad

Abstract

Background: Erectile dysfunction (ED), also known as impotence, is a type of sexual  dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity.In diabetic men, erectiledysfunction usually occurs as a result of micro-vascular changes,neuropathy and endothelial dysfunction, which are causes ofmany other complications of diabetes ED is common in men who have diabetes, especially those with type 2 diabetes. In diabetic men, erectiledysfunction usually occurs as a result of micro-vascular changes,neuropathy and endothelial dysfunction, which are causes ofmany other complications of diabetes. ED is an undiagnosed andan underreported problem. It can stem from damage to nerves and blood vessels caused by poor long-term blood sugar control. Erectile dysfunction can also be linked to other conditions common in men with diabetes, such as high blood pressure and heart disease. Erectile dysfunction might occur earlier in men with diabetes than in men without the disease. Material and Methods: -This study was hospital based cross sectional study conducted on type 2 diabetes male patients attending outpatient department of general medicine, at government general hospital, Nizamabad. After institutional ethical committee approval and informed consent of study subjects, a convenient sample of 100 was taken from age group 25 to 75 years from April 2017 to April 2018. Results: In the present study 24% of patients have Normal erectile function, 76% patients have erectile dysfunction, in that 40% have mild erectile dysfunction, 24% have moderate ED, 12% have severe ED. In this study ED was more common in the age group of 50-59 (24%) and 40-49 (21%). In this study as the duration of diabetes is increases severity of ED increases. In the present study 45% with hypertension have ED and 31% Normotensive have ED.In this study as the duration of diabetes is increases severity of ED increases.Mild, moderate, severe ED was seen with history of diabetes above 10 years. ED was less common with history of below one year diabetes  history.Conclusion:In the present study 24% of patents have Normal erectile function, 76% patients have erectile dysfunction, in that 40% have mild erectile dysfunction, 24% have moderate ED, and 12% have severe ED. Erectile dysfunction was more common in the age group of 50-59 (24%) and 40-49 (21%). In the present study 45% with hypertension have ED and 31% Normotensive have EDIn this study as the duration of diabetes is increases severity of ED increases. Mild, moderate, severe ED was seen with history of diabetes above 10 years. ED was less common with history of below one year diabetes history.

Keywords: Erectile dysfunction, type 2 Diabetes, Males, IIEF-5 Questionnaire.