Baldé N M, Diallo A B, Baldé M C, Kaké A, Diallo M M, Diallo M B, Maugendre D
Service d'Endocrinologie (Donka), CHU de Conakry, BP 909, Conakry, Guinée.
Ann Endocrinol (Paris). 2006 Sep;67(4):338-42. doi: 10.1016/s0003-4266(06)72608-7.
Sexual dysfunction is frequent in the diabetic population. In Africa, medical care for erectile dysfunction is underprovided, profoundly altering the quality of life of the patients. We report the prevalence of erectile dysfunction in 187 diabetic patients followed in the department of Endocrinology of the Conakry teaching hospital. Prevalence was estimated from the French version of the International Index of Erectile Function (IIEF). Erectile dysfunction concerned 90 patients (48%) of whom a severe form was observed in 54%, a moderate form in 35% and a mild form in 12%. The patients who presented erectile dysfunction were significantly older, displayed longer duration of diabetes with more complications (sensorial neuropathy and macroangiopathy) and often took drugs for associated cardiovascular diseases. In 28% of the cases, erectile dysfunction was associated with a decline in libido and in 26% with ejaculation disorders. In conclusion, erectile dysfunction is frequent and severe among diabetic patients in Guinea. The medical staff plays an essential role to initiate early diagnosis, promote psychological support and provide medication, if possible.
性功能障碍在糖尿病患者中很常见。在非洲，勃起功能障碍的医疗服务提供不足，严重影响了患者的生活质量。我们报告了在科纳克里教学医院内分泌科随访的187例糖尿病患者中勃起功能障碍的患病率。患病率是根据法语版国际勃起功能指数（IIEF）估算的。90例患者（48%）存在勃起功能障碍，其中54%为重度，35%为中度，12%为轻度。出现勃起功能障碍的患者年龄显著更大，糖尿病病程更长，并发症更多（感觉神经病变和大血管病变），并且经常服用治疗相关心血管疾病的药物。在28%的病例中，勃起功能障碍与性欲减退有关，在26%的病例中与射精障碍有关。总之，几内亚糖尿病患者中勃起功能障碍很常见且严重。医务人员在尽早开展诊断、提供心理支持以及尽可能提供药物治疗方面发挥着至关重要的作用。
