Ugwumba Fred O, Okafor Christian I, Nnabugwu Ikenna I, Udeh Emeka I, Echetabu Kevin N, Okoh Agharighom D, Okorie John C
Urology Unit, Department of Surgery, Faculty of Medical Sciences, University of Nigeria, Ituku Ozalla Campus; Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria.
Endocrinology Unit, Department of Medicine, Faculty of Medical Sciences, University of Nigeria, Ituku Ozalla Campus; Endocrinology Unit, Department of Medicine, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria.
Ann Afr Med. 2018 Oct-Dec;17(4):215-220. doi: 10.4103/aam.aam_3_18.
Erectile dysfunction (ED) is a strong predictor of poor quality of life in men with type 2 Diabetes mellitus (T2DM). Several studies evaluating ED in men with diabetes mellitus have been carried out, but few of these have been done in Nigeria. In Enugu, South East Nigeria, paucity of studies on this subject was observed.
This study aims to determine the prevalence and predictors of ED in men with T2DM attending the diabetes clinics.
A descriptive cross-sectional study of men with T2DM in UNTH and Saint Mary's Hospital, Enugu, was carried out. The systematic sampling method was used to recruit participants.
Data collection from participants and their hospital records was done using semi-structured questionnaire. ED was assessed using the 5 items, international index of erectile function questionnaire.
Data analysis was done using SPSS version 20 and results presented as texts and tables. P value was set at <0.05.
A total of 325 participants with mean age of 57.8 ± 13.2 years were involved out of which 94.7% had ED. The proportion of participants with ED had increased with its severity. Predictors of ED included poor glycemic control, longer duration of diabetes, overweight/obesity, and older age. Poor ED health-seeking behavior and treatment were noted.
The prevalence of ED is high. Lifestyle interventions targeted at improving glycemic control and weight loss may reduce the burden of this complication. We recommend objective ED screening using standard but brief instruments as part of routine evaluation of men with T2DM.
勃起功能障碍（ED）是2型糖尿病（T2DM）男性生活质量差的一个有力预测指标。已经开展了多项评估糖尿病男性勃起功能障碍的研究，但在尼日利亚进行的此类研究较少。在尼日利亚东南部的埃努古，观察到关于这个主题的研究匮乏。
本研究旨在确定在糖尿病诊所就诊的T2DM男性中ED的患病率及预测因素。
在埃努古的恩苏卡大学教学医院（UNTH）和圣玛丽医院对T2DM男性进行了一项描述性横断面研究。采用系统抽样方法招募参与者。
使用半结构化问卷从参与者及其医院记录中收集数据。使用5项国际勃起功能指数问卷评估ED。
使用SPSS 20版进行数据分析，结果以文本和表格形式呈现。P值设定为<0.05。
共有325名平均年龄为57.8±13.2岁的参与者，其中94.7%患有ED。患有ED的参与者比例随其严重程度增加。ED的预测因素包括血糖控制不佳、糖尿病病程较长、超重/肥胖和年龄较大。注意到ED患者寻求治疗的行为及治疗情况较差。
ED的患病率很高。针对改善血糖控制和体重减轻的生活方式干预可能会减轻这种并发症的负担。我们建议使用标准但简短的工具进行客观的ED筛查，作为对T2DM男性进行常规评估的一部分。
