Bogari Mohammed, Alzahrani Basil A, Aghashami Afnan S, Alsubeay Abdullah Mady S, Hassan Fadil, Ahmed Mohamed E, Almuqati Mohammed M
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Urology, King Fahad Armed Forces Hospital, Jeddah, SAU.
Cureus. 2023 Jul 11;15(7):e41732. doi: 10.7759/cureus.41732. eCollection 2023 Jul.
Sexual functionality is considered a vital component of human life and quality of life. Issues with sexual functionality can be a source of distress, lower self-esteem, and lower quality of life. Early detection of medical comorbidities can significantly lower the effect on sexual function. In Saudi Arabia, studies investigating the association between medical comorbidities and male sexual dysfunction (MSD) are limited. Therefore, our goal was to fill this knowledge gap.
This study aimed to analyze and elaborate on all cases of MSD at a tertiary hospital, in Jeddah, Saudi Arabia from 2016 to 2021.
This is a cross-sectional retrospective study. The medical records of 321 patients diagnosed with MSD from 2016 to 2021 were reviewed retrospectively. The age, sex, type of sexual dysfunction, comorbidities, and lipids profile were some of the factors obtained from the patient's computerized medical records.
The study population included 321 men with MSD and a mean age of approximately 53 years (SD=11.5). Among the sexual dysfunction pattern, only erectile dysfunction (ED) was found in 279 (86.9%) patients. ED duration lasted one to five years in 169 (52.8%) patients. Most of the patients (196, 61.1%) had mild ED severity. Medical causes were seen in 278 (80.4%) patients. The most frequent comorbidities were diabetes mellitus (DM) in 179 (55.8%) patients, hypertension (HTN) in 155 (48.2%) patients, and dyslipidemia in 113 (35.2%) patients. Smoking was not a risk factor for ED. The risk of having a severe form of ED was associated with idiopathic causes, HTN, DM, and ischemic heart disease (IHD). The risk of having a long duration of ED was related to idiopathic causes of ED and high serum creatinine levels.
In conclusion, patients diagnosed with DM, HTN, and IHD are at greater risk to experience a severe form of ED. It is crucial to keep erection function in mind for patients with DM, HTN, and IHD as this is associated with severe ED.
性功能被认为是人类生活和生活质量的重要组成部分。性功能问题可能会导致困扰、自尊心下降和生活质量降低。早期发现合并症可显著降低对性功能的影响。在沙特阿拉伯，研究合并症与男性性功能障碍（MSD）之间关联的研究有限。因此，我们的目标是填补这一知识空白。
本研究旨在分析和阐述2016年至2021年沙特阿拉伯吉达一家三级医院所有MSD病例。
这是一项横断面回顾性研究。回顾性分析了2016年至2021年诊断为MSD的321例患者的病历。年龄、性别、性功能障碍类型、合并症和血脂谱是从患者电子病历中获取的部分因素。
研究人群包括321例患有MSD的男性，平均年龄约为53岁（标准差=11.5）。在性功能障碍模式中，仅279例（86.9%）患者存在勃起功能障碍（ED）。169例（52.8%）患者的ED持续时间为1至5年。大多数患者（196例，61.1%）的ED严重程度为轻度。278例（80.4%）患者存在医学原因。最常见的合并症为糖尿病（DM），共179例（55.8%）患者；高血压（HTN），共155例（48.2%）患者；血脂异常，共113例（35.2%）患者。吸烟不是ED的危险因素。严重形式的ED风险与特发性病因、HTN、DM和缺血性心脏病（IHD）相关。ED持续时间长的风险与ED的特发性病因和高血清肌酐水平有关。
总之，诊断为DM？HTN和IHD的患者发生严重形式ED的风险更高。对于患有DM、HTN和IHD的患者而言，牢记勃起功能至关重要，因为这与严重ED相关。
