Trends of Erectile Dysfunction in Type 2 Diabetic Subjects at a Tertiary Care Unit of Karachi Pakistan
Zulfiqar Khosa
Department of Biochemistry, Baqai Medical University, Karachi, Pakistan.
Iftikhar Ahmed Siddiqui
Department of Biochemistry, Baqai Medical University, Karachi, Pakistan.
Asher Fawwad *
Department of Biochemistry, Baqai Medical University, Karachi, Pakistan and Research Department, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan.
Nida Mustafa
Research Department, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan.
Muhammad Saif Ulhaque
Department of Medicine, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan.
Abdul Basit
Department of Medicine, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Objective: To compare the occurrence of erectile dysfunction (ED) in male type 2 diabetic subjects with healthy control using IIEF questionnaire at a tertiary care unit of Karachi Pakistan.
Methods: It was a single centered case control study with cross sectional study design. A total of 325 subjects comprising of 75 healthy non-diabetic and 250 diabetic males were selected for the study. Male type 2 diabetics of age 18-55 years without hypertension and hormonal problem, smoking, psychological disorder & alcohol habits were included as cases in this study. ED was assessed by using IIEF-5 questionnaire. SPSS-20 was used for analysis.
Results: Diabetics are 3.6 times more prone to develop ED than non-diabetic subjects. Severe ED category was more prevalent in diabetic group (17.2%) as compared to non-diabetic group. (P-value=0.003). IIEF scores of diabetic subjects showed inversely correlation with age, testosterone, duration of diabetes and fasting blood sugar at p<0.05.
Conclusion: Occurrence of ED is high amongst type 2 diabetes subjects at older age. Further larger scale community based studies are required to ascertain the findings of this study.
Keywords: Erectile dysfunction, type 2 diabetes mellitus, the international index of erectile function