Prevalence Of Erectile Dysfunction And Associated Risk Factors In Kenyan Men With Type 2 Diabetes Mellitus At The Kenyatta National Hospital Out Patient Diabetes Clinic
Abstract
Title Prevalence of erectile dysfunction and the associated risk factors in Kenyan men with type 2
diabetes mellitus at the Kenyatta National Hospital out-patient diabetes clinic.
Introduction The prevalence in the West of erectile dysfunction is at 20-80% in the male diabetic.
There is no local published data on the prevalence of ED and the possible associated risk factors in
our local population.
Objective To determine the prevalence and clinical risk factors of erectile dysfunction (ED) in
Kenyan men with type 2 diabetes mellitus.
Design Hospital based cross-sectional population survey.
Setting This was done at the Kenyatta National Hospital which is a tertiary referral and teaching
facility.
Subjects Adult males with type 2 diabetes mellitus and age-matched non-diabetic controls.
Methods A validated questionnaire, the five item version of the international index of erectile
function (IIEF-5) was administered to 250 type 2 male diabetics at the out patient diabetes clinic,
and to 250 age-matched non-diabetic males to determine and compare the lIEF-5 scores in both
groups. Comparison of ED and clinical risk factors was done in the diabetic patients.
Bits ED was found to be five times more prevalent in diabetic males compared to age-matched
controls with a prevalence of 74.3% and 15.1% in diabetics and controls respectively. Advancing
age,duration of diabetes, poor glycemic control, history of hypertension, use of anti hypertensive
drugs,presence of peripheral neuropathy and evidence of peripheral arterial disease were associated
with ED in male diabetics.
Conclusion Erectile Dysfunction is a very common condition among men with Type 2 Diabetes
mellitus at Kenyatta National Hospital and should therefore be routinely sought for by the clinicians
in this group of patients. The clinical factors that confer significant risk to development of ED, from
this study are age, duration of diabetes, glycemic control, hypertension and use of anti-hypertensive
drugs,peripheral neuropathy, and peripheral arterial disease. Some of these such as age, and
duration of diabetes mellitus, are non-modifiable therefore emphasis should be placed on screening
for prevention, through good glyceamic control, correct choice of anti-hypertensive drugs and
treatment of ED in this population of patients.
Citation
Master Of Medicine In internal medicine, The University Of Nairobi, 2008Publisher
University of Nairobi. Faculty of Medicine