Epidemiology and impact of erectile dysfunction among 120 elderly patients
Amri, M1; Maatouk, H2; Ben Khalifa, B1; Ati, N3; Saadi, H1; Lahouar, R1; Naouar, S1; Salem, B1; Elkamel, R1
1: Ibn El Jazzar Teaching Hospital of Kairouan , Tunisia; 2: Fattouma Bourguiba Teaching Hospital of Monastir , Monastir; 3: Taher Sfar Teaching Hospital of Mahdia , Mahdia
Objective: The main goal of this study was to estimate the incidence of erectile dysfunction (ED) in our center, study the effect of age, socioeconomic status, and medical conditions on the risk of developing ED and its impact on the life quality of patients.
Methods: We conducted a transversal study in the Urology department of Ibn El Jazzar Teaching Hospital of Kairouan among 120 elderly patients consulting for different health issues and especially for lower tract symptoms. We analyzed data collected from using a standardized questionnaire including medical history, current treatment and quality of life. ED was assessed by using the International Index of Erectile Function (IIEF).
Results: Baseline average age of the 120 men in the analysis sample was 67.2years (range 63 to 84). 38.3% were educated up to the higher secondary and 71.6% were living in urban areas. 85% of the men were married and 80% of them maintain a sexual activity with an average frequency of 1.1 intercourses per week (0.6-1.5/week). The ED incidence rate was 75% and it was increased with age (56% of men from 63 to 75 years and 91 % of men over 75 years). The adjusted rate of ED was higher for men with lower education, diabetes, hypertension, and benign prostatic hyperplasia. Diabetes (38.8%), high blood pressure (16.6%), high cholesterol (11.11%), peripheral vascular disorder (6.66%) and smoking (61.11%) were significantly associated with erectile dysfunction. Recorded disorders include lack of rigidity (91.11%), lack of erection (66.66%), lack of rigidity till completion of sexual act (17.77%), lack of erection till the completion of sexual act (6.66%) and no erection at all (11.11%). 66,5% of patients suffering from ED describing their sexual life as "shameful", "bad" and even "disabling" and wished strongly to improve this situation by medical therapy.
Conclusion: Erectile dysfunction is a common and clinically neglected sexual problem. It has been shown to negatively impact self-esteem, quality of life, and satisfaction. An appropriate medical, psychological and relational support could improve the quality of their sexual life.
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