DefinePK

Abstract

Introduction: Erectile Dysfunction (ED) is a distressing complication of diabetes among male patients. It has a physical, psychological and social impact not only on the affected individual but also on the family and society in general. Despite being a serious concern affecting sexual health, this problem is seldom discussed by patients with physicians in developing countries. The worldwide prevalence of erectile dysfunction among male diabetic patients varies from 20% to 85%.
Objective: The aim of this study was to determine the prevalence of erectile dysfunction and associated risk factors in Type 2 diabetic men attending the tertiary care hospital in Karachi, Pakistan.
Methodology: A cross-sectional study was conducted on selected 210 adult diabetic male patients attending tertiary care hospital from Nov 2024 to Jan 2025. Simple random sample technique was used to select study participants. An international index of erectile dysfunction questionnaire, also known as the Sexual Health Inventory of Men (SHIM) containing five questions was used to assess the presence and severity of erectile dysfunction. Bivariate and multivariable binary logistic regression analysis were performed to identify factors associated with erectile dysfunction. Statistical significance was declared at p-value <0.05.
Results: In this study, we found that the overall prevalence of Erectile dysfunction among T2DM male patients was 79.04%, with 25.3% suffering from mild, 34.9% mild to moderate, 31.3 % moderate and 8.4% severe erectile dysfunction. Higher Age group patients, longer duration of diabetes were the factors most associated with erectile dysfunction.
Conclusion: This study has revealed a high magnitude of erectile dysfunction among male diabetic patients and its association with higher age, and longer duration of diabetes. Thus, assessment and management for erectile dysfunction should be part of routine medical care for adult male diabetic patients.