DOI: http://dx.doi.org/10.18203/2349-2902.isj20192144

Quality of life in patients of erectile dysfunction: a cross sectional study in tertiary care settings

Raja Langer, Rushali Gupta, Kailash Singh Thaker, Rashmi Kumari, Rajiv K. Gupta, Bhavna Langer

Abstract


Background: Normal sexual desire coupled with physical inability to act is a major source of mental stress in interpersonal relationships which subsequently affects the quality of life of patients.

Methods: The present cross sectional study was conducted among patients of erectile dysfunction visiting the Urology OPD of tertiary care hospital. Study instruments used were international index of erectile function (IIEF) to assess sexual functions and version of the WHO QOL scale (WHOQOL-BREF) to assess quality of life.

Results: 168 patients were interviewed and 62.5% of them were less than 45 years of age. Age, income and presence of co-morbidity were found to be statistically significantly associated with ED (p<0.05). Overall QOL scores were lower in severe grades of ED as compared to milder grades and this difference was found to be statistically significant (p<0.05).

Conclusions: Erectile dysfunction has a significant impact on the quality of life of the patients which reemphasizes the need to diagnose and manage ED at the earliest.

 


Keywords


Erectile dysfunction, Quality of life, Severity, Risk factors

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References


Mutagaywa RK, Lutale J, Aboud M, Kamala BA. Prevalence of ED and associated risk factors among diabetic men attending diabetic clinic at Muhimbili National Hospital in Dar‑es‑Salam, Tanzania. Pan Afr Med J. 2014;17:227.

Montague DK, Jarow JP, Broderick GA, Dmochowski RR, Heaton JP, Lue TF, et al. Erectile Dysfunction Guideline Update Panel. The management of erectile dysfunction: an AUA update. J Urol. 2005;174:230–9.

Mosalem FA, Mahfouz EM, Fattah MA, Hassan EE. Quality of life (QOL) among geriatric rural population - El-Minia - Egypt. El-Minia Med. 2009;20(1):1-15.

NHI Consensus Development Panel on Impotence: NHI Consensus Conference: Impotence. JAMA. 1993;270:83–90.

Fedele D, Bortolotti A, Coscelli C, Santeusanio F, Chatenoud L, Colli E, et al. Erectile dysfunction in type 1 and type 2 diabetics in Italy. Int J Epidemiol. 2000;29:524–31.

Chew KK, Earle CM, Stuckey BGA, Jamrozik K, Keogh EJ. Erectile dysfunction in general medicine practice:prevalence and clinical correlates. Int J Impot Res. 2000;12:41-5.

Rendell MS, Rajfer J, Wicker PA, Smith MD, for the Sildenafil Diabetes Study Group. Sildenafil for treatment of erectile dysfunction in men with diabetes:a randomized controlled trial. JAMA. 1999;281:421-6.

Smith KJ, Roberts MS. The cost-effectiveness of sildenafil. Ann Intern Med. 2000;132:933–7.

Rosen RC et al. The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49:822–30

World Health Organization's. Quality of Life group: WHOQOL-BREF. Introduction. Administration Scoring and Generic Version of assessment. Field Trial version. Programme on Mental Health.World Health Organization. Geneva, 1996.

Farahat TM, Maraee AH, Hegazy NN, Ismail IA. Quality of life in patients with erectile dysfunction in Shebin El Kom District. Menoufia Med J. 2017;30(2):607-13.

Moreira ED, Lbo CF, Diament A, Nicolosi A, Glasser DB. Incidence of ED in men 40 to 69 years old:results from a population‑based cohort study in Brazil. Urology. 2003;61:431–6.

Grover SA, Lowensteyn I, Kaouache M, Marchand S, Coupal L, DeCarolis E, et al. The prevalence of ED in the primary care setting:importance of risk factors for DM and vascular disease. Arch Intern Med. 2006;166:213–9.

Nicolosi A, Moreira ED Jr, Shirai M, Bin Mohd Tambi MI, Glasser DB. Epidemiology of erectile dysfunction in four countries: cross‑national study of the prevalence and correlates of erectile dysfunction. Urology. 2003;61:201–6.

Seyam RM, Albakry A, Ghobish A, Arif H, Dandash K, Rashwan H. Prevalence of erectile dysfunction and its correlates in Egypt:a community‑based study. Int J Impot Res. 2003;15:237–45.

Berardis GD, Franciosi M, Belfiglio M, Nardo BD, Greenfield S, Kaplan SH, et al. Erectile Dysfunction and Quality of Life in Type 2 Diabetic Patients. A serious problem too often overlooked. Diabetes Care. 2002;25:284–91.

Litwin MS, Robert J. Nied RJ, Dhanani N. Health-related quality of life in men with erectile dysfunction. J Gen Intern Med. 1998;13:159–66.