Lack of awareness of erectile dysfunction in many men with risk factors for erectile dysfunction

BMC Urology

Research Article

Dana Creanga¹  Ridwan Shabsigh²  Michelle Magee³  Meeta Budhwani⁴  David Russell⁴  Joel Kaufman⁵ 

[1] Consultant to Pfizer Inc, New York, NY, USA;Maimonides Medical Center, Brooklyn, NY, and Columbia University, New York, NY, USA;MedStar Research Institute, Washington, DC, USA;Pfizer Inc, New York, NY, USA;Urology Research Options, Aurora, CO, USA;

关键词: Erectile Dysfunction;    Lower Urinary Tract Symptom;    Stable Coronary Artery Disease;    Screen Question;    Dysfunction Severity;   

DOI  :  10.1186/1471-2490-10-18

 received in 2010-05-14, accepted in 2010-11-05,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundMen with erectile dysfunction often have concurrent medical conditions. Conversely, men with these conditions may also have underlying erectile dysfunction. The prevalence of unrecognized erectile dysfunction in men with comorbidities commonly associated with erectile dysfunction was determined in men invited to participate in a double-blind, randomized, placebo-controlled trial of sildenafil citrate.MethodsMen ≥30 years old presenting with ≥1 erectile dysfunction risk factor (controlled hypertension, hypercholesterolemia, smoking, metabolic syndrome, stable coronary artery disease, diabetes, depression, lower urinary tract symptoms, obesity [body mass index ≥30 kg/m2] or waist circumference ≥40 inches), and not previously diagnosed with erectile dysfunction were evaluated. The screening question, "Do you have erectile dysfunction?," with responses of "no," "yes," and "unsure," and the Erectile Function domain of the International Index of Erectile Function (IIEF-EF) were administered.ResultsOf 1084 men screened, 1053 answered the screening question and also had IIEF-EF scores. IIEF-EF scores indicating erectile dysfunction occurred in 71% (744/1053), of whom 54% (399/744) had moderate or severe erectile dysfunction. Of 139 answering "yes," 526 answering "unsure," and 388 answering "no," 96%, 90%, and 36%, respectively, had some degree of erectile dysfunction. The mean±SD (range) number of risk factors was 2.9 ± 1.7 (3-8) in the "yes" group, 3.2 ± 1.7 (3-9) in the "unsure" group, and 2.6 ± 1.5 (2-8) in the "no" group.ConclusionAlthough awareness of having erectile dysfunction was low, most men with risk factors had IIEF-EF scores indicating erectile dysfunction. Erectile dysfunction should be suspected and assessed in men with risk factors, regardless of their apparent level of awareness of erectile dysfunction.Trial registrationClinicalTrials.gov Identifier NCT00343200.

【 授权许可】

Unknown   
© Shabsigh et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.