Özet:

Erectile dysfunction (ED) is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual performance. ED is three times more frequent in diabetes. ED is associated with a reduced quality of life in diabetics. Also regarding the impact of ED on quality of life detection of the factors that are associated with ED is important to better management of the disease. In our study we aimed to evaluate risk factors for erectile dysfunction in diabetic men.    Materials and Method: A cross sectional study was carried out in type 2 patients who attended the outpatient clinic of Diabetes Bear Training and Research Hospital. Between 1th July and 15th July, 80 consecutive patients were included in the study. According to the exclusion criteria, 65 diabetic patients were included. Control group is constituted by age matched 40 non-diabetic patients who attended the family medicine and internal medicine outpatient clinics. All patients filled out a form which includes socio-demographic characteristics. All patients' blood pressure, waist circumference, body mass index (BMI) were measured. HbA1c, lipid profile, uria, creatinine and complete blood count were obtained. In all patients, erectile dysfunction was questioned with the International Index of Erectile Function questionnaire (IIEF). Results: In diabetic patients, the prevalence of erectile dysfunction was 76.9%, in control group it was 37.5%. The difference was statistically significant (p<0,001). Moreover in diabetes levels form of erectile dysfunction was mostly seen. In Diabetics to identify independent predictors of ED multivariate logistic regression analysis was used. As a result, office systolic blood pressure > 130 mm Hg which was measured in outpatient clinic (p = 0,006), hyperlipidemia history (p = 0,008), waist circumference (p = 0,015), heart disease history (p = 0,025), HbA1c (p = 0,025) and triglyceride levels (p = 0,030) and diuretic use (p = 0,039) were significantly and independently associated with ED. Conclusion: Our study results support that ED is more common in diabetic men than normal population. Abdominal obesity, hyperlipidemia and coronary heart disease associated with diabetes are risk factors for ED. Regarding the impact of ED on quality of life; we conclude that men with diabetes who have risk factors for ED should be assessed routinely.

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