TITLE:
Erectile Dysfunction: Clinical and Epidemiological Aspects in Senegal
AUTHORS:
Yoro Diallo, Racine Kane, Saint Charles Kouka, Boubacar Fall, Cyrille Ze Ondo, Abdoulaye N’Diaye, Adamson Phiri, Amadou Sékou Soumah, Babacar Diao, Cheickna Sylla
KEYWORDS:
Erectile Dysfunction, Epidemiology, Risk Factors, Clinical
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.9,
September
4,
2015
ABSTRACT: Introduction: The objective of our study
was to analyze the clinical and epidemiologic aspects of erectile dysfunction
in subjects with different comorbidities in Senegal. Patients and Methods: This
was a retrospective study over a period of 2 years on patients who presented
themselves for consultation for erectile dysfunction. The study was carried out
in the regions of Dakar and Thies at the Ouakam geriatric center and the Saint
Jean of god Hospital of Thies respectively. Results: We enrolled into the study
402 patients with erectile dysfunction. The average age of our patients was 47
± 5 years. Patients aged more than 60 years were the most. The majority of our
patients had less than secondary school level education, 211 in total
representing 52.5% of the study population compared to 14.9% having post
baccalaureate level. A large number of these patients had professional
activities (53.3%), followed by retirees (29.6%). Polygamous patients were more
in number (51.5%). In our study sample, we registered 120 active smokers
(29.9%). A hundred and ten of our patients were sedentary for periods of 5
months to 22 years. The average length of time before seeking help for erectile
dysfunction in our patients was 2.8 years. Severe erectile dysfunction was
predominant in the smoking group (54.2%) compared to (9.9%) in the non-smoking
group. We found a large proportion of severe and moderate erectile dysfunction
(66.3%) and (31.7%) respectively in diabetic than non-diabetic patients. Severe
erectile dysfunction was more in hypertensive and diabetics. Severe erectile
dysfunction was more present in hypertensive plus smokers (83.9%) than in
non-smoking hypertensive patients (68.6%). Severe ED was found more in
hypertension and diabetic subjects. Conclusion: Erectile dysfunction is most
frequently related on one side to socio-environmental factors, and to
co-existing comorbidities on the other side.