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Is type 2 diabetes mellitus a cause of severe erectile dysfunction in patients with metabolic syndrome?
Yilmaz Aslan1, Tezcan Sezgin, Altug Tuncel
1Third Department of Urology, Ankara Numune Research and Training Hospital, Ministry of Health, Ankara, Turkey. anaunaki3600@yahoo.com
Objectives:
To determine the effect of type 2 diabetes mellitus (T2DM) as a major risk factor for severe erectile dysfunction (ED) in patients with metabolic syndrome (MS).
Methods:
The study included 93 patients aged 30-70 years who had MS and ED. MS patients were divided into 2 groups: 37 patients with neither T2DM nor abnormal fasting glucose level (group 1) and 56 patients with T2DM (group 2). The severity of ED was determined according to the first 5-question version of the International Index of Erectile Function (IIEF-5). The MS was defined according to the 2005 International Diabetes Federation consensus definition. Logistic regression analysis, t test, and chi(2) tests were used to investigate the impact of T2DM on ED severity.
Results:
The mean age of the patients was 55.5 years (P = .313). Eleven patients in group 1 (29.7%) and 42 patients in group 2 (75%) had severe ED (IIEF-5 score
Conclusions:
In our study, the presence of T2DM was strongly associated with severe ED in patients with MS. We believe that components of MS should be taken into consideration in the diagnosis and treatment of ED.
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