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Erectile Dysfunction Among Hypertensive Patients in Yaounde, Cameroon

Received: 1 October 2019     Accepted: 28 October 2019     Published: 5 November 2019
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Abstract

This study was done to determine the prevalence, associated factors and severity factors of erectile dysfunction, in patients with hypertension in Yaounde. It was a cross sectional descriptive and analytical study that included 170 patients. All the participants were screened for erectile dysfunction using the International Index of Erectile Function 5 (IIEF-5). Results showed that the mean age of our participants was 55 +/- 8 years. The prevalence of erectile dysfunction was 50.6%. Among those affected, the severity was classified as mild (46,5%), moderate (33,7%) and severe (19,8%). After a multivariate analysis, erectile dysfunction remained significantly associated with age (p < 0,001), duration of hypertension of more than 5 years (p=0,001), higher grade of hypertension (p=0,011), diabetes (aOR= 24,56; 95% CI: 3,56 – 83,1; p=0,02), tobacco smoking (aOR= 4,83; 95% CI: 2,70 – 33,2; p=0,016), alcohol intake (aOR= 43,1; 95% CI: 2,53 – 732,7; p=0,009), multiple anti-hypertensive medications (aOR = 3,7; 95% CI: 1,51 – 6,78; p=0,006) and usage of thiazide diuretics (aOR =14,3; 95% CI: 4,32 – 47,3; p < 0,001). The severity of erectile dysfunction was significantly associated with age (p < 0,001), duration of hypertension (p < 0,001), severity of hypertension (p < 0,001), diabetes (p < 0,001), tobacco smoking (p = 0,003), alcohol intake (p = 0,003) and multiple antihypertensive medications (p = 0,001). In conclusion, erectile dysfunction has a high prevalence and severity among Cameroonian hypertensive patients. Age, duration of hypertension, severity of hypertension, diabetes, tobacco smoking, alcohol intake and usage of thiazide diuretics were factors associated with this high prevalence and severity.

Published in Cardiology and Cardiovascular Research (Volume 3, Issue 4)
DOI 10.11648/j.ccr.20190304.13
Page(s) 90-93
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Erectile Dysfunction, Hypertension, Prevalence, Severity

References
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[2] Feldman HA, Goldstein I, Hatzichristou DG et al. impotence and its medical and psychological correlates: results of Massachusetts Male Aging Study. J urol. 1994; 151 (1): 54-61.
[3] Soulemane Pessinaba, Soodougoua B, Machihude P et al. La dysfonction érectile chez l’hypertendu togolais: étude transversale chez 100 patients dans le service de cardiologie du CHU campus de Lomé. Pan African Medical Journal. 2015; 21: 47-54.
[4] Kearney PM, Whelton M, Reynolds K et al. Global burden of hypertension: analysis of worlwide data. Lancet. 2005; 365: 217–23.
[5] Kingue S, Ndong Ngoe C, Menanga AP et al. Prevalence and risk factors of hypertension in urban areas of Cameroon: a nationwide population-based cross-sectional study. The Journal of Clinical Hypertension. 2015 Oct; 17 (10): 819–24.
[6] Doumas M et al. Factors affecting the increased prevalence of erectile dysfunction in greek hypertensive compared with normotensive subjects. J Androl. 2006 May–Jun; 27 (3): 469-77.
[7] Rosen RC, Cappeleri JC, Smith MD, Lipsky J, Pena BM. Development and evaluation of an abridged, 5-item version of the international Index of Erectile Function (IIEF–5) as a diagnostic tool for erectile dysfunction. Int J Impot Res. 1999; 11 (6): 319–326.
[8] Buranakitjarsen P, Phoojaroenchanachai M, Sarawich S. Prevalence of erectile dysfunction among treated hypertensives males. J Med Assoc Thai. 2006 Nov; 89 (5): 28-36.
[9] Fafiolu AS, Adebayo AM, Akande TO et al. Erectile dysfunction among male hypertensive in a tertiary health facility in South-west Nigeria. Glob J Health Sci.2014 Aug 22; 7 (1): 154-60.
[10] Aranda P, Ruilope L, Calvo C et al. Erectile dysfunction in essential arterial hypertension and effects of sildenafil: results of spanish national study. Am J Hypertension. 2004; 17: 139–45.
[11] Javaroni V, Neves MF. Erectile dysfunction and hypertension: impact on cardiovascular risk and treatment. Int J Hypertens. 2012: 627-28.
[12] Grimm RH, Grandits GA, Prineas RJ et al. Long term effects on sexual fucntion of five antihypertensive drugs and nutritional hygienic treatment in hypertensive men and women (TOHMS). Hypertension. 1997, 29: 8–14.
[13] Hanon O, Mounier V, Fauvel JP et al. Troubles de la sexualité chez les hypertendus traités. Arch Mal Cœur. 2002; 95: 673–77.
[14] Ferrini MG, Gonzalez-Cadavid NF, Rajfer J. Aging related erectile dysfunction—potential mechanism to halt or delay its onset. Transl Androl Urol. 2017 Feb; 6 (1): 20–7.
[15] Wang X-M, Bai Y-J, Yang Y-B, Li J-H, Tang Y, Han P. Alcohol intake and risk of erectile dysfunction: a dose-response meta-analysis of observational studies. Int J Impot Res. 2018 Nov; 30 (6): 342–51.
[16] Furukawa S, Sakai T, Niiya T, Miyaoka H, Miyake T, Yamamoto S, et al. Alcohol consumption and prevalence of erectile dysfunction in Japanese patients with type 2 diabetes mellitus: Baseline data from the Dogo Study. Alcohol Fayettev N. 2016; 55: 17–22.
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  • APA Style

    Jerome Boombhi, Njoya Poumie Aoudou, Alain Menanga, Donald Tchapmi, Ba Hamadou, et al. (2019). Erectile Dysfunction Among Hypertensive Patients in Yaounde, Cameroon. Cardiology and Cardiovascular Research, 3(4), 90-93. https://doi.org/10.11648/j.ccr.20190304.13

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    ACS Style

    Jerome Boombhi; Njoya Poumie Aoudou; Alain Menanga; Donald Tchapmi; Ba Hamadou, et al. Erectile Dysfunction Among Hypertensive Patients in Yaounde, Cameroon. Cardiol. Cardiovasc. Res. 2019, 3(4), 90-93. doi: 10.11648/j.ccr.20190304.13

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    AMA Style

    Jerome Boombhi, Njoya Poumie Aoudou, Alain Menanga, Donald Tchapmi, Ba Hamadou, et al. Erectile Dysfunction Among Hypertensive Patients in Yaounde, Cameroon. Cardiol Cardiovasc Res. 2019;3(4):90-93. doi: 10.11648/j.ccr.20190304.13

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  • @article{10.11648/j.ccr.20190304.13,
      author = {Jerome Boombhi and Njoya Poumie Aoudou and Alain Menanga and Donald Tchapmi and Ba Hamadou and Samuel Kingue},
      title = {Erectile Dysfunction Among Hypertensive Patients in Yaounde, Cameroon},
      journal = {Cardiology and Cardiovascular Research},
      volume = {3},
      number = {4},
      pages = {90-93},
      doi = {10.11648/j.ccr.20190304.13},
      url = {https://doi.org/10.11648/j.ccr.20190304.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20190304.13},
      abstract = {This study was done to determine the prevalence, associated factors and severity factors of erectile dysfunction, in patients with hypertension in Yaounde. It was a cross sectional descriptive and analytical study that included 170 patients. All the participants were screened for erectile dysfunction using the International Index of Erectile Function 5 (IIEF-5). Results showed that the mean age of our participants was 55 +/- 8 years. The prevalence of erectile dysfunction was 50.6%. Among those affected, the severity was classified as mild (46,5%), moderate (33,7%) and severe (19,8%). After a multivariate analysis, erectile dysfunction remained significantly associated with age (p < 0,001), duration of hypertension of more than 5 years (p=0,001), higher grade of hypertension (p=0,011), diabetes (aOR= 24,56; 95% CI: 3,56 – 83,1; p=0,02), tobacco smoking (aOR= 4,83; 95% CI: 2,70 – 33,2; p=0,016), alcohol intake (aOR= 43,1; 95% CI: 2,53 – 732,7; p=0,009), multiple anti-hypertensive medications (aOR = 3,7; 95% CI: 1,51 – 6,78; p=0,006) and usage of thiazide diuretics (aOR =14,3; 95% CI: 4,32 – 47,3; p < 0,001). The severity of erectile dysfunction was significantly associated with age (p < 0,001), duration of hypertension (p < 0,001), severity of hypertension (p < 0,001), diabetes (p < 0,001), tobacco smoking (p = 0,003), alcohol intake (p = 0,003) and multiple antihypertensive medications (p = 0,001). In conclusion, erectile dysfunction has a high prevalence and severity among Cameroonian hypertensive patients. Age, duration of hypertension, severity of hypertension, diabetes, tobacco smoking, alcohol intake and usage of thiazide diuretics were factors associated with this high prevalence and severity.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Erectile Dysfunction Among Hypertensive Patients in Yaounde, Cameroon
    AU  - Jerome Boombhi
    AU  - Njoya Poumie Aoudou
    AU  - Alain Menanga
    AU  - Donald Tchapmi
    AU  - Ba Hamadou
    AU  - Samuel Kingue
    Y1  - 2019/11/05
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ccr.20190304.13
    DO  - 10.11648/j.ccr.20190304.13
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
    SP  - 90
    EP  - 93
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20190304.13
    AB  - This study was done to determine the prevalence, associated factors and severity factors of erectile dysfunction, in patients with hypertension in Yaounde. It was a cross sectional descriptive and analytical study that included 170 patients. All the participants were screened for erectile dysfunction using the International Index of Erectile Function 5 (IIEF-5). Results showed that the mean age of our participants was 55 +/- 8 years. The prevalence of erectile dysfunction was 50.6%. Among those affected, the severity was classified as mild (46,5%), moderate (33,7%) and severe (19,8%). After a multivariate analysis, erectile dysfunction remained significantly associated with age (p < 0,001), duration of hypertension of more than 5 years (p=0,001), higher grade of hypertension (p=0,011), diabetes (aOR= 24,56; 95% CI: 3,56 – 83,1; p=0,02), tobacco smoking (aOR= 4,83; 95% CI: 2,70 – 33,2; p=0,016), alcohol intake (aOR= 43,1; 95% CI: 2,53 – 732,7; p=0,009), multiple anti-hypertensive medications (aOR = 3,7; 95% CI: 1,51 – 6,78; p=0,006) and usage of thiazide diuretics (aOR =14,3; 95% CI: 4,32 – 47,3; p < 0,001). The severity of erectile dysfunction was significantly associated with age (p < 0,001), duration of hypertension (p < 0,001), severity of hypertension (p < 0,001), diabetes (p < 0,001), tobacco smoking (p = 0,003), alcohol intake (p = 0,003) and multiple antihypertensive medications (p = 0,001). In conclusion, erectile dysfunction has a high prevalence and severity among Cameroonian hypertensive patients. Age, duration of hypertension, severity of hypertension, diabetes, tobacco smoking, alcohol intake and usage of thiazide diuretics were factors associated with this high prevalence and severity.
    VL  - 3
    IS  - 4
    ER  - 

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Author Information
  • Department of Internal Medicine and Specialties, University of Yaounde I, Yaounde, Cameroon

  • Department of Internal Medicine and Specialties, University of Yaounde I, Yaounde, Cameroon

  • Department of Internal Medicine and Specialties, University of Yaounde I, Yaounde, Cameroon

  • Department of Internal Medicine and Specialties, University of Yaounde I, Yaounde, Cameroon

  • Department of Internal Medicine and Specialties, University of Yaounde I, Yaounde, Cameroon

  • Department of Internal Medicine and Specialties, University of Yaounde I, Yaounde, Cameroon

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