Erectile Dysfunction Among Hypertensive Patients in Yaounde, Cameroon

摘要

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.