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Prevalence of erectile dysfunction and its correlates in Egypt: a community-based study

International Journal of Impotence Research volume 15, pages 237–245 (2003)Cite this article

Abstract

We evaluated the prevalence of erectile dysfunction (ED) in a cross-sectional community-based random sample of Egyptian men. ED was correlated with the socioeconomic status, risk factors and quality of life. Married men in Ismailia province were interviewed at home. Data were processed for 805 men with mean age of 43.58 y (s.d. 11.03). There is a fair correlation between ED and increasing age (P<0.001). Males with complete ED comprised 13.2% of the sample, 26% of men in their 50s, 49% of men in their 60s and 52% of those 70 y or older. The state of better erection correlated fairly with sexual desire and sexual satisfaction (P<0.01). ED was associated with living in rural areas and lower socioeconomic level (P<0.01), with smoking, diabetes, heart disease, hypertension, liver disease, arthritis, peptic ulcer and renal disease (P<0.05). ED was negatively associated with good quality of life (P<0.001). These results indicate that ED is a common problem among married Egyptian men.

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References

  1. Feldman HA et al. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994; 151: 54–61.

    Article  CAS  Google Scholar 

  2. Moreira Jr ED et al. Prevalence and correlates of erectile dysfunction: results of the Brazilian study of sexual behavior. Urology 2001; 58: 583–588.

    Article  Google Scholar 

  3. Martin-Morales A et al. Prevalence and independent risk factors for erectile dysfunction in Spain: results of the Epidemiologia de la Disfuncion Erectil Masculina Study. J Urol 2001;166: 569–574.

    Article  CAS  Google Scholar 

  4. Braun M et al. Epidemiology of erectile dysfunction: results of the ‘Cologne Male Survey’. Int J Impot Res 2000; 12: 305–311.

    Article  CAS  Google Scholar 

  5. Koskimaki J, Hakama M, Huhtala H, Tammela TL . Effect of erectile dysfunction on frequency of intercourse: a population based prevalence study in Finland. J Urol 2000; 164: 367–370.

    Article  CAS  Google Scholar 

  6. Dunn KM, Croft PR, Hackett GI . Sexual problems: a study of the prevalence and need for health care in the general population. Fam Pract 1998; 15: 519–524.

    Article  CAS  Google Scholar 

  7. Ventegodt S . Sex and the quality of life in Denmark. Arch Sex Behav 1998; 27: 295–307.

    Article  CAS  Google Scholar 

  8. Ayta IA, McKinlay JB, Krane RJ . The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU Int 1999; 84: 50–56.

    Article  CAS  Google Scholar 

  9. Schein M et al. The frequency of sexual problems among family practice patients. Fam Pract Res J 1988; 7: 122–134.

    CAS  Google Scholar 

  10. Slag MF et al. Impotence in medical clinic outpatients. JAMA 1983; 249: 1736–1740.

    Article  CAS  Google Scholar 

  11. Morley JE . Impotence in older men. Hosp Pract 1988; 23: 139–142.

    Article  CAS  Google Scholar 

  12. Jonler M et al. The effect of age, ethnicity and geographical location on impotence and quality of life. Br J Urol 1995; 75: 651–655.

    Article  CAS  Google Scholar 

  13. NIH Consensus Development Panel on Impotence. NIH Consensus Conference. Impotence. JAMA 1993; 270: 83–90.

  14. Derby CA et al. Measurement of erectile dysfunction in population-based studies: the use of a single question self-assessment in the Massachusetts Male Aging Study. Int J Impot Res 2000; 12: 197–204.

    Article  CAS  Google Scholar 

  15. Rosen RC et al. The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 1997; 49: 822–830.

    Article  CAS  Google Scholar 

  16. Ansong KS, Lewis C, Jenkins P, Bell J . Epidemiology of erectile dysfunction: a community-based study in rural New York State. Ann Epidemiol 2000; 10: 293–296.

    Article  CAS  Google Scholar 

  17. McVary KT, Carrier S, Wessells H . Subcommittee on Smoking and Erectile Dysfunction Socioeconomic Committee, Sexual Medicine Society of North America. Smoking and erectile dysfunction: evidence based analysis. J Urol 2001; 166: 1624–1632.

    Article  CAS  Google Scholar 

  18. McCulloch DK et al. The prevalence of diabetic impotence. Diabetologia 1980; 18: 279–283.

    Article  CAS  Google Scholar 

  19. Kaiser FE, Korenman SG . Impotence in diabetic men. Am J Med 1988; 85: 147–152.

    Article  CAS  Google Scholar 

  20. De Berardis G et al. Quality of Care and Outcomes in Type 2 Diabetes (QuED) Study Group. Erectile dysfunction and quality of life in type 2 diabetic patients: a serious problem too often overlooked. Diabetes Care 2002; 25: 284–291.

    Article  Google Scholar 

  21. Siu SC et al. Prevalence of and risk factors for erectile dysfunction in Hong Kong diabetic patients. Diabetes Med 2001; 18: 732–738.

    Article  CAS  Google Scholar 

  22. Alexopoulou O et al. Erectile dysfunction and lower androgenicity in type 1 diabetic patients. Diabetes Metab 2001; 27: 329–336.

    CAS  PubMed  Google Scholar 

  23. Burchardt M et al. Erectile dysfunction is a marker for cardiovascular complications and psychological functioning in men with hypertension. Int J Impot Res 2001; 13: 276–281.

    Article  CAS  Google Scholar 

  24. Kirschner-Hermanns R, Jakse G . Quality of life following radical prostatectomy. Crit Rev Oncol Hematol 2002; 43: 141–151.

    Article  Google Scholar 

  25. Blanker MH et al. Erectile and ejaculatory dysfunction in a community-based sample of men 50 to 78 years old: prevalence, concern, and relation to sexual activity. Urology 2001; 57: 763–768.

    Article  CAS  Google Scholar 

  26. Namasivayam S et al. The evaluation of sexual function in men presenting with symptomatic benign prostatic hyperplasia. Br J Urol 1998; 82: 842–846.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Special Surgery, Division of Urology, Ismailia, Egypt

    RM Seyam, A Albakry, A Ghobish, H Arif & H Rashwan

  2. Department of Public Health, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

    K Dandash

Authors
  1. RM Seyam
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  2. A Albakry
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  3. A Ghobish
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  4. H Arif
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  5. K Dandash
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  6. H Rashwan
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Corresponding author

Correspondence to RM Seyam.

Appendix

Appendix

Quality of life questions:

1. If you were to spend the rest of your life feeling the way you do now, how would you feel about that?

Delighted; Pleased; Mostly satisfied; Mixed; Mostly dissatisfied; Unhappy; Terrible.

2. Were you bothered by any illness, body disorder, aches or pains?

All of the time; Most of the time; A good bit of the time, Some of the time; A little of the time; None of the time.

3. Did you feel healthy enough to carry out the things you like to do or had to do?

All of the time; Most of the time; A good bit of the time; Some of the time; A little of the time; None of the time.

4. Were you worried or did you have any fears about your health?

All of the time; Most of the time; A good bit of the time; Some of the time; A little of the time; None of the time.

5. Overall, how would you rate your life?

Excellent; Very good; Good; Average; Miserable.

Sexual activity questions related to potency:

1. In an average week, how often do you usually have sexual intercourse or activity?

2. During the last 6 months have you ever had trouble getting an erection before intercourse begins?

No, Yes, No attempt.

3. During the last 6 months have you ever had trouble keeping an erection once intercourse has begun?

No, Yes, No attempt.

4. How frequently do you awaken from sleep with a full erection?

Daily, 2 or 3 times per week, Once a week, 2 or 3 times per month, Once a month, Less than once per month, Not at all within the last 6 months.

5. How satisfied are you with your sex life? Extremely satisfied, Somewhat satisfied, Neither satisfied nor dissatisfied, Somewhat dissatisfied, Extremely dissatisfied.

6. How satisfied are you with your sexual relationship with your wife or wives?

Extremely satisfied, Somewhat satisfied, Neither satisfied nor dissatisfied, Somewhat dissatisfied, Extremely dissatisfied.

7. How satisfied do you think your wife(wives) is (are) with your sexual relationship?

Extremely satisfied, Somewhat satisfied, Neither satisfied nor dissatisfied, Somewhat dissatisfied, Extremely dissatisfied.

8. Has the frequency of your sexual activity with your wife been:

a. as much as your desire?

b. less than you desire?

c. more than you desire?

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Seyam, R., Albakry, A., Ghobish, A. et al. Prevalence of erectile dysfunction and its correlates in Egypt: a community-based study. Int J Impot Res 15, 237–245 (2003). https://doi.org/10.1038/sj.ijir.3901000

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  • DOI: https://doi.org/10.1038/sj.ijir.3901000

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