Erectile Dysfunction among Nigerian Men with Diabetes:a Systematic Review

Diabetes mellitus is a chronic metabolic disorder with multiple microvascular and macrovascularcomplications. Some of the complications of diabetes such as erectile dysfunction are a result of an interplay ofboth microvascular and macrovascular complications. Erectile dysfunction is the inability to achieve or sustainan erection adequate for satisfactory sexual activity. Erectile dysfunction is relatively common in men with dia-betes yet there is a paucity of information on erectile dysfunction among Nigerian men with diabetes.Materialsand

Twelve studies on erectile dysfunction in Nigerian men with diabetes with a total sample size of1777 fulfilled the eligibility criteria and were recruited into the systematic review. The International Index ofErectile Function (IIEF) questionnaire was used to assess erectile dysfunction in all the studies.

Theprevalence of erectile dysfunction among Nigerian men with diabetes is 48.4-98.0%. The factors significantlyassociated with the presence of erectile dysfunction among Nigerian men with diabetes are longer durationof diabetes, poor glycaemic control, older age, peripheral arterial disease, autonomic neuropathy and obesity.

The prevalence of erectile dysfunction among Nigerian men with diabetes is high. Close attentionneeds to be paid to glycaemic control in these patients to reduce the complications