ERECTILE DYSFUNCTION IN SENEGAL: EPIDEMIOLOGICAL PROFILE

摘要

The life of patients in Africa with Erectile Dysfunction (ED) is made particularly difficult in men married to many wives and few data are available on this disorder. The purpose of this study was to report the epidemiological profile of ED in the Senegalese general population using a standard protocol based on the simplified version of the International Index of Erectile Function (IIEF5) translated into French and validated. Methodology: This was a transverse randomized survey of subjects over the age of 18 years. Subjects completed a self-administered questionnaire composed of two parts. The first part contained information on demographic characteristics, associated diseases, erectile dysfunction and associated sexual disorders and the second part was based on IIEF5. Two groups were identified: a group with erectile dysfunction (ED group) and another group without erectile dysfunction (No ED group). Differences between the two groups were considered to be statistically significant for p <= 0.05 on the Chi-square test. Results: The global prevalence of erectile dysfunction was 26. The prevalence by age-group revealed a progressive increase of ED with age from 11 between 20 and 30 years to 76 between 70 and 80 years. The rate of polygamous men was significantly higher in the group with ED (29.2) compared to the group without ED (6.6) (p< 0.0001) and the severity of ED increased in relation to the number of wives. Chronic alcoholism was significantly more frequent in the group with ED (p=0.023). The frequency of ED increased with the duration of cigarette smoking from 11.9 for less than 5 years, 16.9 between 5 years and 10 years and 71.2 for more than 10 years. Some diseases (diabetes, hypertension and depression) were significantly more frequent in the group with ED. Analysis of the type of ED revealed that secondary erectile dysfunction was more frequent (95.6) than primary erectile dysfunction (4.4). Associated sexual disorders were significantly more frequent in the group with ED.