THE ASSOCIATION BETWEEN ERECTILE DYSFUNCTION AND DIABETIC AUTONOMIC NEUROPATHY IN SEMARANG HOSPITAL DURING APRIL JUNE 2013

DIANA NOVITASARI

Background

Diabetic autonomic neuropathy (DAN) is a common complication of diabetes mellitus. Manifestations of DAN include erectile dysfunction, orthostatic hypotension, gastroparesis, etc. Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. The etiology of ED are vasculogenic, psychogenic, neurogenic and endocrinologic disease.

Aims

To know the association between severity of ED and DAN in diabetic patients in Semarang Hospital.

Methods and Subjects

A cross sectional study Subjects are diabetic patients, age<55 years-old, came to Semarang Hospital during April - June 2013. The IIEF questionnaire were used for ED evaluation Cathegorized ED in to : negative ED (score 22), mild ED (score 17-21), mild to moderate ED (score 12-16), moderate ED (score 8-11) severe ED (score 7).

Methods and Subjects

Pressure (BP) measurement in stand up and bed position for DAN. Confirmed DAN if systolic or diastolic BP was different at the first and second examination. Data were analyzed with SPSS.

Results

We collected 35 subjects, Positive ED were 30 subjects (85,7%). Mean score of ED were 12.375,493 Minimum score 5 and maximum score 24.

Results

30 25 20 15 10 5 0 Positive ED Negative ED 14,3% 85,7%

ED Catagory
12 9(25,7%) 10 8 6 4 2 0 Negative ED Mild ED Mild to moderate ED Moderate Severe ED ED 5(85,7%) 3(8,6% 12(34,3%) 6(17,1%).

DAN

25

20
15 10 5 0

60%

40%

Positive DAN

Negative DAN

Statistic Analysis
Correlations ED Category Spearman's rho ED Category Correlation Coefficient Sig. (2-tailed) N 1.000 . 35 DAN1 Category .167 .339 35

DAN1 Category

Correlation Coefficient Sig. (2-tailed) N

.167
.339 35

1.000
. 35

Significancy (P = 0,339, r = 0,167) No Correlation between ED and DAN

Statistic Analysis
Correlations ED Category1 Spearman's rho ED Category1 Correlation Coefficient Sig. (2-tailed) N Correlation Coefficient Sig. (2-tailed) N 1.000 . 35 .131 .452 35 DAN1 Category .131 .452 35 1.000 . 35

DAN1 Category

Significancy (P = 0,452, r = 0,131) No Correlation between severity of ED and DAN

Conclusions

Our study showed that there were no association between ED and DAN, and also severity of ED and DAN.