Navigation Links
All men with gout should be routinely screened for erectile dysfunction
Date:6/12/2014

A new study presented today at the European League Against Rheumatism Annual Congress (EULAR 2014) showed that erectile dysfunction (ED) is present in most men with gout and is frequently severe.1

In a survey of 201 men, 83 had gout, of whom a significantly greater proportion had ED (76%) compared with those patients without gout (52%) (p= 0.0007). Also, a significantly greater proportion of gout patients (43%) had severe ED compared with patients without gout (30%) (p=0.007).1

According to lead author Dr. Naomi Schlesinger, Chief, Division of Rheumatology and Professor of Medicine, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, US, "these results strongly support the proposal to screen all men with gout for the presence of ED. Increasing awareness of the presence of ED in gout patients should in turn lead to earlier medical attention and treatment for this distressing condition," she added.

Gout is a condition characterised by recurrent attacks of acute inflammatory arthritis. Around 1 4% of the Western population will develop gout at some point in their lifetime.2 The arthritis is caused by deposits of needle-like monosodium urate crystals in the joints and is associated with an abnormally high level of urate in the bloodstream. The crystals cause inflammation, swelling, and pain in the affected joint.2

"Because gout is commonly associated with cardiovascular disease (CVD) risk factors and coronary artery disease (CAD) and patients who present with ED also have an increased rate of CVD risk factors and concomitant silent CAD, all these patients should also be evaluated for possible silent CAD," Dr. Schlesinger concluded.

ED is a common problem in the general population, with the prevalence of moderate to severe ED estimated to between 5 20%.2 The likelihood of ED increases progressively with age; however, it is not an inevitable consequence of aging.3 The importance of vascular disease as an underlying cause of ED is well established.2

In this cross sectional study, men aged 18-89 presenting to a Rheumatology clinic between August 2010 and May 2013 were asked to participate. The presence of ED was determined by filling out a Sexual Health Inventory in Men (SHIM). The SHIM classifies ED into one of five categories: absent (26), mild (22), mild to moderate (17), moderate (11) and severe (1). The patient's history, physical examination and recent laboratory studies were reviewed as well. Descriptive statistics and subgroup analyses were used to summarise the data. Chi-square tests for independence were used to compare categorical variables.

The mean SHIM score of all patients was 16.88 (SD-0.83). Gout patients had an average SHIM score of 14.38 (SD1.01) vs. 18.53 (SD 0.964) in patients without gout (p < 0.0001). A significantly greater proportion of gout patients whose age was ≥ 65 had ED vs. patients without gout (p=0.0001) and it was significantly more likely to be severe ED vs. patients without gout (p=0.0002). A significantly greater proportion of patients with tophaceous gout* had ED vs. those without tophi (p=0.0001). In a multivariate analysis, the association between gout and ED remained statistically significant even after adjusting for age (p=0.0009), hypertension, LDL-cholesterol, glomerular filtration rate (a measure of renal function), obesity, depression (p=0.0154) and diabetes (p=0.0085).


'/>"/>
Contact: EULAR Press Office
eularpressoffice@cohnwolfe.com
44-078-801-73209
European League Against Rheumatism
Source:Eurekalert

Related medicine news :

1. How long should HCV treatment last? Study suggests answers are complex
2. Technology marketers should take consumer life-cycle into account: New Rotman study
3. Who should be saved? Study gets diverse MD community views on healthcare disaster planning
4. Cardiac screening test may help determine who should take aspirin to prevent heart attack
5. Anti-smoking TV ads should use anger, Dartmouth-Cornell study suggests
6. Shoulder revision repair surgery not as successful 2 years later, say researchers
7. New study presents evidence that blood pressure should be measured in both arms
8. Study shows preventive ovarian surgery in BRCA1 mutation carriers should be performed early
9. Patients receiving ADT should be counseled to improve mental and emotional well-being
10. Life Insurance Over 50 Years: 5 Reasons Seniors Should Buy A Policy
11. Life Insurance To Cover Funeral Costs Or Critical Illness Plans? What Should Seniors Choose?
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/3/2016)... ... 2016 , ... University of the People, the world’s first ... Associates and Bachelor's degrees in Health Studies. Leading figures are heading the program’s ... Wiesel; Chairman and CEO of Fortune 500® company Henry Schein, Stanley M. Bergman; ...
(Date:5/3/2016)... GA (PRWEB) , ... May 03, 2016 , ... Nationally recognized personal injury law firm ... Day weekend by giving free roses to anyone who wants one for their Mother or ... we recognize the important valuable contributions of Mothers.” Monge goes on to say, “we ...
(Date:5/3/2016)... (PRWEB) , ... May 03, 2016 , ... ... advisory organization, announces Benefits Alliance Insurance Services as the latest addition to its ... California-based Firm comprised of Partners Wayne Blasman, David Styles, and Paul Vincent. The ...
(Date:5/3/2016)... ... May 03, 2016 , ... Dr. Poneh Ghasri, cosmetic ... treatments to both new and existing patients. Cosmetic dentistry allows patients to improve the ... have healthy smiles with some minor or more serious cosmetic flaws. These specials allow ...
(Date:5/3/2016)... ... May 03, 2016 , ... ... Microsoft secure remote access connectivity solutions, today announced the new SecureAccess feature ... DirectAccess. The new Celestix SecureAccess release will enable organizations to get the ...
Breaking Medicine News(10 mins):
(Date:4/29/2016)... April 29, 2016 ... Financier Sanofi, leader mondial ... ses résultats pour le premier trimestre ... Jérôme Contamine, commente les résultats du ... perspectives pour le reste de l,année. ...
(Date:4/28/2016)... Research and Markets has announced ... Market 2016-2020" report to their offering. ... The global plastic surgery products market is expected to ... 2016-2020. , ,The growing adoption of laser in aesthetics ... the market. Lasers are used to treat a broad ...
(Date:4/28/2016)... 28, 2016 , Net Sales of $1.90 ... over the prior year period, and an increase of 1.2% ... Diluted EPS for the first quarter were $0.52 reported, a ... adjusted, an increase of 29.9% over the prior year period ... earnings guidance for 2016 Zimmer Biomet Holdings, Inc. ...
Breaking Medicine Technology: