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

use 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).


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Contact: EULAR Press Office
eularpressoffice@cohnwolfe.com
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European League Against Rheumatism
Source:Eurekalert

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