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Abstract：
BACKGROUND: Sexual functionality is considered a vital component of human life and quality of life. Issues with sexual functionality can be a source of distress, lower self-esteem, and lower quality of life. Early detection of medical comorbidities can significantly lower the effect on sexual function. In Saudi Arabia, studies investigating the association between medical comorbidities and male sexual dysfunction (MSD) are limited. Therefore, our goal was to fill this knowledge gap.
OBJECTIVE: This study aimed to analyze and elaborate on all cases of MSD at a tertiary hospital, in Jeddah, Saudi Arabia from 2016 to 2021.
METHODS: This is a cross-sectional retrospective study. The medical records of 321 patients diagnosed with MSD from 2016 to 2021 were reviewed retrospectively. The age, sex, type of sexual dysfunction, comorbidities, and lipids profile were some of the factors obtained from the patient\'s computerized medical records.
RESULTS: The study population included 321 men with MSD and a mean age of approximately 53 years (SD=11.5). Among the sexual dysfunction pattern, only erectile dysfunction (ED) was found in 279 (86.9%) patients. ED duration lasted one to five years in 169 (52.8%) patients. Most of the patients (196, 61.1%) had mild ED severity. Medical causes were seen in 278 (80.4%) patients. The most frequent comorbidities were diabetes mellitus (DM) in 179 (55.8%) patients, hypertension (HTN) in 155 (48.2%) patients, and dyslipidemia in 113 (35.2%) patients. Smoking was not a risk factor for ED. The risk of having a severe form of ED was associated with idiopathic causes, HTN, DM, and ischemic heart disease (IHD). The risk of having a long duration of ED was related to idiopathic causes of ED and high serum creatinine levels.
CONCLUSIONS: In conclusion, patients diagnosed with DM, HTN, and IHD are at greater risk to experience a severe form of ED. It is crucial to keep erection function in mind for patients with DM, HTN, and IHD as this is associated with severe ED.
OBJECTIVE: This study aimed to analyze and elaborate on all cases of MSD at a tertiary hospital, in Jeddah, Saudi Arabia from 2016 to 2021.
METHODS: This is a cross-sectional retrospective study. The medical records of 321 patients diagnosed with MSD from 2016 to 2021 were reviewed retrospectively. The age, sex, type of sexual dysfunction, comorbidities, and lipids profile were some of the factors obtained from the patient\'s computerized medical records.
RESULTS: The study population included 321 men with MSD and a mean age of approximately 53 years (SD=11.5). Among the sexual dysfunction pattern, only erectile dysfunction (ED) was found in 279 (86.9%) patients. ED duration lasted one to five years in 169 (52.8%) patients. Most of the patients (196, 61.1%) had mild ED severity. Medical causes were seen in 278 (80.4%) patients. The most frequent comorbidities were diabetes mellitus (DM) in 179 (55.8%) patients, hypertension (HTN) in 155 (48.2%) patients, and dyslipidemia in 113 (35.2%) patients. Smoking was not a risk factor for ED. The risk of having a severe form of ED was associated with idiopathic causes, HTN, DM, and ischemic heart disease (IHD). The risk of having a long duration of ED was related to idiopathic causes of ED and high serum creatinine levels.
CONCLUSIONS: In conclusion, patients diagnosed with DM, HTN, and IHD are at greater risk to experience a severe form of ED. It is crucial to keep erection function in mind for patients with DM, HTN, and IHD as this is associated with severe ED.
摘要：
背景：性功能被认为是人类生活和生活质量的重要组成部分。性功能问题可能是痛苦的根源，较低的自尊，和较低的生活质量。早期发现医疗合并症可以显着降低对性功能的影响。在沙特阿拉伯,调查医学合并症与男性性功能障碍(MSD)之间关联的研究有限.因此,我们的目标是填补这个知识空白。
目的：本研究旨在分析和阐述三级医院的所有MSD病例，在吉达,沙特阿拉伯从2016年到2021年。
方法：这是一项横断面回顾性研究。回顾性分析了2016年至2021年诊断为MSD的321例患者的病历。年龄,性别,性功能障碍的类型，合并症,和血脂谱是从患者的计算机化医疗记录中获得的一些因素。
结果：研究人群包括321名MSD男性，平均年龄约53岁（SD=11.5）。在性功能障碍模式中，仅在279例(86.9%)患者中发现勃起功能障碍(ED)。169例（52.8%）患者的ED持续时间为1至5年。大多数患者（196，61.1％）患有轻度ED。医学原因见于278例（80.4%）患者。最常见的合并症是179例（55.8％）患者的糖尿病（DM），高血压（HTN）155（48.2％）患者，113例(35.2%)患者血脂异常。吸烟不是ED的危险因素。患有严重ED的风险与特发性原因有关，HTN,DM,缺血性心脏病（IHD）。ED持续时间长的风险与ED的特发性原因和高血清肌酐水平有关。
结论：结论：诊断为DM的患者，HTN,和IHD在经历严重形式的ED的风险更大。对于DM患者来说，保持勃起功能至关重要，HTN,和IHD，因为这与严重ED有关。
目的：本研究旨在分析和阐述三级医院的所有MSD病例，在吉达,沙特阿拉伯从2016年到2021年。
方法：这是一项横断面回顾性研究。回顾性分析了2016年至2021年诊断为MSD的321例患者的病历。年龄,性别,性功能障碍的类型，合并症,和血脂谱是从患者的计算机化医疗记录中获得的一些因素。
结果：研究人群包括321名MSD男性，平均年龄约53岁（SD=11.5）。在性功能障碍模式中，仅在279例(86.9%)患者中发现勃起功能障碍(ED)。169例（52.8%）患者的ED持续时间为1至5年。大多数患者（196，61.1％）患有轻度ED。医学原因见于278例（80.4%）患者。最常见的合并症是179例（55.8％）患者的糖尿病（DM），高血压（HTN）155（48.2％）患者，113例(35.2%)患者血脂异常。吸烟不是ED的危险因素。患有严重ED的风险与特发性原因有关，HTN,DM,缺血性心脏病（IHD）。ED持续时间长的风险与ED的特发性原因和高血清肌酐水平有关。
结论：结论：诊断为DM的患者，HTN,和IHD在经历严重形式的ED的风险更大。对于DM患者来说，保持勃起功能至关重要，HTN,和IHD，因为这与严重ED有关。
