Erectile dysfunction and health-related quality of life in elderly males

Main Article Content

Kirana Asmara
Meitty Marisha
Hengky Hengky
Fitria Agustanti
Hotma P. Tampubolon

Abstract

One important aspect that will determine the quality of human life is sex life. Therefore sexual activity may be used in the assessment of the quality of life. Erectile dysfunction (ED) is the inability to continuously achieve or maintain a penile erection quality so as to achieve a satisfying sexual relationship. The aim of this study was to determine the relationship between ED and quality of life in the male elderly. A cross-sectional study was carried out on males aged 60 years and over in West Cilandak village, South Jakarta. The presence of ED was evaluated by means of the International Index of Erectile Function (IIEF) and quality of life with the Short Form Health Survey (SF-36). One-way analysis of variance (ANOVA) was used to compare the mean difference of QOL by erectile dysfunction category. The correlation between the total ED score  and QOL was analyzed using the Pearson correlation analysis. Subjects included 199 elderly male patients, with mean age of 66.7 years (age range 60-81 years), among whom 80.5% presented with ED. The results of ANOVA analysis showed that ED affects quality of life total score (p=0.000), with a significant difference in the vitality (p=0.029), physical function  (p=0.048), and role emotional subscales (p=0.011). ED is a highly prevalent among elderly males and impairs the overall quality of life, The SF-36 is applicable and suitable for evaluation of quality of life.

Article Details

How to Cite
Asmara, K., Marisha, M., Hengky, H., Agustanti, F., & Tampubolon, H. P. (2011). Erectile dysfunction and health-related quality of life in elderly males. Universa Medicina, 30(3), 182–188. https://doi.org/10.18051/UnivMed.2011.v30.182-188
Section
Review Article

References

United Nations. World population prospects: the 2006 revision. New York: United Nations;2006.

Badan Perencanaan Pembangunan Nasional, Badan Pusat Statistik, United Nations Population Funds. Indonesia population projection 2000– 2025. Jakarta: Badan Perencanaan Pembangunan Nasional, Badan Pusat Statistik, United Nations Population Funds;2005.

Imberly CK, Dana DM: Using the SF-36 to determine perceived health-related quality of life in rural Idaho seniors. J Allied Health 2006;35: 156-61.

Robinson JG, Molzahn AE. Sexuality and quality of life. J Gerontol Nurs 2007;33:19-27.

Lunenfeld B. The ageing male: demographics and challenges. World J Urol 2002;20: 11–6. DOI 10.1007/s00345-002-0250-y.

Ayta IA, McKinlay JB, Krane RJ. The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU Int 1999;84:50–6.

Thethi TK, Asafu-Adjaye NO, Fonseca VA. Erectile dysfunction. Clin Diab 2005;23:105-13.

National Institue of Health Consensus Conference on Impotence. NIH consensus development panel on impotence. J Am Med Assoc 1993;270:83–90.

Rosen RC, Riley A,Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 1997;49:822–30.

Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Pena BM. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res 1999;11: 319–26.

Guest JF, Das Gupta R. Health-related quality of life in a UK based population of men with erectile dysfunction. Pharmacoeconomics 2002;20:109–17.

Rebollo P, Ortega F, Valdés C, Fernández-Vega1 F, Ortega T, García-Mendoza M, et al. Influence of erectile dysfunction on health related quality of life of male kidney transplant patients. Int J Impot Res 2004;16:282–7. doi:10.1038/sj.ijir.3901159.

Bartlett JE IIII, Kotrliik JE, Higgins CC. Organizational research: determining appropriate sample size in survey research. Information Technol Learning Performance J 2001;19:43-50.

Ware JE Jr. SF-36 health survey update. Spine 2000;25:3130–9.

Rosen RC, Cappelleri JC, N Gendrano N III.. The International Index of Erectile Function (IIEF): a state-of-the-science review. Int J Impot Res 2002;14:226–44. doi:10.1038=sj.ijir.3900857.

Tsai TF, Chang LC, Hwang TIS Effect of erectile dysfunction on the health-related quality of life of elderly people. JTUA 2008;19:216-21.

Ponholzer A, Temm C, Mock K, Marszalek M, Obermayr R,Madersbacher S. Prevalence and risk factors for erectile dysfunction in 2869 men using a validated questionnaire. Eur Urol 2005; 47:80–6.

Nicolosi A, Glasser DB, Kim SC, Marumo K, Laumann EO, GSSAB Investigators’ Group. Sexual behaviour and dysfunction and help-seeking patterns in adults aged 40–80 years in the urban population of Asian countries. BJU Int 2005;95:609–4.

Terai A, Ichioka K, Matsui Y, Yoshimura K. Association of lower urinary tract symptoms with erectile dysfunction in Japanese men. Urology 2004;64:132–6.

Li MK, Garcia LA, Rosen R. Lower urinary tract symptoms and male sexual dysfunction in Asia: a survey of ageing men from five Asian countries. BJU Int 2005;96:1339–54.

Bai Q, Xu QQ, Jiang H, Zhang WL, Wang XH, Zhu JC. Prevalence and risk factors of erectile dysfunction in three cities of China: a community-based study. Asian J Androl 2004;6:343–8.

Cheng JYW, Ng EML, Chen RYL, Ko JSN. Prevalence of erectile dysfunction in Asian populations: a meta-analysis. Int J Impot Res 2007;19:229–44. doi:10.1038/sj.ijir.3901517.

Althof SE, Cappelleri JC, Shpilsky A. Treatment responsiveness of the self-esteem and relationship questionnaire in erectile dysfunction. Urology 2003;61:888-92.

Hultling C, Giuliano F, Quirk F. Quality of life in patients with spinal cord injury receiving Viagra (sildenafil citrate) for the treatment of erectile dysfunction. Spinal Cord 2000;38:363-70.

Rosas SE, Joffe M, Franklin E, Strom BL, Kotzker W, Brensinger C, et al. Association of decreased quality of life and erectile dysfunction in hemodialysis patients Kidney Int 2003;64:232–8.

Morley JE, Tariq SH. Sexuality and disease. Clin Geriatr Med 2003;19:563–73.

Barret-Connor E. Cardiovascular risk stratification and cardiovascular risk factors associated with erectile dysfunction: assessing cardiovascular risk in men with erectile dysfunction. Clin Cardiol 2004;4:8–13.

Camacho ME, Eeyes-Ortiz CA. Sexual dysfunction in the elderly: age or disease? Int J Impot Res 2005;17:52–6. doi:10.1038/sj.ijir. 3901429.

Torrance GW, Keresteci MA, Casey RW, Rosner AJ, Ryan N, Breton MC. Development and initial validation of a new preference-based disease-specific health-related quality of life instrument for erectile dysfunction. Qual Life Res 2004;13: 349–59.

Heineman LA, Saad F, Heineman K, Thai DM. Can results of the aging males’s symptoms (AMS) scale predict those of screening scales for androgen deficiency? Aging Male 2004;7:211–8.