Characteristics of patients with erectile dysfunction in a family physicianled erectile dysfunction clinic:Retrospective case series

Objectives:1.To examine the characteristics of patients with erectile dysfunction in a family physician led erectile dysfunction clinic;2.To review association of chronic disease spectrum and erectile dysfunction;3.To review initial treatment pattern and outcome.Design:Retrospective case series review.Subjects:All consecutive patients seen in a regional hospital family physician led erectile dysfunction clinic from April 2014 to March 2015.Main outcome measures:1.The severity of erectile dysfunction,based on International Index of Erectile Function(IIEF-5).2.The associated chronic comorbidities of patients.3.Treatment patterns and patient outcomes.Results:One hundred and eighty three patients presented with erectile dysfunction(ED)with mean age 58.7(range 23 to 82)years old were seen during the study period.One hundred and twenty seven patients(69.4%)had comorbidity of chronic diseases,including 50.8%had hypertension,38.8%had diabetes mellitus and 33.9%had hyperlipidaemia.Their mean body mass index was 25.2 kg/m2,the mean blood pressure was 137.3/79.5 mm Hg(1 mm Hg=0.133 kPa).According to IIEF-5 score,50.3%,30.6%and 18.6%had severe,moderate and mild erectile dysfunction respectively.The average duration of ED before seeking medical help was 3.9 years.Phosphodiesterase 5(PDE5)inhibitors were prescribed to 119 patients(65%),and 57.1%of them achieved good response.Twenty nine patients(15.8%)were referred to other specialty for further management,including 27.6%had contraindication for PDE5 inhibitor.Conclusion:High proportion of erectile dysfunction patients had comorbitiy of chronic dis-eases.57.1%of those patients receiving PDE5 inhibitors showed good response.