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Research ArticleArticle

Erectile Dysfunction Is Common among Patients with Gout

Naomi Schlesinger, Diane C. Radvanski, Jerry Q. Cheng and John B. Kostis
The Journal of Rheumatology October 2015, 42 (10) 1893-1897; DOI: https://doi.org/10.3899/jrheum.141031
Naomi Schlesinger
From the Division of Rheumatology, Department of Medicine, and the Cardiovascular Institute and Department of Medicine, Rutgers–Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
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  • For correspondence: schlesna@rutgers.edu
Diane C. Radvanski
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Jerry Q. Cheng
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John B. Kostis
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Abstract

Objective. To determine whether men with gout may have an increased prevalence of erectile dysfunction (ED) as compared with men without gout.

Methods. In this cross-sectional study, men aged 18–89 presenting to the rheumatology clinic between August 26, 2010, and May 13, 2013, were asked to participate. The presence of ED was determined by the Sexual Health Inventory in Men (SHIM). SHIM classifies ED into 1 of 5 categories: absent (22–25), mild (17–21), mild to moderate (12–16), moderate (8–11), and severe (1–7). Patient’s history, physical examination, and recent laboratory studies were reviewed as well. Descriptive statistics and subgroup analyses were used to summarize the data.

Results. Of the 201 men surveyed, 83 had gout (control, n = 118). A significantly greater proportion of patients with gout (63, 76%) had ED versus patients without gout (60, 51%, p = 0.0003). A significantly greater proportion of patients with gout (22, 26%) had severe ED versus patients without gout (17, 15%, p = 0.04). Patients with gout had an average SHIM score of 14.4 versus 18.48 in patients without gout (p < 0.0001). There was a statistically significant association between gout and ED. The association remained significant after adjustment for age, hypertension, diabetes, and obesity.

Conclusion. ED is present in most men with gout and is frequently severe. We propose that patients with gout be routinely screened for ED.

Key Indexing Terms:
  • GOUT
  • ERECTILE DYSFUNCTION
  • Accepted for publication March 17, 2015.
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Vol. 42, Issue 10
1 Oct 2015
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Erectile Dysfunction Is Common among Patients with Gout
Naomi Schlesinger, Diane C. Radvanski, Jerry Q. Cheng, John B. Kostis
The Journal of Rheumatology Oct 2015, 42 (10) 1893-1897; DOI: 10.3899/jrheum.141031

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Erectile Dysfunction Is Common among Patients with Gout
Naomi Schlesinger, Diane C. Radvanski, Jerry Q. Cheng, John B. Kostis
The Journal of Rheumatology Oct 2015, 42 (10) 1893-1897; DOI: 10.3899/jrheum.141031
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Keywords

GOUT
ERECTILE DYSFUNCTION

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