Author(s)

Saké Khadidjatou^1*, Gandaho Kokou Isidore², Fanou Coffi Dénis³, Saka Bagou Zulika², Tamou Sambo Bio Elie²

¹Department of Medicine and Medical Specialties, Faculty of Medicine, University of Parakou, Parakou, Benin.
²Department of Surgery and Surgical Specialties, Faculty of Medicine, University of Parakou, Parakou, Benin.
³Department of Hepato-Gastroenterology, Military Teaching Hospital, Regional Teaching Hospital, Parakou, Benin.

Introduction: Erectile dysfunction is a pathology less expressed by patients, but it affects their quality of life. The objective of this work is to study erectile dysfunction among patients with cirrhosis in Parakou in 2022. Patients and Methods: This was a descriptive and analytical cross-sectional study with prospective data collection, conducted from February 1 to June 30, 2022 at the Teaching Hospital of Borgou/Alibori and the Military Teaching Hospital of Parakou. Men with liver cirrhosis who gave their informed verbal consent were included. Erectile dysfunction was diagnosed using IIEF-5 score. The prognosis of cirrhosis was assessed using Child-Pugh score. The data were analyzed by Epi Data analysis 2.3 software. Results: A total of 64 patients were included. Their mean age was 43.53 ± 13.13 years. Cirrhosis was secondary to chronic hepatitis B virus infection in 55 patients (85.94%). In this study, 42 patients (65.63%) had at least one decompensation of cirrhosis. Among the 64 patients included, 27 (42.18%) had erectile dysfunction. This erectile dysfunction was moderate in 12 patients (44.44%). The other sexual disorders found in these patients were decreased libido and ejaculation disorders. After multivariate analysis, the factors statistically associated with erectile dysfunction were: age (p < 0.001), alcoholism (p = 0.005), hepatocellular carcinoma (p = 0.014) and Child-Pugh C score (p = 0.046). Conclusion: Erectile dysfunction is common in patients with liver cirrhosis. It is more frequent when the cirrhosis is complicated and the patients are elderly. Nevertheless, it should be systematically sought in any patient with liver cirrhosis.

Erectile Dysfunction, Cirrhosis, Associated Factors, Parakou

Khadidjatou, S. , Isidore, G. , Dénis, F. , Zulika, S. and Elie, T. (2023) Frequency and Associated Factors of Erectile Dysfunction among Patients with Liver Cirrhosis in Parakou, Republic of Benin in 2022. Journal of Biosciences and Medicines, 11, 1-14. doi: 10.4236/jbm.2023.1110001.