Prevalência e fatores associados à disfunção erétil e aos sintomas urinários em indivíduos assistidos em um ambulatório de urologia no Sistema Único de Saúde do Distrito Federal

Abstract

Introduction: Erectile Dysfunction (ED) is defined as the recurrent inability to obtain and maintain satisfactory sexual intercourse. It is estimated that 50% of men over 40 years of age present this dysfunction. Similarly, the prevalence of Lower Urinary Tract Symptoms (Lower Urinary Tract Symptoms - LUTS) increases with advancing age, as does its degree of severity. Objective: To evaluate the prevalence of ED and LUTS and their association with comorbidities such as hypertension, diabetes and smoking in individuals seen at a referral clinic in Urology at a hospital of the Unified Health System in the Federal District. Methods: Descriptive, cross-sectional and analytical study. The study was conducted in individuals aged 40 years or older, attended at the Urology outpatient clinic of the Regional Hospital of Asa Norte (HRAN) of the State Department of Health of the Federal District (SES / DF), from February 1st, 2019 to June 1, 2019. The IIEF-5 questionnaires were applied to assess symptoms of ED and IPSS (International Prostate Score Symptoms) for urinary symptoms to 410 individuals. Results: 270 (65.85%) individuals had erectile dysfunction; 263 (64.15%) had LUTS and 195 of them (47.56%) had both conditions. In diabetics, the prevalence of ED was 87.5%, with associated variables (p <0.05). In the sample, 41.15% of those had a diagnosis of SAH. In these, the prevalence of ED was 78.5%, with associated variables (p <0.05). The prevalence of ED and LUTS increased in parallel with advancing age. The severity of DE increased in parallel with that of LUTS. 7.25% of the individuals were smokers. Conclusion: The prevalence and severity of ED and LUTS increase with advancing age. ED has also been associated with DM and SAH. The data obtained may assist in the implementation of specific programs aimed at providing care to these patients, an extremely important gap to be filled, aiming at improving the quality of life of our population. Thus, it will be possible to implement specific actions for the implantation of an outpatient clinic in Men's Health and the Elderly, aiming at a better service to the population.