Relationship between hyperuricemia and erectile dysfunction on hypertension patients

https://doi.org/10.19106/JMedSci005102201907

Jansje Henny Vera Ticoalu(1), Istiti Kandarina(2*), Dicky Moch. Rizal(3), I Dewa Putu Pramantara Setiabudi(4)

(1) Master Program in Public Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Faculty of Public Health, Universitas Sam Ratulangi, Menado,
(2) Department of Department of Biostatistic, Epidemiology, and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta ABSTRACT
(3) Department of Physiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta
(4) Department of Internal Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Hypertension is a major non-communicable disease worldwide including in Indonesia. It can cuase erectile dysfunction through vasculogenic pathway. Uric acid level could be a promising biomarker to predict erectile dysfunction due to it is related to endothelial dysfunction, microvascular disease, and hypertension. The aim of this study was to evaluate the relationship between hyperuricemia and erectile dysfunction on hypertension patients. This was an observational study with cross-sectional design involving 88 male hypertension patients aged more than 18 years who registered as outpatient in the Bethesda Lempuyangwangi Public Hospital, Yogyakarta. Hyperuricemia was measured using uricase method and erectile dysfunction was measured using IIEF-5 form. The results showed that hyperuricemia (OR=3.89; CI 95% 1.08-15.70; p=0.017), blood pressure (OR=6.84; CI 95% 2.35-20.6; p<0.001), and age (p<0.001) are related with erectile dysfunction on the hypertension patients. Furthermore, logistic regression analysis showed that hyperuricemia, age, and blood pressure simultaneously affect the erectile dysfunction occurance, with good calibration (p=0.167) and discriminative level (0.8604). In conclusion, there is significantly relationship between hyperuricemia and erectile dysfunction on hypertension patients.


Keywords


erectile dysfunction; hyperuricemia; hypertension; uric acid, age

Full Text:

PDF


References

    1. Rohman M, Hersunarti N, Soenarta A, Suhardjono, Mayza A, Lukito A, et al. Pemahaman dokter Indonesia mengenai hipertensi dan permasalahan yang dihadapi pada praktik sehari-hari. Maj Kedokt Ind 2011; 61(2):51-7.
    2. Balitbang Kemenkes RI. Riset Kesehatan Dasar: Riskesdas 2013. Jakarta: Kemenkes RI.
    3. Afsar B. Elevated uric acid levels as another cause of erectile dysfunction: hypothesis and rationale? JINA 2014; 1(1):11-3. http://dx.doi.org/10.4103/2225-1243.137543
    4. Luk AJ, Simkin PA. Epidemiology of hyperuricemia and gout. Am J Manag Care 2005; 11(15 Suppl):435-42.
    5. Kumalasari T, Saryono, Purnawan I. Hubungan indeks massa tubuh dengan kadar asam urat darah pada penduduk desa Banjaranyar Kecamatan Sokaraja Kabupaten Banyumas. J Kep Soedirman 4(3):119-24.
    6. Wisesa I, Suastika K. Hubungan antara Konsentrasi Asam Urat Serum dengan Resistensi Insulin pada Penduduk Suku Bali Asli di Dusun Tenganan Pegringsingan Karangasem. J Peny Dalam 2009; 10(2):110-22.
    7. Wibowo S, Gofir A. Disfungsi Ereksi. Yogyakarta: Pustaka Cendekia Press.
    8. Pangkahila W. Disfungsi Seksual Pria. Jakarta: Yayasan Penerbitan IDI. 2005.
    9. Solak Y, Akilli H, Kayrak M, Aribas A, Gaipov A, Turk S, et al. Uric acid level and erectile dysfunction in patients with coronary artery disease. J Sex Med 2014; 11(11):165-72. http://dx.doi.org/10.1111/jsm.12332
    10. Sastroasmoro S, Ismael S. Dasar-dasar metodologi penelitian klinis. Jakarta: Sagung Seto, 2011.
    11. Doumas M, Tsakiris A, Douma S, Grigorakis A, Papadopoulos A, Hounta A, et al. Factors affecting the increased prevalence of erectile dysfunction in greek hypertensive compared with normotensive subjects. J Andrology 2006; 27(3):469-77. http://dx.doi.org/10.2164/jandrol.04191
    12. Kurniari P, Kambayana G, Putra T. Hubungan hiperurisemia dan fraction uric acid clearance di Desa Tenganan Pegringsingan Karangasem Bali. J Peny Dalam 2011; 12(2):77-80.
    13. Miner M, Kuritzky L. Erectile dysfunction: a sentinel marker for cardiovascular disease in primary care. Cleveland C J Med 2007; 74(Supll 3):S30-7.
    14. Rosen RC, Cappelleri JC, Gendrano N. The International Index of Erectile Function (IIEF): a state-of-the-science review. Int J Impot Res 2002; 14(4):226-44. http://dx.doi.org/10.1038/sj.ijir.3900857
    15. Wibowo AF, Yuliadi I, Karyanta NA. Perbedaan derajad disfungsi ereksi pria dewasa awal ditinjau dari tingkat stres di kelurahan Jagalan Surakarta. J I Psi Candrajiwa 2013; 2(4):83-92.
    16. El-Sakka A, Anis T, Khadr N, Ismail T, Hegazy A, Fekry O, et al. Sildenafil for erectile dysfunction in the middle east: observational analysis of patients with diabetes and/or hypertension treated in the clinical practice setting. J Int Med Res 2011; 39(2):558-68. http://dx.doi.org/10.1177/147323001103900225
    17. Chobanian A. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Bethesda: National Institutes of Health, 2004.
    18. Lina N, Setiyono A. Analisis kebiasaan makan yang menyebabkan peningkatan kadar asam urat. JKKI 2014; 10(2):1004-16.
    19. Kaminetsky J. Epidemiology and pathophysiology of male sexual dysfunction. Int J Impot Res 2008; 20(Suppl 1):S3-10. http://dx.doi.org/10.1038/ijir.2008.16
    20. Wylie K, Kenney G. Sexual dysfunction and the ageing male. Maturitas 2010; 65(1):23-7. http://dx.doi.org/10.1016/j.maturitas.2009.10.018
    21. Nasrul E, Sofitri. Hiperurisemia pada pra diabetes. J Kes Andalas 2012; 1(2):86-91.
    22. Vlachopoulos C, Jackson G, Stefanadis C, Montorsi P. Erectile dysfunction in thecardiovascular patient. Eur Heart J 2013; 34(27):2034-46. http://dx.doi.org/10.1093/eurheartj/eht112
    23. Hood S, Kirby M. Risk factor assessment of erectile dysfunction. Br J Diab Vasc Dis 2004; 4(3):157-61. http://dx.doi.org/10.1177/14746514040040030401



DOI: https://doi.org/10.19106/JMedSci005102201907

Article Metrics

Abstract views : 2092 | views : 2215




Copyright (c) 2019 Jansje Henny Vera Ticoalu, Istiti Kandarina, Dicky Moch. Rizal, I Dewa Putu Pramantara Setiabudi

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.