Epidemiology of erectile dysfunction: A cross-sectional web-based survey conducted in an Indonesian national referral hospital

Background: Many epidemiological studies have demonstrated a high prevalence of erectile dysfunction (ED) in different parts of the world. The objective of the present study was to establish the prevalence of ED in a healthy population from Indonesia and risk factors associated with ED. Methods: : We performed a cross-sectional study to estimate the prevalence of erectile dysfunction in relatively healthy males in Jakarta that aged 20 to 80 years old. This cross-sectional study utilizes a web-based survey containing a translated version of The International Index of Erectile Function (IIEF-5) in Indonesian. Sexual domain functions in the IIEF-5 include 4 domains of erectile function starting from erection confidence, erection firmness, erection maintenance and sexual satisfaction. Results: : The mean age of respondents is 38.7±12.6 years old. Most of the respondents were married (77.2%), had completed or undertaking tertiary education (66.3%) and worked in privately established companies (35.7%). The prevalence of ED was 35.6% (22.3% mild, 13.7% mild to moderate, 3.1% moderate and 0.8% severe). The prevalence of ED ranges from 6.5% in the 20-29 year old group, to as high as 88.0% in respondents aged 60 years old and above. Age, hypertension, stroke, history of heart disease, diabetes, kidney disease, history of prostate operations and interpersonal stress are significantly associated with ED ( p-value = <0.001, <0.001, 0.015 0.000, 0.01, 0.002, <0.001 and 0.022 respectively). Conclusion: The prevalence of ED in Indonesia is about 35.6%. The prevalence of ED in this study ranges from 6.5% to as high as 88.0%. Age, hypertension, stroke, history of heart disease, diabetes, kidney disease, history of prostate operation and interpersonal stress are significantly associated with ED.