Erectile dysfunction (ED) is present and frequently severe in most men with gout, reports research presented at the European League Against Rheumatism Annual Congress (EULAR 2014).

Naomi Schlesinger, MD, from the Rutgers-Robert Wood Johnson Medical School in NJ, and colleagues surveyed 201 male patients ages 18–89 from a Rheumatology clinic between August 2010 and May 2013 using the Sexual Health Inventory in Men (SHIM). A significantly greater percentage of patients with gout reported ED compared to patients without gout (76% vs. 52%, respectively; P=0.007). Patients with gout also had a greater proportion of severe ED vs. non-gout patients (43% vs. 30%, respectively; P=0.007).

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Because both gout and ED have been associated with an increased risk of cardiovascular disease (CVD) and coronary artery disease (CAD), it is recommended that patients be evaluated for CAD. This is particularly important for patients with ED, who have an increased risk of concomitant silent CAD.

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