Urology Research & Practice
Original Article

Prevalence of erectile dysfunction in men over 40 years of age in Turkey: Results from the Turkish Society of Andrology Male Sexual Health Study Group


Department of Urology, Mersin University School of Medicine, Mersin, Turkey


Department of Urology, İstinye University School of Medicine, Liv Hospital Ulus, İstanbul, Turkey.


Department of Urology, Ankara University School of Medicine, Ankara, Turkey.


Department of Urology, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.


Department of Urology, Fırat University School of Medicine, Elazığ, Turkey.


Department of Urology, Akdeniz University School of Medicine, Antalya, Turkey.


Department of Urology, Erciyes University School of Medicine, Kayseri, Turkey.


Section of Andrology, Department of Urology, İstanbul University İstanbul School of Medicine, İstanbul, Turkey.

Urol Res Pract 2017; 43: 122-129
DOI: 10.5152/tud.2017.24886
Read: 4212 Downloads: 1514 Published: 25 July 2019


Objective: Previous study conducted by the Turkish Society of Andrology in 1999 reported the prevalence of erectile dysfunction (ED) as 69.2% in men of ≥40 years of age, using a single-item non-validated question. This rate seemed to be higher compared to the studies reported worldwide. So, there was a need to carry out another epidemiological study by using validated questionnaires. Our aim was to investigate ED prevalence, severity, and its correlates in men aged ≥40 years using validated tools.


Material and methods: This cross-sectional, observational, population-based field survey was carried out in randomly selected males of ≥40 years from 19 provinces of Turkey. All participant completed a survey included with socio-demographic and socio-economic characteristics, medical and sexual history, associated physical and medical comorbidities. Erectile function was assessed by the International Index of Erectile Function (IIEF) questionnaire based on a total score of 30. The prevalence of ED, its severity and correlates in men aged ≥40 years were determined for main outcome measures. Data sets were statistically compared and p<0.05 was considered as significant.


Results: Median age of 2.760 males was 54.2 years. The median prevalence of ED was calculated as 33% among all males of ≥40 years of age. When subjects were stratified by age; median ED prevalence rates were 17% for 40–49 years, 35.5% for 50–59 years, 68.8% for 60–69 years, and 82.9% for ≥70 years. Among all ED men, 76.9% reported mild, 16.3% moderate, and 5.7% severe ED. At logistic regression analyses; age, diabetes, hypertension, atherosclerosis, dyslipidemia, lower urinary tract symptoms, educational status and monthly income were found to be independent risk factors for having ED.


Conclusion: This population-based survey in Turkish men of ≥40 years of age reported the prevalence of ED as 33%. Besides, this study reported age as the main predictor for presence and severity of ED.

EISSN 2980-1478