Principales riesgos de la disfunción eréctil.

La atención dedicada por Atención Primaria a este problema de salud suele ser insuficiente en cuanto a su abordaje integral, puesto que la disfunción eréctil (DE) no es una enfermedad sino que en una alta proporción de casos es un síntoma de una patología cardiovascular subyacente. Por ello, la investigación de la función eréctil en los varones con factores de riesgo (HTA, Diabetes, cardiopatía, etc.), debería ser una práctica sistemática en la consulta tanto del médico de familia como del resto de especialistas. Esta entidad comparte factores de riesgo comunes con las enfermedades cardiovasculares (falta de ejercicio, obesidad, tabaquismo, dislipemia y síndrome metabólico) y muchos de ellos son modificables.Aparte de las causas arteriales de la DE, existen factores de origen neurógeno, hormonal, por medicamentos o psicológica.

La edad es un factor de riesgo, independientemente de su severidad, aunque no debe de ser considerada como una consecuencia inevitable de la edad.

La diabetes es la enfermedad endocrina más asociada a la DE. La probabilidad de presentarse en estos pacientes es 3 veces superior que en varones no diabéticos.

La relación con la hipertensión arterial es significativa, dependiendo de la asociación a otras enfermedades y de la existencia o no de tratamiento farmacológico.

El tabaquismo se ha asociado como factor de riesgo de forma independiente a las enfermedades crónicas relacionadas con el consumo de tabaco.

La depresión es un factor de riesgo importante y también enfermedades como la psoriasis, espondilitis anquilopoyética e hígado graso.

La biopsia de próstata transrectal puede ser un factor de riesgo para DE, como se han descrito en varios estudios y exponen las guías clínicas de la Asociación Europea de Urología.

Por último, la DE se asocia a los síntomas de la próstata con la edad. El riesgo de sufrirla se multiplica según la severidad de la sintomatología urinaria en cualquiera de los grupos de edad.

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