(S6) sexuality of the octogenarian Tunisian population

Abstract Background Erectile dysfunction (ED) is a prevalent condition affecting millions of men globally. The exact prevalence varies significantly based on population demographics, diagnostic criteria, and assessment methodologies. Nevertheless, numerous studies consistently demonstrate a strong correlation between ED and advancing age, as well as a negative impact on quality of life. This report aims to investigate the influence of age, medical history, and Lifestyle Factors on the development and progression of erectile dysfunction. Methods Cross-sectional study, from June 2021 to June 2024, including men over eighty. The Sexual Health Inventory for Men (SHIM) was used to evaluate sexual function. This tool includes four questions about erectile function, the satisfaction of sexual intercourse, and an abridged version of the IIEF score, developed for use in routine practice; it represents a screening tool combined with an interrogation and a physical examination of the patient to make the diagnosis accurate and documented. The SHIM focuses on the last six months preceding the evaluation. A minimum of desire and opportunities for intercourse during the past six months were also considered; if not, it affirms a low score reflects severe erectile dysfunction. Results During the study, 100 men were investigated. Mean Age 83,2. Eighty patients were diagnosed with erectile dysfunction, 78 patients were followed for prostatic hyperplasia and presented with erectile dysfunction. On average Shim score was 11,5. Patients with Diabetes mellitus and hypertension were most likely to desire treatment for ED (32 patients [42.7%] and 38 patients [45.2%], respectively). Twenty patients described their sexual function as satisfying and were all active patients with no comorbidity. Conclusion Erectile dysfunction represents a public health issue. Comorbidities have an important role in sexuality. Particularly lower urinary tract symptoms related to benign prostatic hyperplasia which are heavily imputed in erectile dysfunction. The SHIM questionnaire is a useful tool to evaluate erectile dysfunction in men over 80.