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Lower urinary tract symptoms and male sexual dysfunction in Asia: a survey of ageing men from five Asian countries.
BJU Int. 2005 Dec; 96(9):1339-54.BI

Abstract

OBJECTIVE

To determine, using the Asian Survey of Aging Males (ASAM), the prevalence of lower urinary tract symptoms (LUTS) and sexual disorders in Asian men aged 50-80 years, and to investigate the relationship between LUTS and sexual dysfunction, as community-based studies have shown a relationship between LUTS and sexual dysfunction.

SUBJECTS AND METHODS

The ASAM survey was conducted in selected cities in five Asian countries, using a combination of face-to-face and mail-survey methods. The survey evaluated demographics, urinary symptoms (using the International Prostate Symptom Score, IPSS, and bother score), functional problems (using the Danish Prostatic Symptoms Score, DAN-PSS-Sex, and International Index of Erectile Function, IIEF) and comorbidity factors. In all, 1155 men aged 50-80 years completed the survey.

RESULTS

The prevalence of LUTS varied among the countries, ranging from 14% in Singapore to 59% in the Philippines. Moderate to severe LUTS were reported by 36% of men aged 50-59 years, 50% aged 60-69 years and 60% aged 70-79 years. About three-quarters of all respondents (72%) aged 50-80 years were sexually active. Erectile dysfunction was reported by 63% of men in the study, of whom 57% were bothered by their symptoms. Ejaculation disorders were present in 68% of respondents (52% reported bothersomeness) and pain on ejaculation was experienced by 19% of the men in the study (88% reported bothersomeness). Sexual disorders increased with age and increasing severity of their LUTS. Erectile and ejaculation problems were more common in subjects with diabetes or hypertension; these two groups showed the same relationship between LUTS severity and sexual disorders.

CONCLUSION

These results confirmed that sexual activity is common in Asian men aged 50-80 years, even at an advanced age. They also confirmed the correlation between LUTS and sexual dysfunction.

Authors+Show Affiliations

Gleneagles Medical Center, Singapore. mkli56@signet.com.sgNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16287456

Citation

Li, Man-Kay, et al. "Lower Urinary Tract Symptoms and Male Sexual Dysfunction in Asia: a Survey of Ageing Men From Five Asian Countries." BJU International, vol. 96, no. 9, 2005, pp. 1339-54.
Li MK, Garcia LA, Rosen R. Lower urinary tract symptoms and male sexual dysfunction in Asia: a survey of ageing men from five Asian countries. BJU Int. 2005;96(9):1339-54.
Li, M. K., Garcia, L. A., & Rosen, R. (2005). Lower urinary tract symptoms and male sexual dysfunction in Asia: a survey of ageing men from five Asian countries. BJU International, 96(9), 1339-54.
Li MK, Garcia LA, Rosen R. Lower Urinary Tract Symptoms and Male Sexual Dysfunction in Asia: a Survey of Ageing Men From Five Asian Countries. BJU Int. 2005;96(9):1339-54. PubMed PMID: 16287456.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lower urinary tract symptoms and male sexual dysfunction in Asia: a survey of ageing men from five Asian countries. AU - Li,Man-Kay, AU - Garcia,Lester A, AU - Rosen,Raymond, PY - 2005/11/17/pubmed PY - 2005/12/24/medline PY - 2005/11/17/entrez SP - 1339 EP - 54 JF - BJU international JO - BJU Int. VL - 96 IS - 9 N2 - OBJECTIVE: To determine, using the Asian Survey of Aging Males (ASAM), the prevalence of lower urinary tract symptoms (LUTS) and sexual disorders in Asian men aged 50-80 years, and to investigate the relationship between LUTS and sexual dysfunction, as community-based studies have shown a relationship between LUTS and sexual dysfunction. SUBJECTS AND METHODS: The ASAM survey was conducted in selected cities in five Asian countries, using a combination of face-to-face and mail-survey methods. The survey evaluated demographics, urinary symptoms (using the International Prostate Symptom Score, IPSS, and bother score), functional problems (using the Danish Prostatic Symptoms Score, DAN-PSS-Sex, and International Index of Erectile Function, IIEF) and comorbidity factors. In all, 1155 men aged 50-80 years completed the survey. RESULTS: The prevalence of LUTS varied among the countries, ranging from 14% in Singapore to 59% in the Philippines. Moderate to severe LUTS were reported by 36% of men aged 50-59 years, 50% aged 60-69 years and 60% aged 70-79 years. About three-quarters of all respondents (72%) aged 50-80 years were sexually active. Erectile dysfunction was reported by 63% of men in the study, of whom 57% were bothered by their symptoms. Ejaculation disorders were present in 68% of respondents (52% reported bothersomeness) and pain on ejaculation was experienced by 19% of the men in the study (88% reported bothersomeness). Sexual disorders increased with age and increasing severity of their LUTS. Erectile and ejaculation problems were more common in subjects with diabetes or hypertension; these two groups showed the same relationship between LUTS severity and sexual disorders. CONCLUSION: These results confirmed that sexual activity is common in Asian men aged 50-80 years, even at an advanced age. They also confirmed the correlation between LUTS and sexual dysfunction. SN - 1464-4096 UR - https://www.unboundmedicine.com/medline/citation/16287456/Lower_urinary_tract_symptoms_and_male_sexual_dysfunction_in_Asia:_a_survey_of_ageing_men_from_five_Asian_countries_ L2 - https://doi.org/10.1111/j.1464-410X.2005.05831.x DB - PRIME DP - Unbound Medicine ER -