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Relationships between lower urinary tract symptoms, the bother they induce and erectile dysfunction.
Scand J Urol Nephrol. 2006; 40(4):307-12.SJ

Abstract

OBJECTIVE

To study the relationships between lower urinary tract symptoms (LUTS), LUTS-induced bother, age and erectile dysfunction.

MATERIAL AND METHODS

A survey consisting of two questionnaires, the International Prostate Symptom Score (IPSS) (reflecting LUTS) and the International Index of Erectile Function (IIEF)-5 (reflecting erectile function), together with instructions on how to perform timed micturition, was sent to 2000 randomly selected men (age range 60-70 years) living in the five counties surrounding our hospital. The IPSS questionnaire included a question concerning the degree of bother induced by LUTS.

RESULTS

The survey was answered by 1096 men; after the exclusion of incomplete answers, 924 surveys were evaluated. Of these 924 men, 725 (78%) were sexually active and included in the analyses. The prevalence of moderate-to-severe LUTS (IPSS>or=8) was 45%. The prevalence of erectile dysfunction (ED), defined as an IIEF-5 score of <or=20, was 44%. IPSS correlated significantly with timed micturition, but not with age. IPSS was also, as expected, strongly correlated with LUTS-induced bother (correlation coefficient [c.c.] 0.76). The IIEF-5 score was correlated with timed micturition and age. There was a significant correlation between the IIEF-5 score and IPSS (c.c. -0.29; p<0.001). The IIEF-5 score was also correlated with LUTS-induced bother (c.c. -0.30; p<0.001). In a multivariate analysis, the presence of ED (IIEF-5 score<or=20) was significantly correlated with IPSS, LUTS-induced bother and age, but not with timed micturition. Men who were more severely bothered by LUTS more often had ED than those who were less bothered by them.

CONCLUSIONS

LUTS and the bother it induces were independently significantly correlated with ED, as reflected by the IIEF-5 score. The relationships were, however, rather weak and we recommend further studies, preferably of a longitudinal and/or qualitative character, to gain a more profound understanding of the interaction, probably multifactorial, between LUTS, the bother it induces and ED. Such studies are necessary not only in order to better understand the possible causality but also to evaluate whether the relationships are of any practical value regarding the management of individual patients.

Authors+Show Affiliations

Department of Urology and Research and Development Centre, Kärnsjukhuset, Skövde, Sweden.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16916772

Citation

Ströberg, Peter, et al. "Relationships Between Lower Urinary Tract Symptoms, the Bother They Induce and Erectile Dysfunction." Scandinavian Journal of Urology and Nephrology, vol. 40, no. 4, 2006, pp. 307-12.
Ströberg P, Boman H, Gellerstedt M, et al. Relationships between lower urinary tract symptoms, the bother they induce and erectile dysfunction. Scand J Urol Nephrol. 2006;40(4):307-12.
Ströberg, P., Boman, H., Gellerstedt, M., & Hedelin, H. (2006). Relationships between lower urinary tract symptoms, the bother they induce and erectile dysfunction. Scandinavian Journal of Urology and Nephrology, 40(4), 307-12.
Ströberg P, et al. Relationships Between Lower Urinary Tract Symptoms, the Bother They Induce and Erectile Dysfunction. Scand J Urol Nephrol. 2006;40(4):307-12. PubMed PMID: 16916772.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationships between lower urinary tract symptoms, the bother they induce and erectile dysfunction. AU - Ströberg,Peter, AU - Boman,Hans, AU - Gellerstedt,Martin, AU - Hedelin,Hans, PY - 2006/8/19/pubmed PY - 2007/1/25/medline PY - 2006/8/19/entrez SP - 307 EP - 12 JF - Scandinavian journal of urology and nephrology JO - Scand. J. Urol. Nephrol. VL - 40 IS - 4 N2 - OBJECTIVE: To study the relationships between lower urinary tract symptoms (LUTS), LUTS-induced bother, age and erectile dysfunction. MATERIAL AND METHODS: A survey consisting of two questionnaires, the International Prostate Symptom Score (IPSS) (reflecting LUTS) and the International Index of Erectile Function (IIEF)-5 (reflecting erectile function), together with instructions on how to perform timed micturition, was sent to 2000 randomly selected men (age range 60-70 years) living in the five counties surrounding our hospital. The IPSS questionnaire included a question concerning the degree of bother induced by LUTS. RESULTS: The survey was answered by 1096 men; after the exclusion of incomplete answers, 924 surveys were evaluated. Of these 924 men, 725 (78%) were sexually active and included in the analyses. The prevalence of moderate-to-severe LUTS (IPSS>or=8) was 45%. The prevalence of erectile dysfunction (ED), defined as an IIEF-5 score of <or=20, was 44%. IPSS correlated significantly with timed micturition, but not with age. IPSS was also, as expected, strongly correlated with LUTS-induced bother (correlation coefficient [c.c.] 0.76). The IIEF-5 score was correlated with timed micturition and age. There was a significant correlation between the IIEF-5 score and IPSS (c.c. -0.29; p<0.001). The IIEF-5 score was also correlated with LUTS-induced bother (c.c. -0.30; p<0.001). In a multivariate analysis, the presence of ED (IIEF-5 score<or=20) was significantly correlated with IPSS, LUTS-induced bother and age, but not with timed micturition. Men who were more severely bothered by LUTS more often had ED than those who were less bothered by them. CONCLUSIONS: LUTS and the bother it induces were independently significantly correlated with ED, as reflected by the IIEF-5 score. The relationships were, however, rather weak and we recommend further studies, preferably of a longitudinal and/or qualitative character, to gain a more profound understanding of the interaction, probably multifactorial, between LUTS, the bother it induces and ED. Such studies are necessary not only in order to better understand the possible causality but also to evaluate whether the relationships are of any practical value regarding the management of individual patients. SN - 0036-5599 UR - https://www.unboundmedicine.com/medline/citation/16916772/Relationships_between_lower_urinary_tract_symptoms_the_bother_they_induce_and_erectile_dysfunction_ L2 - http://www.tandfonline.com/doi/full/10.1080/00365590600642010 DB - PRIME DP - Unbound Medicine ER -