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The impact of lower urinary tract symptoms on male sexual health: EpiLUTS.
BJU Int. 2009 Apr; 103 Suppl 3:33-41.BI

Abstract

OBJECTIVE

To evaluate the association between International Continence Society categories of lower urinary tract symptoms (LUTS; storage, voiding, and postmicturition) and individual LUTS (associated with decreased sexual activity and sexual satisfaction in men) with erectile dysfunction (ED), ejaculatory dysfunction (EjD) and premature ejaculation (PE).

SUBJECTS AND METHODS

The impact of LUTS on men's sexual health was captured as part of a cross-sectional epidemiological study to assess the prevalence LUTS among men and women aged > or =40 years in the USA, the UK and Sweden.

RESULTS

The analysis included 11 834 men with a mean age of 56.1 years, 71% of whom reported being currently sexually active. The primary reason for not being sexually active was no partner (35%), followed by personal health (23%) and no desire (23%). Of the men, 26% had mild to severe ED, 7% had EjD, and 16% PE. Men with multiple LUTS had more severe ED and more frequent EjD and PE. Logistic regression analysis showed that greater age, hypertension, diabetes, depression, urgency with fear of leaking, and leaking during sexual activity were significantly associated with ED. The results were similar in the logistic regression analysis for EjD, whereas being younger and the absence of prostatitis were significantly associated with PE, as were the presence of terminal dribble, incomplete emptying, and split stream.

CONCLUSION

LUTS are associated with common sexual dysfunctions in men. The results of this study highlight the importance of assessing the sexual health of men presenting with LUTS.

Authors+Show Affiliations

Hospital of the University of Pennsylvania, Philadelphia, PA, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

19302500

Citation

Wein, Alan J., et al. "The Impact of Lower Urinary Tract Symptoms On Male Sexual Health: EpiLUTS." BJU International, vol. 103 Suppl 3, 2009, pp. 33-41.
Wein AJ, Coyne KS, Tubaro A, et al. The impact of lower urinary tract symptoms on male sexual health: EpiLUTS. BJU Int. 2009;103 Suppl 3:33-41.
Wein, A. J., Coyne, K. S., Tubaro, A., Sexton, C. C., Kopp, Z. S., & Aiyer, L. P. (2009). The impact of lower urinary tract symptoms on male sexual health: EpiLUTS. BJU International, 103 Suppl 3, 33-41. https://doi.org/10.1111/j.1464-410X.2009.08447.x
Wein AJ, et al. The Impact of Lower Urinary Tract Symptoms On Male Sexual Health: EpiLUTS. BJU Int. 2009;103 Suppl 3:33-41. PubMed PMID: 19302500.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of lower urinary tract symptoms on male sexual health: EpiLUTS. AU - Wein,Alan J, AU - Coyne,Karin S, AU - Tubaro,Andrea, AU - Sexton,Chris C, AU - Kopp,Zoe S, AU - Aiyer,Lalitha P, PY - 2009/3/24/entrez PY - 2009/4/2/pubmed PY - 2009/4/25/medline SP - 33 EP - 41 JF - BJU international JO - BJU Int VL - 103 Suppl 3 N2 - OBJECTIVE: To evaluate the association between International Continence Society categories of lower urinary tract symptoms (LUTS; storage, voiding, and postmicturition) and individual LUTS (associated with decreased sexual activity and sexual satisfaction in men) with erectile dysfunction (ED), ejaculatory dysfunction (EjD) and premature ejaculation (PE). SUBJECTS AND METHODS: The impact of LUTS on men's sexual health was captured as part of a cross-sectional epidemiological study to assess the prevalence LUTS among men and women aged > or =40 years in the USA, the UK and Sweden. RESULTS: The analysis included 11 834 men with a mean age of 56.1 years, 71% of whom reported being currently sexually active. The primary reason for not being sexually active was no partner (35%), followed by personal health (23%) and no desire (23%). Of the men, 26% had mild to severe ED, 7% had EjD, and 16% PE. Men with multiple LUTS had more severe ED and more frequent EjD and PE. Logistic regression analysis showed that greater age, hypertension, diabetes, depression, urgency with fear of leaking, and leaking during sexual activity were significantly associated with ED. The results were similar in the logistic regression analysis for EjD, whereas being younger and the absence of prostatitis were significantly associated with PE, as were the presence of terminal dribble, incomplete emptying, and split stream. CONCLUSION: LUTS are associated with common sexual dysfunctions in men. The results of this study highlight the importance of assessing the sexual health of men presenting with LUTS. SN - 1464-410X UR - https://www.unboundmedicine.com/medline/citation/19302500/The_impact_of_lower_urinary_tract_symptoms_on_male_sexual_health:_EpiLUTS_ L2 - https://doi.org/10.1111/j.1464-410X.2009.08447.x DB - PRIME DP - Unbound Medicine ER -