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Effects of components of metabolic syndrome on sexual function in Korean BPH/LUTS patients.
J Sex Med. 2009 Aug; 6(8):2292-8.JS

Abstract

INTRODUCTION

There are limited data concerning the association between components of metabolic syndrome and sexual function in men aged 40 years and older in Korean benign prostatic hyperplasia (BPH) patients.

AIM

To examine the effects of metabolic markers on sexual function in Korean BPH patients and to evaluate obesity as a causal factor for the development of BPH and sexual dysfunction in a large population of Korean men.

METHODS

This is a multicenter, cross-sectional, prospective study conducted at four centers in Korea. A total 602 men with LUTS secondary to BPH were included. BPH/LUTS cases were men with international prostate symptom scores (IPSS) >or=8 points and prostate volume >or=20 cc by transrectal ultrasound of the prostate. Height, weight, and waist circumference were measured. Trained interviewers using the structured Male Sexual Health Questionnaire (MSHQ) and International Index of Erectile Function (IIEF-15) collected information on sexual function.

MAIN OUTCOME MEASURES

Sexual function using IIEF-15 and MSHQ was assessed according to presence of diabetes mellitus (DM) or hypertension, waist circumference and BMI.

RESULTS

BPH patients with DM or hypertension had significantly lower sexual function, and satisfaction scores on the MSHQ were significantly lower in BPH patients with hypertension. In the central obesity group, prostate volume was significantly greater compared to the normal waist group (P = 0.01). Moreover, in Korean BPH/LUTS patients, central obesity was significantly related to sexual function. BPH/LUTS represented by IPSS was significantly correlated with prostate volume and MSHQ and IIEF-15 scores. In addition, severe LUTS was significantly related to all domains of the MSHQ.

CONCLUSIONS

This study provides evidence that in the Korean population, sexual function is more closely associated to central obesity than general obesity. The relationship of comorbidities such as diabetes, hypertension, and sexual dysfunction determined by the MSHQ correlated with that determined by the IIEF-15.

Authors+Show Affiliations

Department of Urology, Yonsei University Health System, Seoul, Korea.No affiliation info availableNo affiliation info availableNo 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

19493291

Citation

Lee, Seung Hwan, et al. "Effects of Components of Metabolic Syndrome On Sexual Function in Korean BPH/LUTS Patients." The Journal of Sexual Medicine, vol. 6, no. 8, 2009, pp. 2292-8.
Lee SH, Kim JC, Lee JY, et al. Effects of components of metabolic syndrome on sexual function in Korean BPH/LUTS patients. J Sex Med. 2009;6(8):2292-8.
Lee, S. H., Kim, J. C., Lee, J. Y., Kim, J. H., Oh, C. Y., Lee, S. W., Yoo, S. J., & Chung, B. H. (2009). Effects of components of metabolic syndrome on sexual function in Korean BPH/LUTS patients. The Journal of Sexual Medicine, 6(8), 2292-8. https://doi.org/10.1111/j.1743-6109.2009.01325.x
Lee SH, et al. Effects of Components of Metabolic Syndrome On Sexual Function in Korean BPH/LUTS Patients. J Sex Med. 2009;6(8):2292-8. PubMed PMID: 19493291.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of components of metabolic syndrome on sexual function in Korean BPH/LUTS patients. AU - Lee,Seung Hwan, AU - Kim,Joon Chul, AU - Lee,Ji-Youl, AU - Kim,Jang Hwan, AU - Oh,Cheol Young, AU - Lee,Seung Wook, AU - Yoo,Se Jeong, AU - Chung,Byung Ha, Y1 - 2009/06/02/ PY - 2009/6/5/entrez PY - 2009/6/6/pubmed PY - 2010/9/30/medline SP - 2292 EP - 8 JF - The journal of sexual medicine JO - J Sex Med VL - 6 IS - 8 N2 - INTRODUCTION: There are limited data concerning the association between components of metabolic syndrome and sexual function in men aged 40 years and older in Korean benign prostatic hyperplasia (BPH) patients. AIM: To examine the effects of metabolic markers on sexual function in Korean BPH patients and to evaluate obesity as a causal factor for the development of BPH and sexual dysfunction in a large population of Korean men. METHODS: This is a multicenter, cross-sectional, prospective study conducted at four centers in Korea. A total 602 men with LUTS secondary to BPH were included. BPH/LUTS cases were men with international prostate symptom scores (IPSS) >or=8 points and prostate volume >or=20 cc by transrectal ultrasound of the prostate. Height, weight, and waist circumference were measured. Trained interviewers using the structured Male Sexual Health Questionnaire (MSHQ) and International Index of Erectile Function (IIEF-15) collected information on sexual function. MAIN OUTCOME MEASURES: Sexual function using IIEF-15 and MSHQ was assessed according to presence of diabetes mellitus (DM) or hypertension, waist circumference and BMI. RESULTS: BPH patients with DM or hypertension had significantly lower sexual function, and satisfaction scores on the MSHQ were significantly lower in BPH patients with hypertension. In the central obesity group, prostate volume was significantly greater compared to the normal waist group (P = 0.01). Moreover, in Korean BPH/LUTS patients, central obesity was significantly related to sexual function. BPH/LUTS represented by IPSS was significantly correlated with prostate volume and MSHQ and IIEF-15 scores. In addition, severe LUTS was significantly related to all domains of the MSHQ. CONCLUSIONS: This study provides evidence that in the Korean population, sexual function is more closely associated to central obesity than general obesity. The relationship of comorbidities such as diabetes, hypertension, and sexual dysfunction determined by the MSHQ correlated with that determined by the IIEF-15. SN - 1743-6109 UR - https://www.unboundmedicine.com/medline/citation/19493291/Effects_of_components_of_metabolic_syndrome_on_sexual_function_in_Korean_BPH/LUTS_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(15)32630-8 DB - PRIME DP - Unbound Medicine ER -