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Correlation between Lower Urinary Tract Symptoms (LUTS) and sexual function in benign prostatic hyperplasia: impact of treatment of LUTS on sexual function.
J Sex Med. 2009 Aug; 6(8):2299-304.JS

Abstract

INTRODUCTION

Although many reports have shown a relationship between lower urinary tract symptoms (LUTS) and sexual function (SF), it is not known which symptom(s) among LUTS should be treated to improve SF.

AIM

Thus, the aim of this study was to investigate correlations between LUTS and SF and to determine which symptom(s) should be improved to increase SF.

MAIN OUTCOME MEASURE

The correlation between the severity of LUTS and erectile dysfunction (ED) was investigated, and changes in LUTS were compared and analyzed to determine which symptom(s) should be eliminated to improve SF.

METHODS

The correlation between LUTS and SF was investigated in 365 men (62.04 +/- 8.26) with benign prostatic hyperplasia. To measure the severity of the LUTS and ED, the International Prostate Symptom Score (IPSS), frequency of nocturia, uroflowmetry, residual urine, transrectal ultrasonography, and the International Index of Erectile Function (IIEF)-5 were performed at the first visit. After 3 months of treatment with alpha-blockers (n = 304), they were assessed again to evaluate the effectiveness of the treatment.

RESULTS

All parameters of LUTS (IPSS, age, residual urine, uroflow rate, and nocturia) except prostate volume correlated significantly with the total and each domain of IIEF-5 (P < 0.01). After 3 months, the changed scores in the IPSS-VD domain and IPSS-quality of life (QoL) correlated significantly with the improvement in total IIEF-5 and the domains of IIEF-5 (P < 0.05). The changed rates of the mean uroflow correlated significantly with the improvement in total IIEF-5 and the EF domain (P < 0.05).

CONCLUSION

Among the LUTS parameters, improvement in the IPSS-VD domain, IPSS-QoL, and mean uroflow significantly correlated with an increased score in the IIEF-5 EF domain. Thus, it is expected that the improvement of voiding symptoms and uroflow will be associated with the improvement in erectile function.

Authors+Show Affiliations

Department of Urology, School of Medicine, Gyeongsang National University, Gyeongsang Institute of Health Sciences, Jinju, South Korea.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19493292

Citation

Jung, Jae Hun, et al. "Correlation Between Lower Urinary Tract Symptoms (LUTS) and Sexual Function in Benign Prostatic Hyperplasia: Impact of Treatment of LUTS On Sexual Function." The Journal of Sexual Medicine, vol. 6, no. 8, 2009, pp. 2299-304.
Jung JH, Jae SU, Kam SC, et al. Correlation between Lower Urinary Tract Symptoms (LUTS) and sexual function in benign prostatic hyperplasia: impact of treatment of LUTS on sexual function. J Sex Med. 2009;6(8):2299-304.
Jung, J. H., Jae, S. U., Kam, S. C., & Hyun, J. S. (2009). Correlation between Lower Urinary Tract Symptoms (LUTS) and sexual function in benign prostatic hyperplasia: impact of treatment of LUTS on sexual function. The Journal of Sexual Medicine, 6(8), 2299-304. https://doi.org/10.1111/j.1743-6109.2009.01324.x
Jung JH, et al. Correlation Between Lower Urinary Tract Symptoms (LUTS) and Sexual Function in Benign Prostatic Hyperplasia: Impact of Treatment of LUTS On Sexual Function. J Sex Med. 2009;6(8):2299-304. PubMed PMID: 19493292.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlation between Lower Urinary Tract Symptoms (LUTS) and sexual function in benign prostatic hyperplasia: impact of treatment of LUTS on sexual function. AU - Jung,Jae Hun, AU - Jae,Sung Uk, AU - Kam,Sung Chul, AU - Hyun,Jae Seog, Y1 - 2009/06/02/ PY - 2009/6/5/entrez PY - 2009/6/6/pubmed PY - 2010/9/30/medline SP - 2299 EP - 304 JF - The journal of sexual medicine JO - J Sex Med VL - 6 IS - 8 N2 - INTRODUCTION: Although many reports have shown a relationship between lower urinary tract symptoms (LUTS) and sexual function (SF), it is not known which symptom(s) among LUTS should be treated to improve SF. AIM: Thus, the aim of this study was to investigate correlations between LUTS and SF and to determine which symptom(s) should be improved to increase SF. MAIN OUTCOME MEASURE: The correlation between the severity of LUTS and erectile dysfunction (ED) was investigated, and changes in LUTS were compared and analyzed to determine which symptom(s) should be eliminated to improve SF. METHODS: The correlation between LUTS and SF was investigated in 365 men (62.04 +/- 8.26) with benign prostatic hyperplasia. To measure the severity of the LUTS and ED, the International Prostate Symptom Score (IPSS), frequency of nocturia, uroflowmetry, residual urine, transrectal ultrasonography, and the International Index of Erectile Function (IIEF)-5 were performed at the first visit. After 3 months of treatment with alpha-blockers (n = 304), they were assessed again to evaluate the effectiveness of the treatment. RESULTS: All parameters of LUTS (IPSS, age, residual urine, uroflow rate, and nocturia) except prostate volume correlated significantly with the total and each domain of IIEF-5 (P < 0.01). After 3 months, the changed scores in the IPSS-VD domain and IPSS-quality of life (QoL) correlated significantly with the improvement in total IIEF-5 and the domains of IIEF-5 (P < 0.05). The changed rates of the mean uroflow correlated significantly with the improvement in total IIEF-5 and the EF domain (P < 0.05). CONCLUSION: Among the LUTS parameters, improvement in the IPSS-VD domain, IPSS-QoL, and mean uroflow significantly correlated with an increased score in the IIEF-5 EF domain. Thus, it is expected that the improvement of voiding symptoms and uroflow will be associated with the improvement in erectile function. SN - 1743-6109 UR - https://www.unboundmedicine.com/medline/citation/19493292/Correlation_between_Lower_Urinary_Tract_Symptoms__LUTS__and_sexual_function_in_benign_prostatic_hyperplasia:_impact_of_treatment_of_LUTS_on_sexual_function_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(15)32629-1 DB - PRIME DP - Unbound Medicine ER -