Correlation Between Lower Urinary Tract Symptoms And Erectile Dysfunction In Men Presenting For Prostate Cancer Screening

Main Category: Erectile Dysfunction / Premature Ejaculation
Also Included In: Men's health;  Urology / Nephrology;  Prostate / Prostate Cancer
Article Date: 20 Aug 2007 - 0:00 PST

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UroToday.com- A prostate cancer screening population was used to evaluate the association between lower urinary tract symptoms (LUTS) and erectile dysfunction (ED). The study by Dr. Reggio and associates from Brazil appears in the online version of the International Journal of Impotence Research.

Both LUTS and ED are age-related conditions. The study evaluated 1,267 men who completed the IPSS and IIEF-5 questionnaires. The mean patient age was 58 years with 456 men between 45-55 years, 539 between 56-65 years, and 254 between 66-75 years. The overall prevalence of LUTS in the study was 40.6% stratified as mild in 24.8%, moderate in 11.8%, and severe in 4%. Overall, 60% reported ED mild in 25%, moderate in 18.3%, and severe in 16.7%. Age was positively correlated with the IPSS.

A correlation between LUTS and ED was significant with 57.6% of men with LUTS presenting with ED compared to 29.7% of the asymptomatic participants. Age-adjusted univariate analysis demonstrated a significant and independent influence of LUTS on the incidence of ED. The more symptomatic men were with LUTS correlated with increased ED symptoms, even after age-adjustment. This suggests that LUTS is an age-independent predictor of ED.

Reggio E, de Bessa Jr J, Junqueira RG, Timm Jr O, Sette MJ, Sansana V and Gomes CM

Int J Impotence Res. ePub, June 7, 2007
doi: 10.1038/sj.ijir.390155

Reported by UroToday.com Contributing Editor Christopher P. Evans, M.D

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