Aslan G, Cavus E, Karas H, Oner O, Duran F, Esen A
Dokuz Eylul University, School of Medicine, Department of Urology, Izmir, Turkey.
Arch Androl. 2006 May-Jun;52(3):155-62. doi: 10.1080/01485010500379871.
Our aim was to assess the association between lower urinary tract symptoms (LUTS) and erectile dysfunction by means of International Prostate Symptom Score (IPSS) and Sexual Health Inventory for Men (SHIM) questionnaire. A total of 69 eligible patients who were admitted to our outpatient clinic with lower urinary tract symptoms were included in the study. A self administered questionnaire of IPSS and SHIM were given to patients. Demographics and medical history data were recorded. Any risk factor that may be associated with erectile dysfunction, including coronary artery disease, diabetes, hypertension, and smoking status, was determined in each patient. Correlation tests were used to examine the relationship between lower urinary tract symptoms and erectile dysfunction by controlling the effects of age and comorbidities. Mean age was 58.6 +/- 13.1 31-86 years. Mean SHIM and IPSS total score was 14.3 +/- 7.5 and 11.5 +/- 8.1, respectively. Spearman correlation coefficient between IPSS and SHIM scores was found to be -0.41. There was a significant negative correlation with IPSS total scores of moderate degree when both age and presence of risk factor was controlled (r = -0.31; p = 0.009). Storage symptom scores showed significant correlation with SHIM scores (r = -0.33; p = 0.000). The association between SHIM score and each item of IPSS showed significant correlation for urgency, straining and nocturia when age controlled. The degree of bother by LUTS as determined by the IPSS quality of life question was also correlated with SHIM scores; however, this correlation was not significant when age or risk factor for ED was controlled. The presence of LUTS especially storage symptoms is strongly associated with erectile dysfunction independent of age and comorbidities.
我们的目的是通过国际前列腺症状评分（IPSS）和男性性健康量表（SHIM）问卷来评估下尿路症状（LUTS）与勃起功能障碍之间的关联。共有69例因下尿路症状而入住我们门诊的符合条件的患者纳入本研究。向患者发放了一份IPSS和SHIM的自填式问卷。记录了人口统计学和病史数据。确定了每位患者可能与勃起功能障碍相关的任何风险因素，包括冠状动脉疾病、糖尿病、高血压和吸烟状况。通过控制年龄和合并症的影响，使用相关性检验来检查下尿路症状与勃起功能障碍之间的关系。平均年龄为58.6±13.1岁（31 - 86岁）。SHIM和IPSS的平均总分分别为14.3±7.5和11.5±8.1。发现IPSS和SHIM评分之间的Spearman相关系数为 -0.41。当同时控制年龄和风险因素的存在时，与IPSS总分存在显著的中度负相关（r = -0.31；p = 0.009）。储尿期症状评分与SHIM评分显示出显著相关性（r = -0.33；p = 0.000）。当年龄得到控制时，SHIM评分与IPSS的每个项目之间的关联在尿急、用力排尿和夜尿方面显示出显著相关性。由IPSS生活质量问题所确定的LUTS困扰程度也与SHIM评分相关；然而，当控制年龄或勃起功能障碍的风险因素时，这种相关性并不显著。LUTS的存在，尤其是储尿期症状，与勃起功能障碍密切相关，且独立于年龄和合并症。
