Wein Alan J, Coyne Karin S, Tubaro Andrea, Sexton Chris C, Kopp Zoe S, Aiyer Lalitha P
Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
BJU Int. 2009 Apr;103 Suppl 3:33-41. doi: 10.1111/j.1464-410X.2009.08447.x.
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).
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.
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.
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.
评估国际尿失禁学会下尿路症状分类（LUTS；储尿期、排尿期和排尿后症状）以及个体LUTS（与男性性活动减少和性满意度降低相关）与勃起功能障碍（ED）、射精功能障碍（EjD）和早泄（PE）之间的关联。
作为一项横断面流行病学研究的一部分，评估美国、英国和瑞典年龄≥40岁男性和女性中LUTS的患病率，以此了解LUTS对男性性健康的影响。
分析纳入了11834名男性，平均年龄56.1岁，其中71%报告目前有性活动。无性活动的主要原因是没有伴侣（35%），其次是个人健康问题（23%）和没有性欲望（23%）。这些男性中，26%有轻度至重度ED，7%有EjD，16%有PE。有多种LUTS的男性ED更严重，EjD和PE更频繁。逻辑回归分析显示，年龄较大、高血压、糖尿病、抑郁、因担心漏尿而尿急以及性活动期间漏尿与ED显著相关。EjD的逻辑回归分析结果相似，而年龄较小和没有前列腺炎与PE显著相关，终末滴沥、排尿不尽和尿流分叉的存在也与PE显著相关。
LUTS与男性常见性功能障碍相关。本研究结果凸显了评估有LUTS男性性健康的重要性。
