Department of Urology, College of Medicine, Hallym University, Chuncheon, Korea.
World J Mens Health. 2012 Dec;30(3):166-71. doi: 10.5534/wjmh.2012.30.3.166. Epub 2012 Dec 27.
This study aimed at investigating sexual behavior patterns of elderly residents of urban areas in South Korea and their correlation with lower urinary tract symptoms.
From May, 2009 to October, 2009, 154 males and 299 females over 60 years old who visited senior welfare centers of Seoul were administered a questionnaire on sex life patterns and voiding symptoms.
Among the 154 males, 59 (38.3%) had sexual intercourse at least one time per month. The remaining 95 males (61.7%) did not have sexual intercourse, because of impotence for 52 males (52.6%), no sexual desire for 28 males (29.4%), and sex partner's problems for 15 males (15.7%). The higher International Prostate Symptom Score was, the lower International Index of Erectile Dysfunction-5 was (p=0.035). Among 299 females, 37 (12.4%) had sexual intercourse at least one time per month. The remaining 262 females (87.6%) did not have sexual intercourse, because of no spouse for 163 females (63.2%), no sexual desire for 48 females (18.6%), the spouse's impotence for 34 females (13.2%), and the spouse's bad health for 10 females (3.9%). It was found that self-diagnosis of overactive bladder affects sex life negatively.
The sexual behaviors of the elderly included varying activity. Sexual intercourse were significantly associated with lower urinary tract symptoms. Our results suggest that the counseling with the elderly about sexual health is as important as it is with non-elderly individuals.
本研究旨在调查韩国城市地区老年居民的性行为模式及其与下尿路症状的关系。
2009 年 5 月至 10 月，对首尔老年人福利中心的 154 名男性和 299 名 60 岁以上的女性进行了性生活模式和排尿症状问卷调查。
在 154 名男性中，59 名（38.3%）每月至少有一次性交。其余 95 名男性（61.7%）没有性生活，因为 52 名男性（52.6%）有勃起功能障碍，28 名男性（29.4%）没有性欲，15 名男性（15.7%）有性伴侣问题。国际前列腺症状评分越高，国际勃起功能障碍-5 评分越低（p=0.035）。在 299 名女性中，37 名（12.4%）每月至少有一次性交。其余 262 名女性（87.6%）没有性生活，因为 163 名女性（63.2%）没有配偶，48 名女性（18.6%）没有性欲，34 名女性（13.2%）配偶有勃起功能障碍，10 名女性（3.9%）配偶身体不好。发现膀胱过度活动症的自我诊断对性生活有负面影响。
老年人的性行为包括不同程度的活跃性。性交与下尿路症状显著相关。我们的结果表明，对老年人进行性健康咨询与对非老年人进行性健康咨询一样重要。
