Institute of Urology, St. Luke's Medical Center, Quezon City, Philippines.
Institute of Urology, St. Luke's Medical Center, Quezon City, Philippines ; Department of Urology, National Kidney and Transplant Institute, Quezon City, Philippines.
Prostate Int. 2015 Jun;3(2):65-9. doi: 10.1016/j.prnil.2015.03.001. Epub 2015 Mar 16.
To determine the prevalence of premature ejaculation (PE) among adult Asian males presented with lower urinary tract symptoms (LUTS) and characterize its association with other clinical factors.
A cross-sectional study was conducted at a tertiary medical center to determine the prevalence of PE among adult male participants with LUTS during the Annual National Prostate Health Awareness Day. Basic demographic data of the participants were collected. All participants were assessed for the presence and severity of LUTS using the International Prostate Symptom Score (IPSS), and for the presence of PE using the PE diagnostic tool. Digital rectal examination was performed by urologists to obtain prostate size. LUTS was further categorized into severity, storage symptoms (frequency, urgency, and nocturia), and voiding symptoms (weak stream, intermittency, straining, and incomplete emptying) to determine their association with PE. Data were analyzed by comparing the participants with PE (PE diagnostic tool score ≥11) versus those without PE, using the independent t test for continuous data, Mann-Whitney U test for ordinal data, and Chi-square test for nominal data. The statistical significance was set at P < 0.05.
A total of 101 male participants with a mean ± standard deviation age of 60.75 ± 10.32 years were included. Among the participants, 33% had moderate LUTS, and 7% severe LUTS. The most common LUTS was nocturia (33%). The overall prevalence of PE was 27%. There was no significant difference among participants with PE versus those without PE in terms of age, marital status, prostate size, or total IPSS score. However, significant difference between groups was noted on the level of education (Mann-Whitney U, z = -1.993, P = 0.046) where high educational status was noted among participants with PE. Likewise, participants with PE were noted to have more prominent weak stream (Mann-Whitney U, z = -2.126, P = 0.033).
Among the participants consulted with LUTS, 27% have concomitant PE. Educational status seems to have an impact in the self-reporting of PE, which may be due to a higher awareness of participants with higher educational attainment. A significant association between PE and weak stream that was not related to prostate size suggests a neuropathologic association.
确定在出现下尿路症状（LUTS）的亚洲成年男性中早泄（PE）的患病率，并描述其与其他临床因素的关系。
在一家三级医疗中心进行了一项横断面研究，以确定在年度全国前列腺健康意识日期间出现 LUTS 的成年男性参与者中 PE 的患病率。收集参与者的基本人口统计学数据。所有参与者均使用国际前列腺症状评分（IPSS）评估 LUTS 的存在和严重程度，并使用 PE 诊断工具评估 PE 的存在。泌尿科医生进行直肠指检以获得前列腺大小。LUTS 进一步分为严重程度、储存症状（频率、紧迫性和夜尿症）和排尿症状（弱流、间歇性、用力和不完全排空），以确定它们与 PE 的关系。使用独立样本 t 检验比较有 PE（PE 诊断工具评分≥11）和无 PE 的参与者的连续数据，使用 Mann-Whitney U 检验比较有序数据，使用卡方检验比较名义数据。统计学意义设定为 P<0.05。
共纳入 101 名平均年龄±标准差为 60.75±10.32 岁的男性参与者。在参与者中，33%有中度 LUTS，7%有重度 LUTS。最常见的 LUTS 是夜尿症（33%）。PE 的总体患病率为 27%。PE 组与非 PE 组在年龄、婚姻状况、前列腺大小或总 IPSS 评分方面无显著差异。然而，在教育水平方面，两组之间存在显著差异（Mann-Whitney U，z=-1.993，P=0.046），PE 组参与者的教育水平较高。同样，PE 组的弱流更为明显（Mann-Whitney U，z=-2.126，P=0.033）。
在出现 LUTS 的参与者中，有 27%同时患有 PE。教育程度似乎对 PE 的自我报告有影响，这可能是由于受教育程度较高的参与者的意识较高。PE 与与前列腺大小无关的弱流之间存在显著关联提示存在神经病理学关联。
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