意大利男性的泌尿症状与性功能障碍：#Controllati调查结果

Urinary symptoms and sexual dysfunction among Italian men: The results of the #Controllati survey.

作者信息

Mirone Vincenzo, Carone Roberto, Carrieri Giuseppe, Costantini Elisabetta, Morgia Giuseppe, Ludovico Giuseppe Mario, Villari Donata, Parazzini Fabio

机构信息

Università degli Studi di Napoli Federico II, UOC di Urologia della A.O.U. Federico II, Napoli.

出版信息

Arch Ital Urol Androl. 2017 Mar 31;89(1):75-80. doi: 10.4081/aiua.2017.1.75.

DOI:10.4081/aiua.2017.1.75

PMID:28403601

Abstract

OBJECTIVE

Prevention may improve the quality of life and sexual and reproductive health. To improve prevention require a comprehensive research approach that examines the frequency and risk factors for urologic conditions. In June 2016 the Italian Urologic Society coordinated a preventive initiative : the 1st Week of Male Urologic Prevention "#Controllati".

MATERIAL AND METHODS

During the 1st Week of Male Urologic Prevention "#Controllati", men aged 18 years or more were invited to attend participating urologic centers for a free of charge visit for counseling about urologic or andrologic conditions. Each participating man underwent a physical examination. Further he was asked about his a medical history and about his urologic symptoms, sexual activity and possible related problems.

RESULTS

Data were collected in 81 centers: 2380 men answered the questionnaire. A total of 1226 subjects participating in the study reported one or more urinary symptom [51.5% (IC 95% 48.9%-54.5%)]. The risk of any urinary symptoms increased with age: in comparison with men aged < = 30 years or less the risk of any urinary symptoms was 2.31, 2.92, 5.12, 7.82 and 17.02 respectively in the class age 31-40, 41-50, 51-60, 61-70 and > = 71. Overweight/obese men were at increased risk of any urinary symptoms [OR1.35 (95% CI 1.12-1.64)]. 27.2% (IC 95% overall 25.2% -29.3%) of the subjects had at least a sexual disorder (erectile dysfunction, premature ejaculation, hypoactive sexual desire). The erectile dysfunction and hypoactive sexual desire increased with age, but premature ejaculation tended to be higher among younger aged men aged 40 years or more. Current any urinary symptoms [OR 1.85 (CI 1.40-2.43)], hypertension [OR 1.66 (95% CI 1.21-2.26) and diabetes (OR 2.37 (95% CI 1.45-3.88)] increased the risk of erectile dysfunction.

CONCLUSIONS

This large survey gives a picture of the burden of the more frequent urologic conditions offering useful information in order to focus preventive campaign.

摘要

目的

预防措施可能会改善生活质量以及性与生殖健康。要加强预防工作，需要采用一种全面的研究方法，审视泌尿系统疾病的发生频率和风险因素。2016年6月，意大利泌尿外科学会协调开展了一项预防倡议活动：首届男性泌尿预防周“#Controllati”。

材料与方法

在首届男性泌尿预防周“#Controllati”期间，邀请18岁及以上男性前往参与活动的泌尿中心，免费就诊以咨询泌尿系统或男科疾病相关问题。每位参与的男性都接受了体格检查。此外，还询问了他的病史、泌尿系统症状、性活动及可能相关的问题。

结果

在81个中心收集了数据：2380名男性回答了问卷。共有1226名参与研究的受试者报告了一种或多种泌尿系统症状[51.5%（95%置信区间48.9%-54.5%）]。出现任何泌尿系统症状的风险随年龄增长而增加：与年龄≤30岁的男性相比，31-40岁、41-50岁、51-60岁、61-70岁及≥71岁年龄段的男性出现任何泌尿系统症状的风险分别为2.31、2.92、5.12、7.82和17.02。超重/肥胖男性出现任何泌尿系统症状的风险增加[比值比1.35（95%置信区间1.12-1.64）]。27.2%（95%置信区间总体为25.2%-29.3%）的受试者至少有一种性功能障碍（勃起功能障碍、早泄、性欲减退）。勃起功能障碍和性欲减退随年龄增长而增加，但早泄在40岁及以上的年轻男性中更为常见。当前出现任何泌尿系统症状[比值比1.85（置信区间1.40-2.43）]、高血压[比值比1.66（95%置信区间1.21-2.26）]和糖尿病（比值比2.37（95%置信区间1.45-3.88））会增加勃起功能障碍的风险。