Department of Urology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
Biomed Res Int. 2020 Oct 17;2020:8964673. doi: 10.1155/2020/8964673. eCollection 2020.
To determine the role of history of prostatitis (HP) as an independent risk factor for erectile dysfunction (ED) in Chinese adult males.
We conducted an online survey using a crowd-sourced questionnaire in Chinese adult males. The participants were separated into two groups as adult participants with HP and with no history of prostatitis (NHP) according to the medical history record. As diagnosis criteria of ED, we used the 5 questions of the International Index for Erectile Function (IIEF-5). The general data including height, weight, monthly income, academic background, smoking history, alcohol drinking, marital status, conjugal affection, and other disease history was asked and recorded. The relationship between HP and ED using the chi-square test and logistic regression analyses was investigated and analyzed.
In total, 1873 participants answered the questionnaire. 95 participants in the HP group and 1778 participants in the NHP group were included in this study. The rate of participants with HP was 5.343%. ED was found in 68.4% of the HP group and 43% of the NHP group ( < 0.001). Regression analysis showed that participants in HP were more likely to have ED (OR 2.135, 95% CI 1.266-3.60) after adjusting for the participant's age, body mass index (BMI), monthly income, academic background, smoking history, alcohol drinking, marital status, conjugal affection, BPH, hypertension, and diabetes mellitus, when compared with NHP.
The present study indicated a high prevalence of ED in Chinese adult males with history of prostatitis, and HP is an independent risk factor for erectile dysfunction.
确定前列腺炎（HP）病史是否为中国成年男性勃起功能障碍（ED）的独立危险因素。
我们使用中文的众包问卷在成年男性中进行了在线调查。根据病史记录，将参与者分为 HP 组和无前列腺炎史（NHP）组。ED 的诊断标准采用国际勃起功能指数（IIEF-5）的 5 个问题。询问并记录了包括身高、体重、月收入、学历、吸烟史、饮酒史、婚姻状况、夫妻感情和其他疾病史在内的一般数据。采用卡方检验和逻辑回归分析调查和分析 HP 与 ED 之间的关系。
共有 1873 名参与者回答了问卷。将 HP 组中的 95 名参与者和 NHP 组中的 1778 名参与者纳入本研究。HP 组的参与者比例为 5.343%。HP 组中 ED 的发生率为 68.4%，NHP 组中 ED 的发生率为 43%（<0.001）。回归分析表明，在调整了参与者的年龄、体重指数（BMI）、月收入、学历、吸烟史、饮酒史、婚姻状况、夫妻感情、良性前列腺增生（BPH）、高血压和糖尿病后，HP 组发生 ED 的可能性是 NHP 组的 2.135 倍（95%CI 1.266-3.60）。
本研究表明，中国成年男性前列腺炎病史 ED 的患病率较高，HP 是 ED 的独立危险因素。
