Kijima Felipe Jun, Motta Liz Cristina, Cavalcante Jean Sousa, Jordão Lucas, Olioze Carlos Eduardo Dias, Santos Plinio Takashi Karubi Palavicini, Cruz João Carlos Leite da, Sabage Luis Expedito, Medeiros Gabriel Araújo, Mazzo Alessandra, Nardi Aguinaldo Cesar
Faculdade de Medicina de Bauru (FMBRU), Universidade de São Paulo (USP), Bauru (SP), Brazil.
Professor, Faculdade de Medicina de Bauru (FMBRU), Universidade de São Paulo (USP), Bauru (SP), Brazil.
Sao Paulo Med J. 2024 Dec 20;143(1):e2024045. doi: 10.1590/1516-3180.2024.0045.R1.03072024. eCollection 2024.
Genitourinary health significantly affects the quality of life of men, particularly those in middle age. Recent studies have shown that more than half of the men aged over 40 years experience some degree of low urinary tract symptoms (LUTS) or erectile dysfunction (ED).
To assess the prevalence of ED and LUTS in middle-aged men and correlate this with quality of life data.
A cross-sectional study was conducted in a municipality in the countryside of São Paulo.
A trained team collected data between July 2021 and August 2022 through face-to-face interviews using a characterization instrument, International Prostate Symptom Score (IPSS), International Index of Erectile Function-6 (IIEF-6), and World Health Organization Quality-of-Life Scale.
The study included 375 male participants with a median age of 53 years (interquartile range [IQR] 38.5-66). The IIEF-6 showed the presence of some degree of ED in 51.1% (n = 188) of patients, with a median score of 25 (IQR 21-29). The IPSS revealed that 35.2% (n = 132) of the patients had some degree of LUTS, with a median score of 5 (IQR 2-11). The urological questionnaires had a direct proportional correlation with age (P < 0.001) and significant differences between the medians of different marital statuses (P < 0.001). The presence or severity of these disorders was inversely correlated with the individuals' quality of life (P < 0.001).
ED and LUTS significantly correlated with the quality of life, marital status, and age in men.
泌尿生殖系统健康显著影响男性的生活质量，尤其是中年男性。最近的研究表明，超过半数40岁以上的男性经历过某种程度的下尿路症状（LUTS）或勃起功能障碍（ED）。
评估中年男性勃起功能障碍和下尿路症状的患病率，并将其与生活质量数据相关联。
在圣保罗农村的一个市镇进行了一项横断面研究。
2021年7月至2022年8月期间，一个经过培训的团队通过面对面访谈，使用国际前列腺症状评分（IPSS）、国际勃起功能指数-6（IIEF-6）和世界卫生组织生活质量量表等特征化工具收集数据。
该研究纳入了375名男性参与者，中位年龄为53岁（四分位间距[IQR]38.5-66）。IIEF-6显示，51.1%（n=188）的患者存在某种程度的勃起功能障碍，中位评分为25（IQR 21-29）。IPSS显示，35.2%（n=132）的患者有某种程度的下尿路症状，中位评分为5（IQR 2-11）。泌尿外科调查问卷与年龄呈直接正相关（P<0.001），不同婚姻状况的中位数之间存在显著差异（P<0.001）。这些疾病的存在或严重程度与个体的生活质量呈负相关（P<0.001）。
勃起功能障碍和下尿路症状与男性的生活质量、婚姻状况和年龄显著相关。
