The conventional view that sexual function is not adversely affected by lower urinary tract symptoms (LUTS), assumed to he caused by enlargement secondary to benign prostatic hyperplasia (BPH), was investigated in this study of 423 men aged 40 years and over in a community population in the UK and 1271 urology clinic attenders aged 45 years and over in 12 countries, using the ICSmale and ICSsex questionnaires.
Sexual dysfunction was found to he common : in the community, age standardized prevalences of reduced rigidity of erections were 53%, reduced ejaculation 47%, and pain on ejaculation 5% in clinic men, age standardized prevalences of reduced rigidity of erections were 60%, reduced ejaculation 62%, and pain on ejaculation 17%, Sex lives were reported to he spoiled by LUTS in 8% of community men and 46% in the clinic.
There were negative trends for age in the extent to which clinic men were bothered by these symptoms, although older men were still very concerned.
Significantly raised odds ratios of sexual dysfunction were found in those with LUTS, especially storage symptoms associated with incontinence.
Urinary flow rates were not associated with sexual symptoms.
Sexual dysfunction is, therefore, strongly associated with LUTS, is a matter of concern to the men affected, and should he taken into account when managing patients with LUTS.
Mots-clés Pascal : Fonction sexuelle, Trouble comportement sexuel, Incontinence urinaire, Hyperplasie, Prostate, Epidémiologie, Facteur risque, Homme, Mâle, Qualité vie, Questionnaire, Royaume Uni, Europe, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction, Appareil génital mâle pathologie, Prostate pathologie
Mots-clés Pascal anglais : Sexual function, Sexual behavior disorder, Urinary incontinence, Hyperplasia, Prostate, Epidemiology, Risk factor, Human, Male, Quality of life, Questionnaire, United Kingdom, Europe, Urinary system disease, Urinary tract disease, Bladder disease, Voiding dysfunction, Male genital diseases, Prostate disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0427375
Code Inist : 002B20B01. Création : 25/01/1999.