Sexual Dysfunction in Aging Men With Lower Urinary Tract Symptoms

<p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-f...

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Main Authors: Mahdi Amirchaghmaghi, Seyed Reza Yahyazadeh, Gholam Hossein Naderi, Darab Mehraban
Format: Article
Language:English
Published: Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences 2008-12-01
Series:Urology Journal
Online Access:http://www.urologyjournal.org/index.php/uj/article/view/35
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author Mahdi Amirchaghmaghi
Seyed Reza Yahyazadeh
Gholam Hossein Naderi
Darab Mehraban
author_facet Mahdi Amirchaghmaghi
Seyed Reza Yahyazadeh
Gholam Hossein Naderi
Darab Mehraban
author_sort Mahdi Amirchaghmaghi
collection DOAJ
description <p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><span style="color: #000000;">Introduction:</span></strong><span style="color: #000000; mso-bidi-font-weight: bold;"> Our aim was to evaluate the relationship between lower urinary tract symptoms (LUTS), age, and sexual dysfunction in the Iranian men aged 50 to 80 years.</span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><span style="color: #000000;">Materials and Methods: </span></strong><span style="color: #000000; mso-bidi-font-weight: bold;">A total of 357 men aged 50 to 80 years presenting at the urological clinic were enrolled in this study. The International Prostatic Symptom Score (IPSS) and the International Index of Erectile Function (IIEF) questionnaires were used to assess the LUTS and sexual function, respectively. The questionnaires were completed by face-to-face interview. Logistic regression model was used for multivariate analysis of the risk factors of sexual dysfunction and its domains assessed by the IIEF.</span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><span style="color: #000000;">Results:</span></strong><span style="color: #000000; mso-bidi-font-weight: bold;"> Of the patients, 332 (93%) were sexually active with a median sexual attempts of 4.6 times per month. Frequency of sexual attempts was inversely related to LUTS severity (<em>P</em> < .001). Advanced age was positively associated with LUTS severity (r = 0.534, <em>P </em>< .001). Sexual dysfunction, defined as IIEF score of 20 and less, was present in 68.2% of the patients. All IIEF domain scores and the overall score were correlated with age (<em>P </em>< .001) and the IPSS (<em>P</em> < .001). In a multivariate analysis, age, diabetes mellitus, and the IPSS were strong independent predictors of the overall IIEF score.</span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><span style="color: #000000;">Conclusion: </span></strong><span style="color: #000000; mso-bidi-font-weight: bold;">Sexual activity as an important component of the quality of life continues in the majority of men over 50 years. However, their sexual function can be severely affected by LUTS and its severity. </span></span></span><strong style="mso-bidi-font-weight: normal;"></strong></p>
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spelling doaj.art-04f8a3d5ffe340a1b733778fba83d0fc2022-12-22T02:47:37ZengUrology and Nephrology Research Center, Shahid Beheshti University of Medical SciencesUrology Journal1735-13081735-546X2008-12-0154260264Sexual Dysfunction in Aging Men With Lower Urinary Tract SymptomsMahdi AmirchaghmaghiSeyed Reza YahyazadehGholam Hossein NaderiDarab Mehraban<p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><span style="color: #000000;">Introduction:</span></strong><span style="color: #000000; mso-bidi-font-weight: bold;"> Our aim was to evaluate the relationship between lower urinary tract symptoms (LUTS), age, and sexual dysfunction in the Iranian men aged 50 to 80 years.</span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><span style="color: #000000;">Materials and Methods: </span></strong><span style="color: #000000; mso-bidi-font-weight: bold;">A total of 357 men aged 50 to 80 years presenting at the urological clinic were enrolled in this study. The International Prostatic Symptom Score (IPSS) and the International Index of Erectile Function (IIEF) questionnaires were used to assess the LUTS and sexual function, respectively. The questionnaires were completed by face-to-face interview. Logistic regression model was used for multivariate analysis of the risk factors of sexual dysfunction and its domains assessed by the IIEF.</span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><span style="color: #000000;">Results:</span></strong><span style="color: #000000; mso-bidi-font-weight: bold;"> Of the patients, 332 (93%) were sexually active with a median sexual attempts of 4.6 times per month. Frequency of sexual attempts was inversely related to LUTS severity (<em>P</em> < .001). Advanced age was positively associated with LUTS severity (r = 0.534, <em>P </em>< .001). Sexual dysfunction, defined as IIEF score of 20 and less, was present in 68.2% of the patients. All IIEF domain scores and the overall score were correlated with age (<em>P </em>< .001) and the IPSS (<em>P</em> < .001). In a multivariate analysis, age, diabetes mellitus, and the IPSS were strong independent predictors of the overall IIEF score.</span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><span style="color: #000000;">Conclusion: </span></strong><span style="color: #000000; mso-bidi-font-weight: bold;">Sexual activity as an important component of the quality of life continues in the majority of men over 50 years. However, their sexual function can be severely affected by LUTS and its severity. </span></span></span><strong style="mso-bidi-font-weight: normal;"></strong></p>http://www.urologyjournal.org/index.php/uj/article/view/35
spellingShingle Mahdi Amirchaghmaghi
Seyed Reza Yahyazadeh
Gholam Hossein Naderi
Darab Mehraban
Sexual Dysfunction in Aging Men With Lower Urinary Tract Symptoms
Urology Journal
title Sexual Dysfunction in Aging Men With Lower Urinary Tract Symptoms
title_full Sexual Dysfunction in Aging Men With Lower Urinary Tract Symptoms
title_fullStr Sexual Dysfunction in Aging Men With Lower Urinary Tract Symptoms
title_full_unstemmed Sexual Dysfunction in Aging Men With Lower Urinary Tract Symptoms
title_short Sexual Dysfunction in Aging Men With Lower Urinary Tract Symptoms
title_sort sexual dysfunction in aging men with lower urinary tract symptoms
url http://www.urologyjournal.org/index.php/uj/article/view/35
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AT darabmehraban sexualdysfunctioninagingmenwithlowerurinarytractsymptoms