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• W2000000918 abstract "No AccessJournal of UrologyAdult urology1 Jan 2008Relationship Between Lower Urinary Tract Symptoms and Erectile Dysfunction: Results From the Boston Area Community Health Survey Sara T. Brookes, Carol L. Link, Jenny L. Donovan, and John B. McKinlay Sara T. BrookesSara T. Brookes More articles by this author , Carol L. LinkCarol L. Link More articles by this author , Jenny L. DonovanJenny L. Donovan More articles by this author , and John B. McKinlayJohn B. McKinlay More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2007.08.167AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We explored the association of lower urinary tract symptoms and erectile dysfunction in a racially and ethnically diverse random sample of men. Materials and Methods: The Boston Area Community Health Survey used a stratified, 2-stage cluster sample to recruit 2,301 men representative of Boston. Data were obtained on symptoms suggestive of a number of urogynecologic conditions, comorbidities, and lifestyle and psychosocial factors. Results: The percent of men reporting moderate/severe lower urinary tract symptoms, as measured by the American Urological Association symptom index, ranged from 8% in those 30 to 39 years old to 26% in those 70 to 79 years old. The prevalence of erectile dysfunction was high and it increased dramatically with age with 10% of 30 to 39-year-old and 59% of 70 to 79-year-old men reporting mild-moderate/moderate/severe symptoms. A strong association was observed between the American Urological Association symptom index and erectile dysfunction after adjusting for age. However, after adjusting for other symptoms and comorbidities evidence of this association became weak. Much stronger associations were seen with incontinence, which is not included in the American Urological Association symptom index, and symptoms suggestive of prostatitis. When considering the American Urological Association symptom index symptoms separately, only nocturia increased the severity of erectile dysfunction. Stratified analyses demonstrated similar associations across race/ethnicity groups. Conclusions: Lower urinary tract symptoms and erectile dysfunction are common conditions in older men in the community. This study provides evidence to suggest that the previously observed association between erectile dysfunction and lower urinary tract symptoms may be primarily due to nocturia, incontinence and symptoms suggestive of prostatitis. References 1 : Prevalence of lower urinary tract symptoms and effect on quality of life in a racially and ethnically diverse random sample: the Boston Area Community Health (BACH). Survey Arch Intern Med2006; 166: 2381. 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Google Scholar 8 : Relation between psychosocial risk factors and incident erectile dysfunction: prospective results from the Massachusetts Male Aging Study. Am J Epidemiol2000; 152: 533. Google Scholar 9 : Lower urinary tract symptoms and erectile dysfunction: co-morbidity or typical “Aging Male” symptoms?: Results of the “Cologne Male Survey”. Eur Urol2003; 44: 588. Google Scholar 10 : The association between lower urinary tract symptoms and erectile dysfunction in four centres: the UrEpik study. BJU Int2003; 92: 719. Google Scholar 11 : Correlates for erectile and ejaculatory dysfunction in older Dutch men: a community-based study. J Am Geriatr Soc2001; 49: 436. Google Scholar 12 : Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res1999; 11: 319. 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Google Scholar 19 : The relationship between erectile dysfunction and lower urinary tract symptoms: epidemiological, clinical, and basic science evidence. Curr Urol Rep2004; 5: 251. Google Scholar 20 : Effect of lower urinary tract symptoms on the incidence of erectile dysfunction. J Urol2005; 174: 205. Link, Google Scholar Department of Social Medicine, University of Bristol, Bristol, United Kingdom and New England Research Institutes (CLL, JBM), Watertown, Massachusetts© 2008 by American Urological AssociationFiguresReferencesRelatedDetailsCited byKaplan S and Griebling T (2016) Re: The Co-Occurring Syndrome—Coexisting Erectile Dysfunction and Benign Prostatic Hyperplasia and Their Clinical Correlates in Aging Men: Results from the National Health and Nutrition Examination SurveyJournal of Urology, VOL. 196, NO. 1, (190-191), Online publication date: 1-Jul-2016.Fwu C, Kirkali Z, McVary K, Burrows P, Eggers P and Kusek J (2014) Cross-Sectional and Longitudinal Associations of Sexual Function with Lower Urinary Tract Symptoms in Men with Benign Prostatic HyperplasiaJournal of Urology, VOL. 193, NO. 1, (231-238), Online publication date: 1-Jan-2015.Barbosa J, Muracca E, Nakano É, Assalin A, Cordeiro P, Paranhos M, Cury J, Srougi M and Antunes A (2013) Interactions between Lower Urinary Tract Symptoms and Cardiovascular Risk Factors Determine Distinct Patterns of Erectile Dysfunction: A Latent Class AnalysisJournal of Urology, VOL. 190, NO. 6, (2177-2182), Online publication date: 1-Dec-2013.Griebling T (2013) Re: Association between Body Size and Composition and Erectile Dysfunction in Older Men: Osteoporotic Fractures in Men StudyJournal of Urology, VOL. 190, NO. 5, (1841-1841), Online publication date: 1-Nov-2013.Atala A (2013) Re: A New Experimental Rat Model of Erectile Dysfunction and Lower Urinary Tract Symptoms Associated with Benign Prostatic Hyperplasia: The Testosterone-Supplemented Spontaneously Hypertensive RatJournal of Urology, VOL. 190, NO. 2, (807-807), Online publication date: 1-Aug-2013.Kaplan S (2013) Re: Association Between Lower Urinary Tract Symptoms and Sexual Dysfunction Assessed Using the Core Lower Urinary Tract Symptom Score and International Index of Erectile Function-5 QuestionnairesJournal of Urology, VOL. 189, NO. 6, (2257-2257), Online publication date: 1-Jun-2013.Giannarini G, Mogorovich A, Selli C and Keeley F (2008) Re: Indwelling Ureteral Stents and Sexual Health: A Prospective, Multivariate AnalysisJournal of Urology, VOL. 180, NO. 3, (1188-1190), Online publication date: 1-Sep-2008. Volume 179Issue 1January 2008Page: 250-255 Advertisement Copyright & Permissions© 2008 by American Urological AssociationKeywordsimpotenceagingurination disordersbladderquestionnairesMetricsAuthor Information Sara T. Brookes More articles by this author Carol L. Link More articles by this author Jenny L. Donovan More articles by this author John B. McKinlay More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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