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• W2002651574 abstract "No AccessJournal of UrologyAdult Urology: Voiding Dysfunction1 Jul 2005EFFECT OF LOWER URINARY TRACT SYMPTOMS ON THE INCIDENCE OF ERECTILE DYSFUNCTION RAHMAN SHIRI, JUKKA T. HÄKKINEN, MATTI HAKAMA, HEINI HUHTALA, ANSSI AUVINEN, TEUVO L.J. TAMMELA, and JUHA KOSKIMÄKI RAHMAN SHIRIRAHMAN SHIRI More articles by this author , JUKKA T. HÄKKINENJUKKA T. HÄKKINEN More articles by this author , MATTI HAKAMAMATTI HAKAMA More articles by this author , HEINI HUHTALAHEINI HUHTALA More articles by this author , ANSSI AUVINENANSSI AUVINEN More articles by this author , TEUVO L.J. TAMMELATEUVO L.J. TAMMELA More articles by this author , and JUHA KOSKIMÄKIJUHA KOSKIMÄKI More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000162042.90554.64AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined the effect of lower urinary tract symptoms (LUTS) on the incidence of erectile dysfunction (ED). Materials and Methods: The target population consisted of all men 50, 60 or 70 years old residing in Tampere area, Finland in 1994. Questionnaires were mailed to 3,143 men in 1994 and to 2,864 men 5 years later. The followup sample consisted of the 1,683 men who responded to baseline and followup questionnaires. We estimated the effect of LUTS and bother on the incidence of ED during the 5-year followup among the 1,126 men free from ED at baseline. ED was assessed by 2 questions on subject ability to achieve and maintain erection sufficient for intercourse and LUTS assessed by the Danish Prostatic Symptom Score. Logistic regression model was used in the multivariate analysis. Results: The incidence of ED increased with the presence and with the intensity of urinary symptoms and bother at baseline. Compared with men with LUTS score 0, the incidence of ED was 2.7 (95% CI 1.3–5.5) times higher among men with score 7 to 11, and 3.1 times with score 12 or more. The incidence of ED increased by 5% for each 1-point increment in LUTS score, while it increased by 12% and 11% for 1-point increment in cumulative symptom or bother score, respectively. Men with cumulative symptoms or bother score 4 or more were significantly 2.0 to 2.7 times at higher incidence of ED relative to those who were free from symptoms or bother at baseline. Only overflow incontinence (OR = 2.2) and incomplete emptying (OR = 1.8) independently increased the incidence of ED. Conclusions: Lower urinary tract symptoms and bother independently increase the incidence of erectile dysfunction. References 1 : Lower urinary tract symptoms and male sexual dysfunction: the multinational survey of the aging male (MSAM-7). Eur Urol2003; 44: 637. Google Scholar 2 : 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 3 : The association between lower urinary tract symptoms and erectile dysfunction in four centres: the UrEpik study. BJU Int2003; 92: 719. Google Scholar 4 : Epidemiology of erectile dysfunction in four countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology2003; 61: 201. 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Google Scholar 12 : Sexual dysfunction in 1,274 European men suffering from lower urinary tract symptoms. J Urol2003; 169: 2257. Link, Google Scholar 13 : Sexual dysfunction in men with lower urinary tract symptoms. J Clin Epidemiol1998; 51: 677. Google Scholar 14 : Association of lower urinary tract symptoms with erectile dysfunction in Japanese men. Urology2004; 64: 132. Google Scholar 15 : Obstructive lower urinary tract symptoms correlate with erectile dysfunction. Urology2004; 63: 1148. Google Scholar 16 : Age-related erectile and voiding dysfunction: the role of arterial insufficiency. Br J Urol1998; 82: 26. Google Scholar 17 : Spontaneous hyperplasia of the ventral lobe of the prostate in aging genetically hypertensive rats. J Androl2000; 21: 58. Google Scholar 18 : Down-regulation of endothelin-B receptor sites in cavernosal tissue of a rabbit model of partial bladder outlet obstruction: potential clinical relevance. World J Urol1999; 17: 290. Google Scholar 19 : Distribution of nitric oxide synthase implies a regulation of circulation, smooth muscle tone, and secretory function in the human prostate by nitric oxide. Prostate1997; 33: 1. Google Scholar 20 : Is reduced quality of life in men with lower urinary tract symptoms due to concomitant diseases?. Eur Urol2001; 40: 661. Google Scholar From the Tampere School of Public Health (RS, MH, HH, AA) and Medical School (TLJT), University of Tampere, and Department of Urology, Tampere University Hospital (JTH, TLJT, JK), Tampere, Finland© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byFwu C, Kirkali Z, McVary K, Burrows P, Eggers P and Kusek J (2018) 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.Brookes S, Link C, Donovan J and McKinlay J (2018) Relationship Between Lower Urinary Tract Symptoms and Erectile Dysfunction: Results From the Boston Area Community Health SurveyJournal of Urology, VOL. 179, NO. 1, (250-255), Online publication date: 1-Jan-2008.Mondul A, Rimm E, Giovannucci E, Glasser D and Platz E (2018) A Prospective Study of Lower Urinary Tract Symptoms and Erectile DysfunctionJournal of Urology, VOL. 179, NO. 6, (2321-2326), Online publication date: 1-Jun-2008.Sighinolfi M, Micali S, De Stefani S, Mofferdin A, Grande A, Giacometti M, Ferrari N, Rivalta M and Bianchi G (2018) Indwelling Ureteral Stents and Sexual Health: A Prospective, Multivariate AnalysisJournal of Urology, VOL. 178, NO. 1, (229-231), Online publication date: 1-Jul-2007. Volume 174Issue 1July 2005Page: 205-209 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordsincidenceurinary tractimpotenceMetricsAuthor Information RAHMAN SHIRI More articles by this author JUKKA T. HÄKKINEN More articles by this author MATTI HAKAMA More articles by this author HEINI HUHTALA More articles by this author ANSSI AUVINEN More articles by this author TEUVO L.J. TAMMELA More articles by this author JUHA KOSKIMÄKI More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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