Lower urinary tract symptoms (LUTSs) and ED are clearly correlated, but to date no correlation with ejaculatory dysfunction (EjD) has been identified.
Therefore, this study evaluated the impact of erectile function in men with LUTS on EjD and premature ejaculation (PE). Erectile function, PE and EjD of 239 men (mean age, 53.0 ± 10.65 years), International Prostate Symptom Score (IPSS), International Index of Erection Function (IIEF), intravaginal ejaculatory latency time (IELT) and the seven-item Male Sexual Health questionnaire (MSHQ)-EjD were used to compare with the degree of LUTS. Ages were divided into five groups (< 40, 40-49, 50-59, 60-69 and >70 years). The IPSS categorized patients into three symptom groups: mild, 1-7; moderate, 8-19; and severe, >19. ED was classified into five categories based on IIEF-EF scores: severe (0-6), moderate (7-12), mild-to-moderate (13-18), mild (19-24) and normal (25-30). The correlations among age, IIEF-EF, IELT and the MSHQ-EjD domain were studied through regression and cross-tabulation analyses. The results revealed that aging significantly affected each item of the MSHQ-EjD (P< 0.05). The IIEF-EF domain was also correlated with each question on the MSHQ-EjD (P< 0.05). PE (IELT < 1 min) increased in incidence as patients got older but was not linked to IIEF-EF (P>0.05). These results indicate that EjD is closely related to age and erectile function, and that PE is closely related to age, although PE is not related to erectile function.
Written by:
Hwa JS, Kam SC, Choi JH, Do JM, Seo DH, Hyun JS. Are you the author?
Department of Urology, School of Medicine, Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea.
Reference: Int J Impot Res. 2012 May-Jun;24(3):101-5.
doi: 10.1038/ijir.2012.1
PubMed Abstract
PMID: 22357535
UroToday.com Erectile Dysfunction Section