Erectile function and late-onset hypogonadism symptoms related to lower urinary tract symptom severity in elderly men
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Date
2013
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Abstract
The aim of this study was to evaluate the relationship between lower urinary tract symptoms (LUTSs), erectile dysfunction (ED) and symptomatic late-onset hypogonadism (SLOH) in ageing men in the Aegean region of Turkey. Five hundred consecutive patients >40 years old who had been in a steady sexual relationship for the past 6 months and were admitted to one of six urology clinics were included in the study. Serum prostate-specific antigen and testosterone levels and urinary flow rates were measured. All patients filled out the International Prostate Symptom Score and Quality of Life (IPSS-QoL), International Index of Erectile Function (IIEF) and Aging Males' Symptoms (AMS) scale forms. Of the patients, 23.9% had mild LUTSs, 53.3% had moderate LUTSs and 22.8% had severe LUTSs. The total testosterone level did not differ between groups. Additionally, 69.6% had ED. The presence of impotence increased with increasing LUTS severity. Symptomatic late-onset hypogonadism (AMS >27) was observed in 71.2% of the patients. The prevalence of severe hypogonadism symptoms increased with the IPSS scores. A correlation analysis revealed that all three questionnaire scores were significantly correlated. In conclusion, LUTS severity is an age-independent risk factor for ED and SLOH. LUTS severity and SLOH symptoms appear to have a strong link that requires etiological and biological clarification in future studies. © 2013 AJA, SIMM & SJTU. All rights reserved.
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Age of Onset , Aged , Erectile Dysfunction , Humans , Hypogonadism , Male , Severity of Illness Index , Urinary Tract , prostate specific antigen , testosterone , adult , aging , aging male symptoms scale , article , disease association , disease severity , erectile dysfunction , human , hypogonadism , impotence , International Index of Erectile Function , International Prostate Symptom Score , lower urinary tract symptom , major clinical study , male , penis erection , quality of life , rating scale , scoring system , symptomatology , testosterone blood level , Turkey (republic) , urine flow rate