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Correlates for erectile and ejaculatory dysfunction in older Dutch men: a community-based study
M H Blanker1, A M Bohnen, F P Groeneveld
1Department of General Practice, Erasmus University Rotterdam, The Netherlands.
Journal of the American Geriatrics Society
|May 12, 2001
Summary
Erectile dysfunction (ED) in older men is linked to age, obesity, and urinary issues. Ejaculatory dysfunction (EjD) is associated with age, poor erectile function, and prior prostate surgery.
Area of Science:
- Gerontology
- Men's Health
- Urology
Background:
- Erectile dysfunction (ED) and ejaculatory dysfunction (EjD) are common concerns in aging men.
- Understanding the factors contributing to these conditions is crucial for public health.
Purpose of the Study:
- To identify correlates of ED and EjD in a large community sample of older men.
- To estimate the population attributable risk (PAR) for identified correlates.
Main Methods:
- Community-based study involving 1,688 men aged 50-78.
- Assessed ED and EjD using the International Continence Society sex questionnaire.
- Evaluated urinary tract symptoms, prostate issues, obesity, chronic obstructive pulmonary disease (COPD), diabetes, cardiovascular problems, and lifestyle factors.
Main Results:
- Key correlates for ED included age, smoking, obesity, urinary tract symptoms, and treatment for cardiovascular problems and COPD.
- Urinary symptoms and obesity had the highest PAR for ED.
- Age, erectile function, urinary symptoms, and prior prostate operations were correlates for EjD, with decreased erectile function having the highest PAR.
Conclusions:
- Age, obesity, and urinary tract symptoms are primary correlates of significant ED in older men.
- Cardiovascular issues, COPD, and smoking are also independent correlates of ED.
- Significant EjD is predominantly linked to age, diminished erectile function, and previous prostate surgery.