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Updated: Jul 25, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
[Sexual function in men with lower urinary tract symptoms].
T Ichikawa1, A Takao, Y Nakayama
1Department of Urology, Hiroshima City Hospital.
Men with lower urinary tract symptoms (LUTS) frequently experience erectile dysfunction. Increased LUTS severity correlates with poorer sexual function, impacting quality of life and necessitating integrated treatment approaches.
Area of Science:
- Urology
- Andrology
- Men's Health
Context:
- Lower urinary tract symptoms (LUTS) affect a significant portion of the aging male population.
- Erectile dysfunction (ED) is a common comorbidity impacting men's quality of life.
- Current treatment strategies for LUTS may not fully address associated sexual dysfunction.
Purpose:
- To quantitatively and qualitatively evaluate the degree of erectile dysfunction (ED) in men presenting with lower urinary tract symptoms (LUTS).
- To explore the correlation between LUTS severity, age, and various domains of sexual function.
Summary:
- A study of 208 men with LUTS revealed high rates of sexual dysfunction, with 46.2% reporting poor erection quality and 20.7% citing erection issues as a significant problem.
- Significant correlations were found between patient age and sexual function scores, as well as between the International Prostate Symptom Score (I-PSS) and sexual function.
- Findings suggest that greater LUTS severity is associated with poorer sexual function, with approximately 20% of men with LUTS reporting bothersome sexual symptoms.
Impact:
- Highlights the substantial prevalence of erectile dysfunction in men with LUTS.
- Emphasizes the need for integrated management strategies that address both urinary and sexual symptoms in this population.
- Informs clinical practice regarding the importance of assessing sexual health in men undergoing treatment for LUTS.
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