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The Relationship between LUTS and sexual function.

T J Peters1

  • 1Department of Social Medicine, University of Bristol, Bristol, UK.

Prostate Cancer and Prostatic Diseases
|December 24, 2002
PubMed
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Lower urinary tract symptoms (LUTS) significantly impact men's sexual health and quality of life. Nearly 90% of men with LUTS experience sexual problems, with storage symptoms like incontinence being particularly disruptive.

Area of Science:

  • Urology
  • Andrology
  • Men's Health

Background:

  • Lower urinary tract symptoms (LUTS) are prevalent in middle-aged and older men, often linked to benign prostatic hyperplasia (BPH).
  • LUTS can significantly diminish health-related quality of life (QoL), with sexual function being a key component.
  • Sexual dissatisfaction is increasingly reported as LUTS severity progresses.

Purpose of the Study:

  • To investigate the relationship between urodynamic parameters, LUTS, sexual dysfunction, and QoL in men.
  • To quantify the impact of LUTS on sexual function and overall QoL.

Main Methods:

  • Analysis of data from the ICS-BPH International Study (1271 men aged 45+) and the ICS-BPH UK Community Study (423 men aged 40+).
  • Examination of associations between specific LUTS (storage vs. voiding symptoms) and sexual dysfunction.

Related Experiment Videos

  • Comparison with findings from a French Community Study (2011 men aged 50-80).
  • Main Results:

    • Nearly 90% of men reported LUTS negatively affecting their sex lives, with 45% stating their sex lives were "spoilt" by LUTS.
    • Storage symptoms, particularly incontinence, showed a stronger correlation with sexual dysfunction compared to voiding symptoms.
    • French study identified hesitancy, straining, reduced stream, and wet underclothes as most strongly associated with sexual dysfunction.

    Conclusions:

    • Sexual health is a significant concern for men experiencing LUTS.
    • The impact of LUTS on sexual function varies, with storage symptoms often playing a key role.
    • Discussions regarding LUTS treatment should incorporate patient concerns about sexual function.