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Updated: Aug 6, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
The relationship between erectile dysfunction and lower urinary tract symptoms: epidemiological, clinical, and basic
Kevin T McVary1, Kevin E McKenna
1Department of Urology, Feinberg School of Medicine, Northwestern University, 303 East Chicago Avenue, Tarry 16-749, Chicago, IL 60611, USA. k-mcvary@northwestern.edu
Aging men frequently experience lower urinary tract symptoms (LUTS) and sexual dysfunction. Research indicates a strong association between LUTS and erectile dysfunction (ED), with severity correlating between the two conditions.
Area of Science:
- Urology
- Andrology
- Men's Health
Background:
- Lower urinary tract symptoms (LUTS) and sexual dysfunction, particularly erectile dysfunction (ED), are common in aging men.
- Both conditions significantly impact men's quality of life.
- Emerging data suggest interconnectedness between LUTS and ED.
Purpose of the Study:
- To explore the epidemiological, physiological, pathophysiological, and treatment links between LUTS and ED.
- To synthesize current research on the association between LUTS and ED.
Main Methods:
- Review of community and clinical-based data.
- Analysis of epidemiological studies.
- Examination of physiological and pathophysiological mechanisms.
Main Results:
- A strong and consistent association exists between LUTS and ED.
- A linear relationship is observed: more severe LUTS correlates with more severe ED.
- Biologic plausibility for the link is supported by four leading theories.
Conclusions:
- LUTS and ED are closely related conditions in aging men.
- Understanding the interrelationship is crucial for comprehensive patient management.
- Further research into the underlying mechanisms can inform treatment strategies.
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