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Related Experiment Videos

Comorbid LUTS and erectile dysfunction: optimizing their management.

Jed Kaminetsky1

  • 1Department of Urology, New York University School of Medicine, New York, NY 10016, USA. jckammd@att.net

Current Medical Research and Opinion
|February 3, 2007
PubMed
Summary
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Lower urinary tract symptoms (LUTS) and erectile dysfunction (ED) are common in older men. Treating LUTS may improve ED, but caution is advised when combining medications due to potential side effects.

Area of Science:

  • Urology
  • Men's Health
  • Sexual Medicine

Background:

  • Lower urinary tract symptoms (LUTS) and erectile dysfunction (ED) are highly prevalent in men over 50.
  • These conditions negatively impact sexual function and quality of life, especially when comorbid.
  • LUTS is an independent risk factor for ED, in addition to age.

Purpose of the Study:

  • To discuss the relationship between ED and LUTS.
  • To outline diagnostic workup for these conditions.
  • To explore current treatment options and their effects on affected men.

Main Methods:

  • Literature search of Medline, Cochrane reviews, and American Urological Association abstracts (1980-2006).
  • Keywords included BPH, LUTS, ED, sexual dysfunction, and various drug and treatment classes.

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  • The article is not a systematic review due to the volume of literature.
  • Main Results:

    • Alpha1-adrenergic receptor (alpha1-AR) antagonists effectively treat LUTS with low sexual side-effect risk and may improve sexual function.
    • Phosphodiesterase type 5 inhibitors (PDE-5s) are first-line for ED.
    • Combining alpha1-AR antagonists and PDE-5s for comorbid LUTS and ED requires caution due to potential vasodilatory adverse events.

    Conclusions:

    • Optimal management involves screening for comorbid LUTS and ED.
    • Treatment selection should minimize both vasodilatory and sexual side-effects.
    • Integrated treatment approaches can improve quality of life for affected men.