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Sexual dysfunction in men with lower urinary tract symptoms

S J Frankel¹, J L Donovan, T I Peters

¹Department of Social Medicine, University of Bristol, United Kingdom. stephen.frankel@bristol.ac.uk

Journal of Clinical Epidemiology

|September 22, 1998

Summary

Lower urinary tract symptoms (LUTS) significantly impact sexual function in men, contrary to previous beliefs. This study highlights the commonality of sexual dysfunction associated with LUTS, urging clinical consideration.

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Area of Science:

Urology
Men's Health
Sexual Medicine

Background:

The traditional understanding suggested lower urinary tract symptoms (LUTS) do not affect sexual function.
Benign prostatic hyperplasia (BPH) is often associated with LUTS, but its impact on sexual health was unclear.

Purpose of the Study:

To investigate the relationship between LUTS and sexual dysfunction in a community and clinical setting.
To determine the prevalence and impact of sexual dysfunction in men with LUTS.

Main Methods:

Utilized ICSmale and ICSsex questionnaires in a study of 423 community men (aged ≥40) and 1271 urology clinic patients (aged ≥45).
Analyzed age-standardized prevalences of erectile rigidity, ejaculation issues, and pain during ejaculation.
Assessed the impact of LUTS on sexual lives and correlated with symptom severity and urinary flow rates.

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Main Results:

Sexual dysfunction is common, with high prevalences of reduced erection rigidity (53-60%) and ejaculation problems (47-62%) reported.
LUTS spoiled sex lives for 8% of community men and 46% of clinic patients.
LUTS, particularly storage symptoms and incontinence, were significantly associated with sexual dysfunction, while urinary flow rates were not.

Conclusions:

Sexual dysfunction is strongly linked to LUTS and is a significant concern for affected men.
The conventional view is challenged, indicating LUTS negatively impacts male sexual health.
Clinicians should consider sexual dysfunction when managing men with LUTS.