下尿道症状与勃起功能障碍和早泄相关,但与男性的性活动无关:来自大型人口代表性研究的结果
Mikolaj Przydacz1, Pawel Rajwa2,3, Sabrina De Cillis4
1Department of Urology, Jagiellonian University Medical College, 31-008 Krakow, Poland.
Healthcare (Basel, Switzerland)
|July 26, 2024
概括
下尿路症状 (LUTS) 恶化勃起功能障碍 (ED) 和早泄 (PE). 然而,LUTS不会影响性活动频率或伴侣数量. 这项研究强调了评估ED或PE男性的LUTS的重要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 男人的健康 男人的健康
- 性健康 性的健康
背景情况:
- 下尿道症状 (LUTS) 越来越被认为是影响男性性健康的因素.
- 现有的关于LUTS,勃起功能障碍 (ED) 和早泄 (PE) 之间的联系的研究往往缺乏代表性的队列.
- 这项研究解决了从一个庞大,人口统计学上平衡的男性群体中获取数据的需求.
研究的目的:
- 在一个大型的代表性队列中确认LUTS对ED和PE的影响.
- 分析LUTS与男性性活动之间的关联,包括性交频率和性伴侣数量.
- 为了评估经历LUTS的男性在ED或PE时的生活质量.
主要方法:
- 根据最新的人口普查数据估计了样本大小,以确保人口的代表性.
- 使用经过验证的仪器来评估LUTS,ED和PE.
- 用回归模型对收集的数据进行统计分析.
主要成果:
- 该研究包括3001名男性,根据年龄和地点代表人口.
- 报告LUTS的男性显示ED和PE的患病率明显更高 (p < 0.001).
- 无论年龄,并发症或生活方式,LUTS对ED和PE产生了负面影响 (回归系数分别为0.159和0.528;p <0.001).
- LUTS并没有显著影响性活动指标,如性交频率或伴侣数量 (OR 0.981,CI 0.961-1.001,p = 0.061).
- 患有LUTS和ED或PE的男性报告说,性生活和整体生活质量下降.
结论:
- 证实LUTS会加剧ED和PE.
- 没有发现LUTS对性活动的频率或性伴侣数量的显著影响.
- 这些发现支持目前的临床建议,在患有ED或PE的男性中查LUTS.
- 评估LUTS对于改善性功能障碍男性的整体生活质量至关重要.
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