Abstract
Purpose To determine the role of history of prostatitis (HP) as an independent risk factor for erectile dysfunction (ED) in Chinese adult males. Methods We conducted an online survey using a crowd-sourced questionnaire in Chinese adult males. The participants were separated into two groups as adult participants with HP and with no history of prostatitis (NHP) according to the medical history record. As diagnosis criteria of ED, we used the 5 questions of the International Index for Erectile Function (IIEF-5). The general data including height, weight, monthly income, academic background, smoking history, alcohol drinking, marital status, conjugal affection, and other disease history was asked and recorded. The relationship between HP and ED using the chi-square test and logistic regression analyses was investigated and analyzed. Results In total, 1873 participants answered the questionnaire. 95 participants in the HP group and 1778 participants in the NHP group were included in this study. The rate of participants with HP was 5.343%. ED was found in 68.4% of the HP group and 43% of the NHP group (p < 0.001). Regression analysis showed that participants in HP were more likely to have ED (OR 2.135, 95% CI 1.266–3.60) after adjusting for the participant's age, body mass index (BMI), monthly income, academic background, smoking history, alcohol drinking, marital status, conjugal affection, BPH, hypertension, and diabetes mellitus, when compared with NHP. Conclusions The present study indicated a high prevalence of ED in Chinese adult males with history of prostatitis, and HP is an independent risk factor for erectile dysfunction.
Highlights
As a high proportion of diseases in the urology clinic, prostatitis could cause great distress to the healthy life of men in many aspects
The monthly income is divided into four levels (¥/month): 10000; academic background is divided into four levels: ≤junior high school, high school, college, and ≥college; smoking history and alcohol drinking is defined as having smoked or drank in the last six months; marital status is divided into three types: married, single, and divorced or bereaved; and conjugal affection is divided into three types: good, normal, and bad
We revealed that OR for history of prostatitis (HP) in participants with Erectile dysfunction (ED) was 2.135 when compared with that for no history of prostatitis (NHP), after adjusting for participants’ age, body mass index (BMI), monthly income, academic background, smoking history, alcohol drinking marital status, conjugal affection, BPH, hypertension, and diabetes mellitus
Summary
As a high proportion of diseases in the urology clinic, prostatitis could cause great distress to the healthy life of men in many aspects. ED is a symptom of a variety of pathologies, including the combined effect of psychological, hormonal, neural, and vascular pathways that can achieve and maintain an erection According to their erectile dysfunction caused by different etiological factors, it usually includes one or more disorders of endocrine, nerve, blood vessel, structure, and psychiatric causes; it is difficult for clinicians to distinguish between the two due to their heavy interconnection [4]. It is not clear what the risk factors are to predict ED in patients. Previous research pointed out that risk factors independently related to ED include age, diabetes, hypertension, lower urinary tract symptoms, depression/anxiety, and benign prostate hyperplasia [5,6,7,8,9]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
