MP32-05 ASSOCIATIONS BETWEEN PREMATURE EJACULATION, LOWER URINARY TRACT SYMPTOMS AND ERECTILE DYSFUNCTION

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Evaluation1 Apr 2014MP32-05 ASSOCIATIONS BETWEEN PREMATURE EJACULATION, LOWER URINARY TRACT SYMPTOMS AND ERECTILE DYSFUNCTION Jun Ho Lee and Dong-Gi Lee Jun Ho LeeJun Ho Lee More articles by this author and Dong-Gi LeeDong-Gi Lee More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.935AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES There is controversy concerning the relationship between premature ejaculation (PE) and erectile dysfunction (ED), as well as the scan data regarding the association between PE and lower urinary tract symptoms (LUTS). We performed this study to evaluate the association between PE and ED or LUTS. METHODS A total of 2591 policemen aged 40-59 years who had participated in a health examination were included in this study. PE, LUTS and ED were evaluated using the premature ejaculatory diagnostic tool (PEDT), the international prostate symptoms score (IPSS) and the international index of erectile function questionnaire-5 (IIEF), respectively. Males with PEDT scores>10 were classified as having PE. Spearman¡¯s correlation test, the multiple linear regression test and logistic regression analyses were used to evaluate the relationship between PE and ED or LUTS. RESULTS The median age of the study group was 49.0 years and the median PEDT, IIEF and IPSS was 4, 18 and 9, respectively. In total, 1279 men had moderate LUTS (49.4%) and 319 (12.3%) men had severe LUTS. The number of men with mild ED, mild to moderate ED, moderate ED, and and severe ED was 785 (30.3%), 530 (20.5%), 242 (9.3%), and and 260 (10.0%), respectively. Additionally, 660 (25.5%) men had PE. By univariate analysis, PEDT showed a significant correlation with IPSS (r=.310, P=<.001) and IIEF (r=-.413, P<.001). After adjusting for age, components of metabolic syndrome, testosterone and IIEF, PEDT was significantly correlated with IPSS (Beta=.166, P<.001). PEDT was also significantly correlated with IIEF after adjusting for age, components of metabolic syndrome, testosterone and IPSS (Beta=-.274, P<.001). Additionally, the severity of LUTS or ED was associated with the PE positive ratio (P trend=.001) (PE; positive ratio (%) according to LUTS severity: mild, 15.6; moderate, 27.5; severe 48.9) (PE; positive ratio (%) according to ED severity: normal, 11.1; mild, 23.1; mild to moderate: 28.5; moderate, 45.6; severe, 51.5). The odds ratio (OR) for PE also significantly increased with the severity of LUTS or ED after adjusting for potential confounding factors(PE; OR, 95% CI vs. severity of LUTS: mild LUTS, 1.000, reference; moderate LUTS, 1.681, 1.335-2.115; severe LUTS, 3.736, 2.754-5.070; P=.001) (PE; OR, 95% CI vs. severity of LUTS: normal, 1.000, reference; mild ED, 2.242, 1.678-2.997; mild to moderate ED, 2.806, 2.049-3.844; moderate ED, 5.821, 4.036-8.395; severe ED, 7.782, 5.422-11.171; P=.001). CONCLUSIONS In our study, ED and LUTS were significantly and independently correlated with PE. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e332 Peer Review Report Advertisement Copyright & Permissions© 2014MetricsAuthor Information Jun Ho Lee More articles by this author Dong-Gi Lee More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...