Lower Urinary Tract Symptoms (LUTS) and Sexual Function in Both Sexes

Hansen, Bjarne Lühr

doi:10.1016/j.eururo.2004.04.005

Cited by 81 publications

(57 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a Danish survey in over 7000 people Hansen showed recently that lower urinary tract symptoms are an independent risk factor for sexual dysfunction in both women and men. 15 In our study, questions of the NSF-9, a standardized Dutch-language questionnaire dealing with different aspects of sexual functioning, revealed abnormal sexual functioning in 25.3-45.6% of all cases. In patients with OAB, sexual dysfunction has been observed in about a quarter to one-third of cases being in accordance to the above-mentioned literature.…”

Section: Discussionmentioning

confidence: 99%

Sexual functioning in patients with lower urinary tract dysfunction improves after percutaneous tibial nerve stimulation

2006

View full text Add to dashboard Cite

In this study, we evaluated the effect of lower urinary tract dysfunction and its neuromodulative therapy on sexual functioning. We studied 121 patients with an overactive bladder (OAB) (N ¼ 83), chronic pelvic pain (N ¼ 23) and nonobstructive retention (N ¼ 15), which were treated with neuromodulation (i.e. percutaneous tibial nerve stimulation, PTNS). To obtain information on their sexual function, a self-administered standardized questionnaire was filled out before therapy as well as after 12 weeks of treatment. Before therapy, different aspects of sexual life were considered not normal in 25.3-45.6% of the cases. This improved significantly after treatment. Patients most likely to benefit were women, patients with an OAB and subjective responders. The aspects of sexual life which mostly improved were overall satisfaction, libido and the frequency of sexual activities. Sexual dysfunction is observed in a lot of patients with lower urinary tract disorders and may improve on successful therapy for the latter.

show abstract

Section: Discussionmentioning

confidence: 99%

Sexual functioning in patients with lower urinary tract dysfunction improves after percutaneous tibial nerve stimulation

2006

View full text Add to dashboard Cite

show abstract

“…4,[6][7][8][9] The current analysis from the PCAW program provides one of the largest known studies, which adjusted for the apparent effect of other known risk factors on sexual health including age, comorbidities, smoking and testosterone level. Further to our knowledge, it is the first analysis to address the effect of race on the overall sexual health in a large cohort of men in the USA.…”

Section: Correlation Between Luts and Edmentioning

confidence: 99%

“…2 Several large studies have reported that LUTS severity is a major risk factor for ED second only to aging. 3,4 It is of importance to evaluate sexual function when patients present with LUTS because treatment of LUTS may improve sexual dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Correlation between LUTS (AUA-SS) and erectile dysfunction (SHIM) in an age-matched racially diverse male population: data from the Prostate Cancer Awareness Week (PCAW)

et al. 2005

View full text Add to dashboard Cite

The relationship between lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia and sexual health in men participating in a national multicenter screening program was studied. A total of 12 679 men were screened for prostate cancer in the year 2003. Of these, 6641 men had completed both the American Urological Association Symptom Score (AUA-SS) and the Sexual Health Inventory for Men (SHIM) questionnaires. We assessed the apparent effect of comorbidities (ischemic heart disease, hypertension, hypercholesteremia and diabetes), smoking habits and testosterone level on the overall sexual health. Age and race were also assessed as factors affecting the SHIM score. We used a general linear multivariable regression analysis to express the effect of these variables on the sexual health in these men adjusting for the apparent effect of LUTS. The mean and median age of the population was 58.479.8 and 58 y, respectively. The median AUA-SS was 4/25 (mean ¼ 5.775.3) and SHIM score was 19/25 (mean ¼ 16.375.9). Of the men, 4948 (75%) were Caucasian and 1154 (17%) were from African-American racial origin. A high AUA-SS appears to have a negative effect on the overall sexual health (Po0.05) after adjusting for all other confounding factors. As expected, age showed a significant inverse correlation with SHIM score (Po0.05). Caucasian men on average appear to have a significantly higher SHIM score by 6.5 points when compared to African-American men after adjusting for age, comorbidities, smoking habits, and AUA-SS (Po0.05). However, with increasing age, the difference in SHIM score diminishes between the two groups. Further, smoking and comorbidities were strong predictors of poor sexual health performance. Interestingly, hypogonadism (testosterone o300 ng/dl) was not a significant risk factor (P ¼ 0.104) when adjusting for all other variables. Nonetheless, in a univariate analysis, testosterone levels significantly correlated with reported SHIM scores (Po0.05). The overall sexual health in aging men is substantially affected not only by age, but by the severity of their urinary symptoms after adjusting for the most common known risk factors, suggesting perhaps a common underlying pathophysiology. Moreover, race appears to constitute another neglected potential risk factor, which should be investigated further in future studies.

show abstract

“…20 Lower urinary tract symptoms (LUTS) are common in both older men and women and frequently associated with SD. 36 They may represent specific age-related pathology, be it a manifestation of a systemic illness or a resultant of medications used for comorbid conditions. This way illness mediates decline in sexual function by the adverse effect of prescribed medications.…”

Section: Sd and Diseasementioning

confidence: 99%

Sexual dysfunction in the elderly: age or disease?

2005

View full text Add to dashboard Cite

Sexuality is an important component of emotional and physical intimacy that men and women experience through their lives. Male erectile dysfunction (ED) and female sexual dysfunction increase with age. About a third of the elderly population has at least one complaint with their sexual function. However, about 60% of the elderly population expresses their interest for maintaining sexual activity. Although aging and functional decline may affect sexual function, when sexual dysfunction is diagnosed, physicians should rule out disease or side effects of medications. Common disorders related to sexual dysfunction include cardiovascular disease, diabetes, lower urinary tract symptoms and depression. Early control of cardiovascular risk factors may improve endothelial function and reduce the occurrence of ED. Treating those disorders or modifying lifestyle-related risk factors (eg obesity) may help prevent sexual dysfunction in the elderly. Sexuality is important for older adults, but interest in discussing aspects of sexual life is variable. Physicians should give their patient's opportunity to voice their concerns with sexual function and offer them alternatives for evaluation and treatment.

show abstract

Lower Urinary Tract Symptoms (LUTS) and Sexual Function in Both Sexes

Cited by 81 publications

References 24 publications

Sexual functioning in patients with lower urinary tract dysfunction improves after percutaneous tibial nerve stimulation

Sexual functioning in patients with lower urinary tract dysfunction improves after percutaneous tibial nerve stimulation

Correlation between LUTS (AUA-SS) and erectile dysfunction (SHIM) in an age-matched racially diverse male population: data from the Prostate Cancer Awareness Week (PCAW)

Sexual dysfunction in the elderly: age or disease?

Contact Info

Product

Resources

About