The correlation between lower urinary tract symptoms (LUTS) and erectile dysfunction (ED): results from a survey in males from Mexico City (MexiLUTS)

Abstract

LUTS and ED may represent one of the largest sources of morbidity in our population, and their association was demonstrated. Awareness on these entities should be raised, and further research is required to determine the higher frequency of LUTS and ED in Hispanics.

Prevalence of lower urinary tract symptoms and overactive bladder in men and women over 18 years old: The Colombian overactive bladder and lower urinary tract symptoms (COBaLT) study

“…The MexiLUTS study published in 2015 surveyed 1041 males to estimate the frequency of LUTS and erectile dysfunction. 10 Consistent with our results, they found that the most commonly reported symptom was nocturia (72.4%). However, a probabilistic sampling technique was not used and the study was conducted in only one center, which might have threatened the external validity of their results.…”

“…11 These definitions were modified for practical reasons and better patient understanding. LUTS were defined as subjective indicators of disease or change in condition as perceived by the patient, and were classified using the International Prostate Symptom Score (IPSS) as mild (1-7), moderate (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), and severe (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35). The prevalence of individual LUTS (ie, urinary frequency, urgency, nocturia, intermittency, weak stream, straining, and incomplete voiding) were determined as ≥1 point in the IPSS for each symptom.…”

“…7 This poses a problem of great importance, both for the people who suffer from these symptoms, which compromise their quality of life (QoL), 5,7,8 and for the healthcare system, considering these represent frequent complaints at all levels of medical care, resulting in higher healthcare services use and costs. 9 Although the assessment of LUTS in Latin Americans has been attempted by other authors, the evidence in this population remains scarce and focuses mainly on men 10 and older adults. 5 In addition, the Hispanic cohort of subjects in studies from North America and Europe is small, 3 leading physicians to base their knowledge on international data, ignoring racial and socioeconomic differences.…”

Impact of OAB symptoms on work, quality of life and treatment-seeking behavior in Brazil

“…A similar rate of treatment seeking was reported in the EPIC study, with 38% of patients seeking treatment 21 . Likewise, in the MexiLUTS study, surprisingly few (14.6%) men sought treatment, despite the frequency and bother due to LUTS, and the relatively high education level in this cohort (75% had at least high school education) 22 . There are numerous reasons for such variation in reported rates of treatment seeking in patients with OAB, including study design, cultural stigma and belief that LUTS are a natural occurrence with aging and are not treatable or curable 23 .…”

Impact on sexual function of plasma button transurethral vapour enucleation versus plasmakinetic resection of the large prostate >90 ml: Results of a prospective, randomized trial

“…To date, there have been few reports on the impact of PVEP on sexual function. Recent reports show that LUTS severity is positively correlated with ED (Gonzalez‐Sanchez et al, ; İrer, Çelikhisar, Çelikhisar, Bozkurt, & Demir, ). Moreover, multivariate analysis showed that LUTS can be considered an age‐independent risk factor for ED (Hallanzy et al, ).…”