Evaluation of the Lower Urinary Tract Symptoms and Erectile Dysfunction with Uroflowmetry, IPSS and IIEF Questioniares

Abstract

Objective This study was conducted to investigate the relationship between lower urinary tract symptoms (LUTS) and erectile dysfunction (ED) in aging men. The population of elderly men in Turkey has increased through last two decades. Therefore, problems of aging men had found growing scientific attention in our country. In this study, we investigated the association between LUTS and ED, while considering the other concomitant factors for ED, including severity of urinary symptoms according to uroflowmetric measurements. Materials and Methods A cross-sectional study was carried out with 213 consecutive male subjects. Age, blood analysis and uroflowmetry scores were evaluated. All patients completed the International Index of Erectile Function (IIEF) form and International Prostate Symptom Score (IPSS) (reflecting LUTS) questionnaires. Results The eligible patients with a mean age of 60.38 +/- 7.53 years were enrolled in this study. ED was reported in 66 (31%) patients according to IIEF scores. Severe prostate symptoms according to the IPPS scores were compatible with the severity of uroflowmetry measurements. Overall IPSS scores were significantly associated with ED (p<0.01). In addition, an association between the severity of ED and LUTS was observed (p<0.05). The mean quality of life assessment in the IPSS revealed a statistically significant difference between individuals with varying degrees of ED (p<0.01). Conclusion The relationship between increasing LUTS severity and sexual dysfunction is independent of the impact of comorbid conditions and increasing age. Sexual history and therapeutic management of ED are important in aging men for better quality of life.