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Published in: International Urology and Nephrology 3/2011

01-09-2011 | Urology – Original Paper

The correlation between international prostate symptoms score and sexual health inventory in men with lower urinary tract symptoms

Authors: Abdul R. Nasir, Ali Akbar Zehri, Farhat Abbas, M. Hammad Ather

Published in: International Urology and Nephrology | Issue 3/2011

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Abstract

Objective

Lower urinary tract symptoms (LUTS) are common in aging men and are often associated with erectile dysfunction (ED). The International Prostate Symptoms Score (IPSS) and the Sexual Health Inventory for Men (SHIM) are commonly used validated instruments for LUTS and ED, respectively. We explored the correlation between LUTS (assessed by IPSS) and ED (assessed by SHIM) in men over 40 years of age.

Methods

A total of 585 men, 40 years and above, who presented with LUTS were prospectively enrolled into the study at single tertiary academic center. All patients were evaluated using SHIM and IPSS questionnaires. The self-administered IPSS and SHIM questionnaires were translated in the local language (not validated yet) as well. The data were analyzed using SPSS version 13.0. The correlation coefficient between IPSS and SHIM scores were determined, and the scatter diagram was made.

Results and limitations

The mean age (SD) of the group was 59.61 ± 11.75 years. The correlation between age and ED was statistically significant (P value < 0.001) with coefficient of 0.376. The correlation between age and LUTS was statistically significant (P value < 0.001) with coefficient of 0.312. Additionally, the correlation between ED and LUTS was statistically significant (P value < 0.001) with coefficient of 0.336.

Conclusions

We noted a significant correlation between the severity of LUTS and ED, while confirming the earlier established correlation between age, LUTS, and ED. The exact nature of this relationship and its pathophysiology needs to be determined by further studies.
Literature
1.
go back to reference Glina S, Santana AW, Azank F, Mello LF, Moreira ED Jr (2006) Lower urinary tract symptoms and erectile dysfunction are highly prevalent in ageing men. BJU Int 97:763–765PubMedCrossRef Glina S, Santana AW, Azank F, Mello LF, Moreira ED Jr (2006) Lower urinary tract symptoms and erectile dysfunction are highly prevalent in ageing men. BJU Int 97:763–765PubMedCrossRef
2.
go back to reference Rosen RC (2006) Assessment of sexual dysfunction in patients with benign prostatic hyperplasia. BJU Int 97:29–33PubMedCrossRef Rosen RC (2006) Assessment of sexual dysfunction in patients with benign prostatic hyperplasia. BJU Int 97:29–33PubMedCrossRef
3.
go back to reference Rosen RC, Carson C, Giuliano F (2005) Sexual dysfunction and lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH). Eur Urol 47:824–837PubMedCrossRef Rosen RC, Carson C, Giuliano F (2005) Sexual dysfunction and lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH). Eur Urol 47:824–837PubMedCrossRef
4.
go back to reference Shaeer KZ, Osegbe DN, Siddiqui SH, Razzaque A, Glasser DB (2003) Jaguste V Prevalence of erectile dysfunction and its correlates among men attending primary care clinics in three countries: Pakistan, Egypt, and Nigeria. Int J Impot Res 15:8–14CrossRef Shaeer KZ, Osegbe DN, Siddiqui SH, Razzaque A, Glasser DB (2003) Jaguste V Prevalence of erectile dysfunction and its correlates among men attending primary care clinics in three countries: Pakistan, Egypt, and Nigeria. Int J Impot Res 15:8–14CrossRef
5.
go back to reference Li MK, Garcia LA, Rosen R (2005) Lower urinary tract symptoms and male sexual dysfunction in Asia: a survey of ageing men from five Asian countries. BJU Int 96:1339–1354PubMedCrossRef Li MK, Garcia LA, Rosen R (2005) Lower urinary tract symptoms and male sexual dysfunction in Asia: a survey of ageing men from five Asian countries. BJU Int 96:1339–1354PubMedCrossRef
6.
go back to reference Ponholzer A, Temml C, Mock K, Marszalek M, Obermayr R, Madersbacher S (2005) Prevalence and risk factors for erectile dysfunction in 2869 men using a validated questionnaire. Eur Urol 47:80–85PubMedCrossRef Ponholzer A, Temml C, Mock K, Marszalek M, Obermayr R, Madersbacher S (2005) Prevalence and risk factors for erectile dysfunction in 2869 men using a validated questionnaire. Eur Urol 47:80–85PubMedCrossRef
7.
go back to reference Khawaja MY (2005) Sexual dysfunction in male patients taking antipsychotics. J Ayub Med Coll Abbottabad 17:73–75PubMed Khawaja MY (2005) Sexual dysfunction in male patients taking antipsychotics. J Ayub Med Coll Abbottabad 17:73–75PubMed
8.
go back to reference Shah F, Sultan A, Dar SI (2004) Depression and prevalence of sexual dysfunction. Pak J Med Res 43:104–107 Shah F, Sultan A, Dar SI (2004) Depression and prevalence of sexual dysfunction. Pak J Med Res 43:104–107
9.
go back to reference Fitzpatrick JM (2006) The natural history of benign prostatic hyperplasia. BJU Int 97:21–22 Fitzpatrick JM (2006) The natural history of benign prostatic hyperplasia. BJU Int 97:21–22
10.
go back to reference Cappelleri JC, Siegel RL, Glasser DB, Osterloh IH, Rosen RC (2001) Relationship between patient self-assessment of erectile dysfunction and the sexual health inventory for men. Clin Ther 23:1707–1719PubMedCrossRef Cappelleri JC, Siegel RL, Glasser DB, Osterloh IH, Rosen RC (2001) Relationship between patient self-assessment of erectile dysfunction and the sexual health inventory for men. Clin Ther 23:1707–1719PubMedCrossRef
11.
go back to reference Panser LA, Rhodes T, Girman CJ, Guess HA, Chute CG, Oesterling JE, Lieber MM, Jacobsen SJ (1995) Sexual function of men ages 40 to 70 years: the Olmsted County Study of urinary symptoms and health status among men. J Am Geriatr Soc 43:1107–1111PubMed Panser LA, Rhodes T, Girman CJ, Guess HA, Chute CG, Oesterling JE, Lieber MM, Jacobsen SJ (1995) Sexual function of men ages 40 to 70 years: the Olmsted County Study of urinary symptoms and health status among men. J Am Geriatr Soc 43:1107–1111PubMed
12.
go back to reference Morley JE (1988) Impotence in older men. Hosp Pract 23:139–142 Morley JE (1988) Impotence in older men. Hosp Pract 23:139–142
13.
go back to reference Laumann EO, Paik A, Rosen RC (1999) Sexual dysfunction in the United States: prevalence and predictors. JAMA 281:537–544PubMedCrossRef Laumann EO, Paik A, Rosen RC (1999) Sexual dysfunction in the United States: prevalence and predictors. JAMA 281:537–544PubMedCrossRef
14.
go back to reference Nicolosi A, Moreira ED Jr, Bin Mohd Tambi MI, Shirai M, Glasser DB (2003) Epidemiology of erectile dysfunction in four countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology 61:201–206PubMedCrossRef Nicolosi A, Moreira ED Jr, Bin Mohd Tambi MI, Shirai M, Glasser DB (2003) Epidemiology of erectile dysfunction in four countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology 61:201–206PubMedCrossRef
15.
go back to reference Chung WS, Nehra A, Jacobsen DJ et al (2004) Lower urinary tract symptoms and sexual dysfunction in community—dwelling men. Mayo Clin Proc 79:745–749PubMedCrossRef Chung WS, Nehra A, Jacobsen DJ et al (2004) Lower urinary tract symptoms and sexual dysfunction in community—dwelling men. Mayo Clin Proc 79:745–749PubMedCrossRef
16.
go back to reference Berry SJ, Coffey DS, Walsh PC, Ewing LL (1984) The development of human benign prostatic hyperplasia with age. J Urol 132:474–479PubMed Berry SJ, Coffey DS, Walsh PC, Ewing LL (1984) The development of human benign prostatic hyperplasia with age. J Urol 132:474–479PubMed
17.
go back to reference Rosen R, Altwein J, Boyle P et al (2003) Lower urinary tract symptoms and male sexual dysfunction: the multinational survey of the aging male(MSAM-7). Eur Urol 44:637–649PubMedCrossRef Rosen R, Altwein J, Boyle P et al (2003) Lower urinary tract symptoms and male sexual dysfunction: the multinational survey of the aging male(MSAM-7). Eur Urol 44:637–649PubMedCrossRef
18.
go back to reference Bloch W, Klotz T, Loch C, Schmidt G, Engelmann U, Addicks K (1997) Distribution of nitric oxide synthase implies a regulation of circulation, smooth muscle tone, and secretory function in the human prostate by nitric oxide. Prostate 33:1–8PubMedCrossRef Bloch W, Klotz T, Loch C, Schmidt G, Engelmann U, Addicks K (1997) Distribution of nitric oxide synthase implies a regulation of circulation, smooth muscle tone, and secretory function in the human prostate by nitric oxide. Prostate 33:1–8PubMedCrossRef
19.
go back to reference Klotz T, Bloch W, Loch C, Engelmann U, Addicks K (1997) Pattern of distribution of Constitutive isoforms of nitrous oxide synthase in the normal prostate and obstructive prostate hyperplasia. Urologe A 36:318–322PubMedCrossRef Klotz T, Bloch W, Loch C, Engelmann U, Addicks K (1997) Pattern of distribution of Constitutive isoforms of nitrous oxide synthase in the normal prostate and obstructive prostate hyperplasia. Urologe A 36:318–322PubMedCrossRef
20.
go back to reference Moreland RB, Traish A, McMillin MA et al (1995) PGE1 suppresses the induction of collagen synthesis by transforming growth factor-b1 in human corpus cavernosum smooth muscle. J Urol 153:826–834PubMedCrossRef Moreland RB, Traish A, McMillin MA et al (1995) PGE1 suppresses the induction of collagen synthesis by transforming growth factor-b1 in human corpus cavernosum smooth muscle. J Urol 153:826–834PubMedCrossRef
21.
go back to reference Kim N, Vardi Y, Padma-Nathan H et al (1993) Oxygen tension regulates the nitric oxide pathway Physiological role in penile erection. J Clin Invest 91:437–442PubMedCrossRef Kim N, Vardi Y, Padma-Nathan H et al (1993) Oxygen tension regulates the nitric oxide pathway Physiological role in penile erection. J Clin Invest 91:437–442PubMedCrossRef
22.
go back to reference Moreland RB (1998) Is there a role of hypoxemia in penile fibrosis: a viewpoint presented to the society for the study of impotence. Int J Impot Res 10:113–120PubMedCrossRef Moreland RB (1998) Is there a role of hypoxemia in penile fibrosis: a viewpoint presented to the society for the study of impotence. Int J Impot Res 10:113–120PubMedCrossRef
23.
go back to reference Dahiya R, Chui R, Perinchery G et al (1999) Differential gene expression of growth factors in young and old rat penile tissues is associated with erectile dysfunction. Int J Impot Res 11:201–206PubMedCrossRef Dahiya R, Chui R, Perinchery G et al (1999) Differential gene expression of growth factors in young and old rat penile tissues is associated with erectile dysfunction. Int J Impot Res 11:201–206PubMedCrossRef
24.
go back to reference Luangkhot R, Rutchik S, Agarwal V et al (1992) Collagen alterations in the corpus cavernosum of men with sexual dysfunction. J Urol 148:467–471PubMed Luangkhot R, Rutchik S, Agarwal V et al (1992) Collagen alterations in the corpus cavernosum of men with sexual dysfunction. J Urol 148:467–471PubMed
25.
go back to reference Sattar AA, Salpigides G, Vanderhaeghen JJ et al (1995) Cavernous oxygen tension and smooth muscle fibers: relation and function. J Urol 154:1736–1739PubMedCrossRef Sattar AA, Salpigides G, Vanderhaeghen JJ et al (1995) Cavernous oxygen tension and smooth muscle fibers: relation and function. J Urol 154:1736–1739PubMedCrossRef
26.
go back to reference Wespes E, Raviv G, Vanegas JP et al (1998) Corporeal veno-occlusive dysfunction: a distal arterial pathology? J Urol 160:2054–2057PubMedCrossRef Wespes E, Raviv G, Vanegas JP et al (1998) Corporeal veno-occlusive dysfunction: a distal arterial pathology? J Urol 160:2054–2057PubMedCrossRef
Metadata
Title
The correlation between international prostate symptoms score and sexual health inventory in men with lower urinary tract symptoms
Authors
Abdul R. Nasir
Ali Akbar Zehri
Farhat Abbas
M. Hammad Ather
Publication date
01-09-2011
Publisher
Springer Netherlands
Published in
International Urology and Nephrology / Issue 3/2011
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-010-9888-3

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