The role of BPH, lower urinary tract symptoms, and PSA levels on erectile function of Brazilian men who undergo prostate cancer screening

The Journal of Sexual Medicine
Alberto A AntunesGeraldo C Freire

Abstract

Lower urinary tract symptoms (LUTS) and erectile dysfunction (ED) are common problems in middle-aged and older men. Recently, epidemiologic studies have shown significant associations between severity of LUTS and male sexual dysfunction. We analyzed the role of prostate enlargement, LUTS, and prostate specific antigen (PSA) levels in the erectile function of Brazilian men who underwent prostate cancer (PCa) screening. We analyzed data from 1,008 consecutive patients enrolled in a PCa screening program. Benign prostatic hyperplasia (BPH) was defined as a prostate weight greater than 30 g as defined by digital rectal examination. For statistical analysis, we used the chi-squared and analysis of variance tests. The odds ratios (OR) for correlation of ED with prostate volume LUTS and PSA were estimated using logistic regression models. The American Urological Association (AUA) symptom score for LUTS and the International Index of Erectile Function. Mean patient age was 61.2 years (45-87) and median PSA value was 1.9 ng/mL. BPH was identified in 48.5% of patients. Mild, moderate, and severe LUTS were found in 52.3%, 30.9%, and 16.8% of cases, respectively. ED was classified as absent, mild, mild to moderate, moderate, and severe in ...Continue Reading

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Citations

Jul 28, 2013·Current Bladder Dysfunction Reports·M GacciM Carini
Jan 23, 2010·The Journal of Sexual Medicine·Rosemary BassonLuca Incrocci
Nov 17, 2009·The Journal of Sexual Medicine·Giovanni CoronaMario Maggi
Jan 14, 2009·The Journal of Sexual Medicine·Steven MorantChristopher Chapple
Nov 28, 2009·The Urologic Clinics of North America·Wade Bushman
Apr 1, 2008·European Urology·Michael PinkawaMichael J Eble

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