Objective To evaluate quantitatively and qualitatively lation between age and the sexual symptom scores for each of the three categories (sexual drive, erection the degree of sexual dysfunction in an unselected population of men attending a prostate-assessment and ejaculation), but no correlation between age and the problem assessment scores for these domains, clinic using a sexual-function inventory, and to ascertain the degree of correlation between sexual dysfuncsuggesting that the older patients are just as bothered by their sexual dysfunction as the younger men. tion, urinary symptoms and age.Patients and methods In all, 168 men with symptomatic Furthermore, the BPHII scores correlated weakly but significantly with all aspects of sexual function, includ-BPH attending a prostate assessment clinic were investigated prospectively using the International ing overall sexual satisfaction, in contrast to the poor correlation seen with the total IPSS and sexual funcProstate Symptom Score (IPSS), BPH Impact Index (BPHII), a measurement of urinary flow rate and tion scores. Conclusion There is a significant number of patients residual urine volume, and a sexual function questionnaire. The results were assessed using Spearman's with symptomatic BPH who have sexual dysfunction, with the proportion increasing with advancing age rank order correlation to discern any correlations between the measured variables.and with the older men still showing a high degree of bother from their symptoms. Sexual function scores Results The data from 140 patients were available for analysis; of these, low scores were obtained in 59% were better correlated with BPHII scores than with the total IPSS, although some of the individual IPSS for sexual drive, in 56% for erections (with 46% of men satisfying the National Institute of Health criquestions correlated well. Keywords Benign prostatic hyperplasia, sexual function, terion for impotence) and in 38% for ejaculation. There was a statistically significant rank order correquestionnaire, age, correlation toms, using the BPH impact index (BPHII) [5]. However,

In patients with ureteric obstruction secondary to malignancy or medical conditions excluding them from more invasive surgery, EAS provide a further therapeutic option instead of a permanent nephrostomy, which has associated inherent problems. This technique is not without potential problems and careful selection of patients remains vital in this difficult area.

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