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

Cendejas-Gómez, J.J.; Rivera-Ramírez, José Alejandro; Herrera-Cáceres, Jaime O.; Olvera‐Posada, Daniel; Villeda-Sandoval, Christian Isaac; Castillejos-Molina, Ricardo; Feria-Bernal, Guillermo; García-Mora, Arturo; Rodríguez-Covarrubias, Francisco

doi:10.1007/s00345-015-1703-4

Cited by 14 publications

(10 citation statements)

References 22 publications

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“…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.…”

Section: Discussionsupporting

confidence: 92%

“…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.…”

Section: Methodsmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 99%

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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

Plata

Bravo‐Balado

Robledo

et al. 2018

Neurourology and Urodynamics

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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 Aims: To estimate the prevalence of LUTS and overactive bladder (OAB) in the Colombian population. Methods: A cross-sectional, population-based study was conducted in men and women ≥18 years using directed interviews and self-administered questionnaires in five main cities in Colombia. A sample size of 1054 subjects was estimated (prevalence of LUTS/OAB 15%, CI 95%, statistical power 80%, precision 3%). We used a multi-stage probabilistic sampling technique to randomly select individuals in the community, stratified by socioeconomic status, gender, and age. We used the 2002 ICS and 2010 IUGA/ICS definitions as well as validated questionnaires in Spanish. Descriptive statistics were employed. Results: A total of 1060 participants were included. Mean age was 42 (range 18-89) years. The prevalence of at least one LUTS was 84%, while overactive bladder was reported by 31.8% participants. Among individuals with at least one LUTS, 13.2% would feel "mostly unsatisfied," "unhappy," or "terrible" to spend the rest of their lives with their current urinary condition. Nocturia was the most prevalent LUTS (55.3%), followed by urgency (46.4%) and frequency (45.8%). Urge, stress, and mixed urinary incontinence were reported by 15.3%, 8.6%, and 7% of participants, respectively. Conclusions: LUTS are highly prevalent in the Colombian population and severely affect quality of life. This is the first study conducted in Colombia and Latin America focused on evaluating LUTS in men and women of all age groups of interest using a multi-stage probabilistic sampling technique. These results may have a significant influence on health decision-making and assessment of future therapies. K E Y W O R D Slower urinary tract symptoms, mixed urinary incontinence, overactive bladder, prevalence, quality of life, urinary incontinence Alan Wein led the peer-review process as the Associate Editor responsible for the paper. 200 |

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Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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

Plata

Bravo‐Balado

Robledo

et al. 2018

Neurourology and Urodynamics

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“…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 .…”

Section: Discussionmentioning

confidence: 77%

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

Gomes

Averbeck

Koyama³

et al. 2020

Current Medical Research and Opinion

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Objective: To evaluate the effect of individual lower urinary tract symptoms (LUTS) and LUTS-specific bother on daily/leisure activities, work productivity and treatment behaviors and satisfaction in a Brazilian population reporting symptoms of the overactive bladder (OAB) syndrome. Methods: Secondary analysis of Brazil LUTS study data, including individuals 40 years old with a possible diagnosis of OAB, based on a score of 8 on the OAB-V8 questionnaire. Participants used a 5-point Likert scale to rate occurrence of LUTS during the previous month. Regression models were constructed to analyze association of symptom frequency and bother, controlled for demographics, comorbid conditions, habits and body mass index, to outcomes related to people's lives and treatment patterns. Results: This analysis included 5184 individuals (53% female), 24.4% of whom received a possible diagnosis of OAB. There was a greater likelihood of OAB symptoms in men reporting depression/anxiety (2.0 times), diabetes (1.8 times), or constipation (1.9 times) and women reporting depression/anxiety (2.6 times), constipation (1.7 times), and being overweight (1.4 times) or obese (1.8 times). Symptoms of all categories, including voiding, storage, and post-micturition, were associated with a negative impact on individuals' lives, quality of life and treatment-related outcomes. Treatment seeking for OAB was low among men and women overall (35.1 and 43.6%, respectively), with highest rates among individuals in the 60-69 age group. Conclusions: LUTS of all categories impacted all domains studied. These results highlight the importance of comprehensive LUTS assessment in OAB patients, including voiding, storage and post-micturition symptoms.

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“…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, ).…”

Section: Discussionmentioning

confidence: 98%

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

Wang

Zhang

et al. 2019

Andrologia

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To compare the impact of plasma button transurethral vapour enucleation of the prostate (PVEP) and plasmakinetic resection of the prostate (PKRP) on lower urinary tract symptoms and sexual function in patients with benign prostatic enlargement (BPE) >90 ml. Between July 2017 and August 2018, 101 patients with symptomatic BPE were randomly, prospectively assigned to either PKRP or PVEP in our department. The clinical characteristics and sexual function were evaluated before and after surgery. Post‐void residual volume, IPSS and QoL were all significantly decreased compared with baseline data in each group, while Qmax was significantly increased. The IIEF‐5 score showed a slight but nonsignificant increase in both groups at 3 and 6 months after surgery, and there was no significant difference between the two groups. The post‐operative rate of reduced ejaculate volume was significantly higher than the pre‐operative rate in PKRP group, while there was no significant difference in PVEP group. PVEP had an attenuated effect on no ejaculate compared with PRKP, and they both had a significantly negative effect on no ejaculate. PVEP is an effective and minimally invasive procedure for large prostate. Compared with PKRP, PVEP has no effect on erectile dysfunction and has a lower negative impact on ejaculation.

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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.

Cited by 14 publications

References 22 publications

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

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

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

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

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