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. 2012;65(3):135-8.
doi: 10.5173/ceju.2012.03.art7. Epub 2012 Sep 4.

Assessing the Influence of Benign Prostatic Hyperplasia (BPH) on Erectile Dysfunction (ED) among patients in Poland

Sławomir Dutkiewicz  1 , Dariusz Skawiński  2 , Wiesław Duda  3 , Magdalena Duda  3
Affiliations

Assessing the Influence of Benign Prostatic Hyperplasia (BPH) on Erectile Dysfunction (ED) among patients in Poland

Sławomir Dutkiewicz et al. Cent European J Urol. 2012.

Abstract

Introduction: Erectile dysfunction (ED) and the lower urinary tract symptoms caused by benign prostatic hyperplasia (LUTS/BPH) are highly prevalent among aging men. More data are needed from studies evaluating the impact of LUTS/BPH on ED. This study aimed to assess ED in patients with LUTS/BPH independent of comorbidities.

Material and methods: During 2007 and 2008, we examined 10,932 patients aged 50 to 69 years with LUTS/BPH (IPSS = 8-19 points) using questionnaires: Sex-Score and International Index of Erectile Function 5 (IIEF-5). Patients who used alcohol and/or cigarettes and those with hypertension, diabetes, or hyperlipidemia and cholesterolemia were excluded from meta analyses, which left 4,354 patients with LUTS/BPH without any comorbidity for the analyses. The main survey instruments used were the Sex-Score and IIEF-5.

Results: Regarding sexual coexistence, 1,497 (34.4%) and 2,638 (60.6%) patients considered it very important or important respectively; however, 219(5%) patients reported no sexual activity. After excluding sexually inactive patients, only 1,088 (25%) patients had the ability to obtain an erection during sexual activity always or nearly always. However, that erection was only strong enough to penetrate their partner almost always or most of the time in 218 (5%) and 826 (19%) patients respectively and only 610 (14%) patients were always able to maintain their erection during sexual intercourse. While only 87 (2%) patients had no difficulty maintaining their erection until the completion of intercourse, 174 (4%) and 914 (21%) patients stated that sexual intercourse gave satisfaction nearly always or most of the time respectively.

Conclusions: The impact of ED on patients with LUTS/BPH is evident across domains.

Keywords: International Index of Erectile Function 5; International Prostate Symptom Score; benign prostatic hyperplasia; erectile dysfunction; lower urinary tract symptoms.

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Figures

Fig. 1
Fig. 1
Rating the importance of sexual coexistence among the examined patients with BPH.
Fig. 2
Fig. 2
Rating the importance of obtaining a full erection and ejaculation among the examined patients with BPH.
Fig. 3
Fig. 3
Assessing the importance of obtaining a full erection and maintaining it among the examined patients with BPH.
Fig. 4
Fig. 4
Assessing the ability to maintain erection until end of sexual intercourse among the examined patients with BPH.
Fig. 5
Fig. 5
Assessing achievement of satisfaction from sexual intercourse among the examined patients with BPH.
Fig. 6
Fig. 6
Results of the Sex-Score questionnaire the examined patients with BPH.
Fig. 7
Fig. 7
Results of the IIEF-5 questionnaire among the examined patients with BPH.
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