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. 2020 May-Jun;46(3):374-380.
doi: 10.1590/S1677-5538.IBJU.2019.0162.

Profile of sexuality and symptoms of lower urinary tract in non-institutionalized elderly

Khaled Ahmed Taha  1 , Flavio Trigo Rocha  2   3 , Lisias Castilho  4
Affiliations

Profile of sexuality and symptoms of lower urinary tract in non-institutionalized elderly

Khaled Ahmed Taha et al. Int Braz J Urol. 2020 May-Jun.

Abstract

Introduction: Urinary or sexual dysfunction in the elderly are underreported. However, they are highly prevalent. This study aims to identify the prevalence of these conditions.

Objective: The aim is to carry out an investigation in non-institutionalized individuals over 60 years of age, to obtain data on its sexual and urinary health in São Paulo, Campinas, Santo André and Londrina.

Results: 6.000 questionnaires were distributed, and 3425 were included in the study, for the analysis of the questionnaires separately. In relation to ADAM, 92% of the 1385 evaluated were suspicious of androgen deficiency (ADAM). As for the male sexual function, it was observed 37% of premature ejaculation. As for the female sexual function, 1300 (74%) did not practice sexual intercourse and the main reasons were: lack of partner and lack of sexual desire. In addition, 988 (78%) of women who had no sexual intercourse responded that they didn't want sex and, more importantly, about 22% of them would like to have sexual intercourse. International prostate symptom score (IPSS) showed gradual worsening of urinary symptoms with increasing age, being the most prevalent: nocturia and urinary urgency. As for the female IPSS, we noted that even after 80 years, the majority have mild symptoms related to voiding dysfunction; with increasing age there is a gradual increase in the result of the IPSS.

Conclusion: Due to the large number of sexual and urinary disorders found, we recommend the improve-ment in health conditions, promoting a better quality of life in the elderly.

Keywords: Erectile Dysfunction; Lower Urinary Tract Symptoms; Women.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1. ADAM Questionnaire-Total positive: 92%.
Figure 2
Figure 2. Results of premature ejaculation.
Figure 3
Figure 3. Result of the monthly sexual intercourse of women.
See this image and copyright information in PMC

Comment in

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