Lower urinary tract symptoms (LUTS) and sexual function in both sexes
Lower urinary tract symptoms (LUTS) and sexual function in both sexes
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DOI：
10.1016/j.eururo.2004.04.005
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发表时间：
2004-08-01
期刊：
影响因子：
23.4
通讯作者：
Hansen, BL
中科院分区：
文献类型：
--
作者：
Hansen, BL
目的：有人指出，下尿路症状 (LUTS) 不会对性功能产生任何显着影响，但最近的一项研究表明，这在男性中可能存在关联。本研究旨在调查 40-65 岁男性和女性 LUTS 与性问题的关系。 方法：该调查于 2003 年 5 月至 6 月在丹麦进行。随机抽取 15,000 名 40-65 岁男性和女性，邮寄详细调查问卷。通过经过验证的症状量表评估 LUTS 和性功能。使用逻辑回归对性功能的二分因变量进行多变量回归分析。两性的自变量为年龄、LUTS、伴侣状况、体重指数 (BMI)、饮酒量和合并症。 结果：共发出 15,000 份调查问卷，完成并退回 8491 份，其中 7741 份被认为有价值并纳入分析。 LUTS 和性功能障碍在男性和女性中都很常见。对男性勃起问题和性生活满意度以及女性性功能相关项目进行Logistic回归分析显示，LUTS是40-65岁男性和女性性功能障碍的独立危险因素。还发现伴侣状态和合并症等自变量对性功能有显着影响。 结论： LUTS 的存在是男性和女性性功能障碍的独立危险因素。这些结果强调了评估性功能障碍患者 LUTS 的临床重要性，以及在治疗 LUTS 患者时考虑性问题的必要性。 (C) 2004 Elsevier B.V. 保留所有权利。
Objectives: It has been stated that lower urinary tract symptoms (LUTS) do not affect sexual function to any significant degree, but a recent study has suggested that there might be an association in men. The present study was conducted to investigate the relationship between LUTS and sexual problems in both men and women aged 40-65 years.Methods: The survey was conducted in Denmark between May and June 2003. Detailed questionnaires were mailed to a random sample of 15,000 men and women aged 40-65 years. LUTS and sexual function were assessed by validated symptom scales. Multivariate regression analysis was performed using logistic regression for dichotomous dependent variables of sexual function. The independent variables for both sexes were age, LUTS, partner status, body mass index (BMI), alcohol consumption and co-morbidities.Results: A total of 15,000 questionnaires were mailed out, 8491 were completed and returned, and 7741 were deemed valuable and included in the analysis. LUTS and sexual dysfunction were common in both men and women. Logistic regression analysis of items related to erection problems and satisfaction with sex life in men and sexual function in women showed that LUTS are an independent risk factor for sexual dysfunction in both men and women aged 40-65 years. Significant effects on sexual function were also found for the independent variables of partner status and co-morbidities.Conclusions: The presence of LUTS is an independent risk factor for sexual dysfunction in men and women. These results highlight the clinical importance of evaluating LUTS in patients with sexual dysfunction, and the need to consider sexual issues in the management of patients with LUTS. (C) 2004 Elsevier B.V. All rights reserved.