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Relationship between Hypogonadal Symptoms, Sexual Dysfunction and Chronic Prostatitis in Middle-Aged Men by Self-Reported Questionnaires, even without Biochemical Testosterone Deficiency

The World Journal of Men′s Health 2020년 38권 2호 p.243 ~ 249
Lee Min-Ho, 서덕하, 이천우, 최재휘, Jeh Seong-Uk, 이신우, 최세민, 화정석, 현재석, 정기현, 감성철,
소속 상세정보
 ( Lee Min-Ho ) - Gyeongsang National University Changwon Hospital Department of Urology
서덕하 ( Seo Deok-Ha ) - Gyeongsang National University Changwon Hospital Department of Urology
이천우 ( Lee Chun-Woo ) - Gyeongsang National University Changwon Hospital Department of Urology
최재휘 ( Choi Jae-Hwi ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Urology
 ( Jeh Seong-Uk ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Urology
이신우 ( Lee Sin-Woo ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Urology
최세민 ( Choi See-Min ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Urology
화정석 ( Hwa Jeong-Seok ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Urology
현재석 ( Hyun Jae-Seog ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Urology
정기현 ( Chung Ky-Hyun ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Urology
감성철 ( Kam Sung-Chul ) - Gyeongsang National University Changwon Hospital Department of Urology

Abstract


Purpose: To investigate the association of erectile dysfunction (ED), premature ejaculation (PE), and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) in men with late-onset hypogonadism (LOH).

Materials and Methods: We reviewed the data of 408 enrolled men between January 2014 and January 2019. All participants completed the Androgen Deficiency in the Aging Male (ADAM), international index of erectile function-5 (IIEF-5), National Institutes of Health chronic prostatitis symptom index (NIH-CPSI), and premature ejaculation diagnostic tool (PEDT) questionnaires. Participants were divided by ADAM positive (ADAM+: Group 1) and ADAM negative (ADAM?: Group 2).

Results: Total of 289 subjects were in Group 1 and 119 were in Group 2. The mean age was 53.8±7.8 years. The mean total testosterone was 4.8±1.2 ng/dL and showed no differences between the groups (p=0.839). In Groups 1 and 2, ED (IIEF≤21) was identified in 233 (80.6%) versus 37 (31.1%), respectively (p<0.001). The prevalence of PE (PEDT≥9) was 112 (38.7%) versus 13 (10.9%) in Groups 1 and 2, respectively (p<0.001). However, PE (intravaginal ejaculation latency time<5 minutes) showed no differences between the groups (p=0.863). The incidence of chronic prostatitis (NIH-CPSI pain score≥4) showed significant differences with 49 (17.0%) versus 8 (6.7%) in Groups 1 and 2, respectively (p=0.007). IIEF-5 total score showed the significantly highest negative correlation (r=?0.313, p<0.001).

Conclusions: Those who complained of LOH symptoms and positive results in the ADAM questionnaire need to be assessed concurrently with the above questionnaires. This could aid useful to detect of ED, PE, and chronic prostatitis co-occurrence.

키워드

Erectile dysfunction; Hypogonadism; Premature ejaculation; Prostatitis; Questionnaires

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