ASSOCIATION OF ERECTILE DYSFUNCTION AND PREMATURE EJACULATION IN MEN WITH CHRONIC PROSTATITIS
1Department of Urology, Gyeongsang National University Changwon hospital, Changwon, Gyeongsang National University School of Medicine, Jinju, Korea
2Department of Urology, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Institutes of Health Science, 79 Gangnam-ro, Jinju, Korea
DOI: 10.15586/jomh.v16iSP1.185 Vol.16,Issue SP1,April 2020 pp.13-22
Published: 01 April 2020
Background and objective
Although several studies have reported that sexual dysfunction is associated with chronic prostatitis (CP), specific differences in self-reported questionnaires and correlation with CP are not well-known. This study aimed to evaluate the prevalence and correlation of sexual dysfunction in men with CP.
Material and methods
This cross-sectional study included 892 men who visited our health care center, who were then divided into two groups. In Group 1, subjects are characterized with National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) pain score ≥4, and Group 2 subjects are characterized with NIH-CPSI<4. Intravaginal Ejaculation Latency Time, Premature Ejaculatory Diagnostic Tool (PEDT), Male Sexual Health Questionnaire-ejaculation, International Index of Erectile Function (IIEF), and IIEF-5 were self-reported by participants. Total testosterone (TT) level was also checked. Data obtained were compared between the groups and the relationships identified.
The mean age was 52.8±7.3 years, and CP was prevalent in 136 (15.2%) of the 892 participants. All ques-tionnaire scores showed worse results in Group 1 compared to those in Group 2 (p<0.05). In total, the prevalence of erectile dysfunction (IIEF-5≤21) and premature ejaculation (PEDT≥9) were 508 (56.3%) and 290 (32.5%), respectively. A higher prevalence of erectile dysfunction (71.3% vs. 53.6%, p<0.001) and premature ejaculation (44.8% vs. 30.3%, p=0.001) was identified in Group 1 than in Group 2. By correlation analysis, IIEF-5 (r=−0.208, p=0.015) and TT (r=−0.331, p=0.011) showed correlation with NIH-CPSI pain score in Group 1.
The prevalence and severity of erectile dysfunction and premature ejaculation were higher in Group 1. Moreover, the IIEF-5 showed correlation with NIH-CPSI pain score. These results indicate that screening for erectile dysfunction and premature ejaculation in men with CP is useful for early detec-tion of comorbidities.
Prostatitis, Sexual Dysfunction, Premature Ejaculation, Erectile Dysfunction, Questionnaires
Min Ho Lee,Deok Ha Seo,Chun Woo Lee,Jae Hwi Choi,Seong Uk Jeh,Sin Woo Lee,See Min Choi,Jeong Seok Hwa,Jae Seog Hyun,Ky Hyun Chung,Sung Chul Kam. ASSOCIATION OF ERECTILE DYSFUNCTION AND PREMATURE EJACULATION IN MEN WITH CHRONIC PROSTATITIS. Journal of Men's Health. 2020. 16(SP1);13-22.
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