Incidence of comorbid ED with LUTS and its risk factors in patients with BPH
10.13263/j.cnki.nja.2024.02.008
- VernacularTitle:勃起功能障碍和下尿路症状在良性前列腺增生患者中的合并发生率及危险因素分析
- Author:
Ling-Peng ZENG
1
;
Yang LI
;
Xiang-Yang LI
;
Zhuo YIN
Author Information
1. 中南大学湘雅二医院泌尿外科,湖南长沙 410008
- Keywords:
erectile dysfunction;
lower urinary tract symptoms;
benign prostatic hyperplasia;
risk factors
- From:
National Journal of Andrology
2024;30(2):139-144
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the incidence of comorbid ED with lower urinary tract symptoms(LUTS)and its risk fac-tors in BPH patients.Methods:Based on inclusion and exclusion criteria,we selected BPH patients visiting the outpatient depart-ment of the Second Xiangya Hospital of Central South University from January 2020 to January 2023.We collected the general and clin-ical data from the patients,including age,height,body weight,abdominal circumference,hip circumference,blood pressure,blood routine,liver function,kidney function,blood lipids and fasting blood glucose,obtained their IPSS,quality of life(QOL)scores,andⅡEF-5 scores by questionnaire investigation,and performed data processing and analysis with the SPSS 22.0 software.Results:The incidence rate of comorbid ED with LUTS in the BPH patients rose with the increase of age,36.46％in the 45-49-year group,43.72％in the 50-54-year group,53.66％in the 55-59-year group,69.23％in the 60-64-year group,and 78.74％in the 65-70-year group.The lipid accumulation product(LAP),visceral adiposity index(VAI),triglycerides and glucose(TyG),hepatic steatosis index(HSI),body mass index(BMI),waist-to-hip ratio(WHR),waist-to-height ratio(WHtR),triglycerides(TG)and high-density lipoprotein cholesterol(HDL-C)were correlated positively with IPSS scores and negatively with ⅡEF-5 scores,while LDL-C and total cholesterol(TC)negatively with IPSS scores and positively with ⅡEF-5 scores.Conclusion:The incidence of comorbid ED with LUTS in BPH patients increases with age.The risk factors for this comorbidity include hypertension,dyslipidemia,diabetes,BMI,and lifestyle,and the risk of the condition can be effectively assessed by LAP,VAI,TYG,HSI,BMI,WHtR,WHR,TG and HDL-C.
