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ASSOCIATION OF ERECTILE DYSFUNCTION AND PREMATURE EJACULATION IN MEN WITH CHRONIC PROSTATITIS

  • Min Ho Lee1
  • Deok Ha Seo1
  • Chun Woo Lee1
  • Jae Hwi Choi2
  • Seong Uk Jeh2
  • Sin Woo Lee2
  • See Min Choi2
  • Jeong Seok Hwa2
  • Jae Seog Hyun2
  • Ky Hyun Chung2
  • Sung Chul Kam1

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

*Corresponding Author(s): Sung Chul Kam E-mail: kamsungchul@hanmail.net

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Abstract

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.

Results

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.

Conclusion

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.

Keywords

Prostatitis, Sexual Dysfunction, Premature Ejaculation, Erectile Dysfunction, Questionnaires

Cite and Share

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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