Danish Prostatic Symptom Score is not associated with Lower Urinary Tract Symptom Severity

Abstract

Objectives: Lower urinary tract symptoms (LUTS) are associated with sexual dysfunction ; however, these can vary by population. Thus, the prevalence, severity, and predisposing factors for sexual dysfunction in Taiwanese men (> 40 y) who visited a urologic clinic for LUTS was determined.

Methods: During 2005 and 2006, a prospective survey was carried out which included 412 men with LUTS. Demographic data were collected during face-to-face interviews. Sexual dysfunction and LUTS were evaluated using the Danish Prostatic Symptom Score (DAN-PSS) and the International Prostate Symptom Score (IPSS) questionnaire, respectively.

Results: Mild, moderate, and severe LUTS were observed in 25.61%, 47.80%, and 26.59% of the patients, respectively. Reduced or absence of erection, reduced or no ejaculation, and pain upon ejaculation were found in 78.29%, 76.59%, and 6.11% of the patients, respectively. However, only 26.9%, 22.1%, and 4.4% of patients with erectile dysfunction (ED), ejaculatory dysfunction , and pain upon ejaculation were bothered by the sexual dysfunction, respectively. Age was significantly associated with ED, ejaculatory dysfunction (EjD), and pain with ejaculation (p < 0.001). The prevalence of sexual dysfunction increased with the severity of LUTS but was not significantly different. Patients with diabetes were 5.96 times more likely to have sexual dysfunction (95% CI = 1.39 to 25.60 ; p = 0.017). Conclusions: Over 70% of LUTS patients in this study suffered from sexual dysfunction. Although age and diabetes were associated with sexual dysfunction, LUTS severity was not.

Key words:

• Danish prostatic symptom score
• dysuria
• sexual dysfunction
• scoring system.

Additional information

Notes on contributors

T.-L. Cha

T.-L. Cha 3F Urology 325, Sec 2, Cheng Gong Rd. Neihu District, Taipei 114, Taiwan Tel.: [phone] Fax: [phone] E-mail: [email protected]