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Prevalence and factor association of premature ejaculation among adult Asian males with lower urinary tract symptoms.

Silangcruz JM, Chua ME, Morales ML - Prostate Int (2015)

Bottom Line: There was no significant difference among participants with PE versus those without PE in terms of age, marital status, prostate size, or total IPSS score.However, significant difference between groups was noted on the level of education (Mann-Whitney U, z = -1.993, P = 0.046) where high educational status was noted among participants with PE.A significant association between PE and weak stream that was not related to prostate size suggests a neuropathologic association.

View Article: PubMed Central - PubMed

Affiliation: Institute of Urology, St. Luke's Medical Center, Quezon City, Philippines.

ABSTRACT

Purpose: To determine the prevalence of premature ejaculation (PE) among adult Asian males presented with lower urinary tract symptoms (LUTS) and characterize its association with other clinical factors.

Methods: A cross-sectional study was conducted at a tertiary medical center to determine the prevalence of PE among adult male participants with LUTS during the Annual National Prostate Health Awareness Day. Basic demographic data of the participants were collected. All participants were assessed for the presence and severity of LUTS using the International Prostate Symptom Score (IPSS), and for the presence of PE using the PE diagnostic tool. Digital rectal examination was performed by urologists to obtain prostate size. LUTS was further categorized into severity, storage symptoms (frequency, urgency, and nocturia), and voiding symptoms (weak stream, intermittency, straining, and incomplete emptying) to determine their association with PE. Data were analyzed by comparing the participants with PE (PE diagnostic tool score ≥11) versus those without PE, using the independent t test for continuous data, Mann-Whitney U test for ordinal data, and Chi-square test for nominal data. The statistical significance was set at P < 0.05.

Results: A total of 101 male participants with a mean ± standard deviation age of 60.75 ± 10.32 years were included. Among the participants, 33% had moderate LUTS, and 7% severe LUTS. The most common LUTS was nocturia (33%). The overall prevalence of PE was 27%. There was no significant difference among participants with PE versus those without PE in terms of age, marital status, prostate size, or total IPSS score. However, significant difference between groups was noted on the level of education (Mann-Whitney U, z = -1.993, P = 0.046) where high educational status was noted among participants with PE. Likewise, participants with PE were noted to have more prominent weak stream (Mann-Whitney U, z = -2.126, P = 0.033).

Conclusions: Among the participants consulted with LUTS, 27% have concomitant PE. Educational status seems to have an impact in the self-reporting of PE, which may be due to a higher awareness of participants with higher educational attainment. A significant association between PE and weak stream that was not related to prostate size suggests a neuropathologic association.

No MeSH data available.


Related in: MedlinePlus

Distribution of individual lower urinary tract symptoms (LUTS) symptom domains.
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fig2: Distribution of individual lower urinary tract symptoms (LUTS) symptom domains.

Mentions: The mean ± standard deviation IPSS was 5.79 ± 6.59; 60.40% had a score <8, which is categorized as mild LUTS; 32.67% scored 8–19, categorized as moderate LUTS; and only 6.93% had severe LUTS with a score of >19. Distribution of LUTS severity is illustrated in Fig. 1. Among the participants, 13.9% (n = 14) scored ≥3 in frequency, 4% (n = 4) scored ≥3 in urgency, 32.7% (n = 33) scored ≥3 in nocturia, 12% (n = 12) scored ≥3 in weak stream, 10% (n = 10) scored ≥3 in intermittency, 7.9% (n = 8) scored ≥3 in straining, and 13.9% (n = 14) scored ≥3 in residual urine. In clustering the LUTS score, 50.6% of the participants had storage symptoms whereas 43.8% had voiding symptoms. Distributions of individual LUTS domains are described in Fig. 2. The mean age of participants with an approximate 20-g prostate size by DRE was 56.38 years, ∼30 g was 62.16 years, ∼40 g was 63.96 years, ∼50 g was 62.5 years, and ∼60 g was 61.25 years (Table 2).


Prevalence and factor association of premature ejaculation among adult Asian males with lower urinary tract symptoms.

Silangcruz JM, Chua ME, Morales ML - Prostate Int (2015)

Distribution of individual lower urinary tract symptoms (LUTS) symptom domains.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4494636&req=5

fig2: Distribution of individual lower urinary tract symptoms (LUTS) symptom domains.
Mentions: The mean ± standard deviation IPSS was 5.79 ± 6.59; 60.40% had a score <8, which is categorized as mild LUTS; 32.67% scored 8–19, categorized as moderate LUTS; and only 6.93% had severe LUTS with a score of >19. Distribution of LUTS severity is illustrated in Fig. 1. Among the participants, 13.9% (n = 14) scored ≥3 in frequency, 4% (n = 4) scored ≥3 in urgency, 32.7% (n = 33) scored ≥3 in nocturia, 12% (n = 12) scored ≥3 in weak stream, 10% (n = 10) scored ≥3 in intermittency, 7.9% (n = 8) scored ≥3 in straining, and 13.9% (n = 14) scored ≥3 in residual urine. In clustering the LUTS score, 50.6% of the participants had storage symptoms whereas 43.8% had voiding symptoms. Distributions of individual LUTS domains are described in Fig. 2. The mean age of participants with an approximate 20-g prostate size by DRE was 56.38 years, ∼30 g was 62.16 years, ∼40 g was 63.96 years, ∼50 g was 62.5 years, and ∼60 g was 61.25 years (Table 2).

Bottom Line: There was no significant difference among participants with PE versus those without PE in terms of age, marital status, prostate size, or total IPSS score.However, significant difference between groups was noted on the level of education (Mann-Whitney U, z = -1.993, P = 0.046) where high educational status was noted among participants with PE.A significant association between PE and weak stream that was not related to prostate size suggests a neuropathologic association.

View Article: PubMed Central - PubMed

Affiliation: Institute of Urology, St. Luke's Medical Center, Quezon City, Philippines.

ABSTRACT

Purpose: To determine the prevalence of premature ejaculation (PE) among adult Asian males presented with lower urinary tract symptoms (LUTS) and characterize its association with other clinical factors.

Methods: A cross-sectional study was conducted at a tertiary medical center to determine the prevalence of PE among adult male participants with LUTS during the Annual National Prostate Health Awareness Day. Basic demographic data of the participants were collected. All participants were assessed for the presence and severity of LUTS using the International Prostate Symptom Score (IPSS), and for the presence of PE using the PE diagnostic tool. Digital rectal examination was performed by urologists to obtain prostate size. LUTS was further categorized into severity, storage symptoms (frequency, urgency, and nocturia), and voiding symptoms (weak stream, intermittency, straining, and incomplete emptying) to determine their association with PE. Data were analyzed by comparing the participants with PE (PE diagnostic tool score ≥11) versus those without PE, using the independent t test for continuous data, Mann-Whitney U test for ordinal data, and Chi-square test for nominal data. The statistical significance was set at P < 0.05.

Results: A total of 101 male participants with a mean ± standard deviation age of 60.75 ± 10.32 years were included. Among the participants, 33% had moderate LUTS, and 7% severe LUTS. The most common LUTS was nocturia (33%). The overall prevalence of PE was 27%. There was no significant difference among participants with PE versus those without PE in terms of age, marital status, prostate size, or total IPSS score. However, significant difference between groups was noted on the level of education (Mann-Whitney U, z = -1.993, P = 0.046) where high educational status was noted among participants with PE. Likewise, participants with PE were noted to have more prominent weak stream (Mann-Whitney U, z = -2.126, P = 0.033).

Conclusions: Among the participants consulted with LUTS, 27% have concomitant PE. Educational status seems to have an impact in the self-reporting of PE, which may be due to a higher awareness of participants with higher educational attainment. A significant association between PE and weak stream that was not related to prostate size suggests a neuropathologic association.

No MeSH data available.


Related in: MedlinePlus