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Volume 20, Issue 1 (January 2018) 20, 69–74; 10.4103/aja.aja_11_17
Patient-reported ejaculatory function and satisfaction in men with lower urinary tract symptoms/benign prostatic hyperplasia
Min Chul Cho1, Jung Kwon Kim2, Sang Hoon Song3, Sung Yong Cho1, Sang Wook Lee4, Soo Woong Kim2, Jae-Seung Paick2
1Department of Urology, Seoul National University, Boramae Medical Center, Seoul 07061, Korea;
2Department of Urology, Seoul National University, College of Medicine,
Seoul 03080, Korea;
3Department of Urology, Asan Medical Center, Seoul 05505, Korea;
4Department of Urology, Kangwon National University, College of Medicine,
Chuncheon 24289, Korea.
Correspondence: Dr. JS Paick (jspaick@snu.ac.kr)
Date of Submission 04-Nov-2016 Date of Decision 28-Dec-2016 Date of Acceptance 06-Feb-2017 Date of Web Publication 02-May-2017
| Abstract |
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This study aimed to investigate perceived ejaculatory function/satisfaction before treatment for lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia (BPH) and to identify associations between specific categories of ejaculatory dysfunctions (EjDs) and LUTS. A total of 1574 treatment-naïve men with LUTS/BPH were included in this study. All patients underwent routine evaluation for LUTS/BPH including the International Index of Erectile Function and a 5-item questionnaire developed to assess ejaculatory volume/force/pain/satisfaction/latency time. Patients who had sexual intercourse over the past 4 weeks were classified as sexually active group. A total of 783 patients were categorized as sexually active group. Decreased ejaculatory volume and force were reported by 53.4% and 55.7% of 783 sexually active men, respectively. There was a strong correlation between ejaculatory volume and force. Ejaculatory pain/discomfort, premature ejaculation (PE), and delayed ejaculation (DE) were reported in 41.0%, 16.3%, and 41.4% of the patients, respectively. Over 40.0% of men without decreased ejaculation volume/force were satisfied with ejaculatory function, whereas approximately 6.0% of men with decreased volume/force were satisfied with ejaculatory function. About 30.0% of men with decreased volume/force had orgasmic dysfunction, while approximately 10.0% of men without decreased volume/force did. Decreased ejaculatory volume or force was associated with LUTS severity after adjusting for other influential factors including testosterone level, erectile function, and prostate size on ultrasonography, but PE or DE or ejaculatory pain/discomfort was not. In conclusion, a considerable portion of men with LUTS/BPH appear to have a variety of EjDs. Ejaculatory volume/force and satisfaction/orgasm do not always appear to be concordant. Ejaculatory volume or force is independently associated with LUTS severity, whereas PE or DE or ejaculatory pain/discomfort is not.
Keywords: dysfunction; ejaculation; lower urinary tract symptoms (LUTS); satisfaction
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