1144 SEVERE ERECTILE DYSFUNCTION IS A SIGNIFICANT RISK FACTOR FOR OVERACTIVE BLADDER IN MEN WITH TYPE 2 DIABETES (2012)

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Evaluation I1 Apr 20121144 SEVERE ERECTILE DYSFUNCTION IS A SIGNIFICANT RISK FACTOR FOR OVERACTIVE BLADDER IN MEN WITH TYPE 2 DIABETES Yao-Chi Chuang, Min-Shen Chung, Wei-Chia Lee, Rue-Tsuan Liu, and Michael Chancellor Yao-Chi ChuangYao-Chi Chuang Kaohsiung, Taiwan More articles by this author , Min-Shen ChungMin-Shen Chung Kaohsiung, Taiwan More articles by this author , Wei-Chia LeeWei-Chia Lee Kaohsiung, Taiwan More articles by this author , Rue-Tsuan LiuRue-Tsuan Liu Kaohsiung, Taiwan More articles by this author , and Michael ChancellorMichael Chancellor Royal Oak, MI More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1254AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Diabetes is a common risk factor for overactive bladder syndrome (OAB) and erectile dysfunction (ED). The study evaluated the risk factors of OAB and association of OAB and ED in type 2 diabetic men. METHODS The diagnosis of ED and OAB was based on a self ¡Vadministered questionnaire containing Sexual Health Inventory for Men, and overactive bladder symptom score, respectively. The clinical variables, and diabetes associated complications, including ED, to risk of OAB were evaluated. RESULTS Of 453 consecutive subjects, 25.4% reported having OAB, and 81.9% with ED. The OABSS is inversely associated with SHIM (correlation coefficient -0.275). The patients with OAB have significantly lower SHIM score, testosterone level, serum albumin level, more proportion of severe ED, older, and longer duration of DM. After adjustment for age and duration of DM, the presence of severe ED was associated with OAB (OR=1.58), and severe ED (OR=2.36), SHIM score (OR=0.92), and serum albumin level (OR= 0.24) were risk factors for OAB wet. The presence of metabolic syndrome, other associated complications of DM, HbA1c and hsCRP levels were no significantly difference between patients with and without OAB. The odds ratio of ED in patients with OAB or OAB wet compared with no OAB was 1.82, and 3.61, respectively. Among the OAB components, urgency incontinence has the strongest impact on ED (OR= 4.06) followed by nocturia, urgency, and frequency. 15.1% (N=68) without OAB and ED are younger, shorter DM duration, lower systolic BP, and higher serum albumin level after multivariate analysis compared to patients with OAB or ED. CONCLUSIONS The presence of severe ED was significantly associated with OAB, especially OAB wet. The presence of OAB wet increased the risk and severity of ED. Identification and treatment of OAB and ED is important for DM men. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e464 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Yao-Chi Chuang Kaohsiung, Taiwan More articles by this author Min-Shen Chung Kaohsiung, Taiwan More articles by this author Wei-Chia Lee Kaohsiung, Taiwan More articles by this author Rue-Tsuan Liu Kaohsiung, Taiwan More articles by this author Michael Chancellor Royal Oak, MI More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...