Introduction: Sexual dysfunction affects couple's relationship and the quality of life of the patients and partner irrespective of the age. Lower urinary tract symptoms suggestive of BPH are highly prevalent among elderly. Sexual dysfunction is much more prevalent in patients with LUTS/BPH than in men without them, even after controlling for confounding variables such as age and co morbid illness. 

Aim: To evaluate the prevalence of sexual dysfunction in LUTS patients due to BPH. To assess the effect of LUTS due to BPH on sexual dysfunction. To assess the treatment effects on sexual function.

Materials and Methods: All patients admitted in our urology department with LUTS due to BPH in the period between April 2015 to October 2016 were included for evaluation. After obtaining informed consent the linguistic version of International prostate symptom score (IPPS) and Male sexual function scale questionnaire (MSFQ) were given to all the patients. All patients with LUTS due to BPH were evaluated with History and physical examination, Digital rectal examination and focused neurological examination, Baseline blood parameters, USG Abdomen and Pelvis, uroflow, Post void residual urine volume measurement. All the information were recorded.

Results: 120 patients included in this study. 23 patients (19.1%) were 50-59 years, 73 patients (60.8%) were 60-69 years, 23 patients (19.1%) were 70-79 years, 1 patient (8%) was 80-89 years age group.78% of (50-59 years) had mild or moderate symptoms. 94.5% of (60-69years) had bothersome moderate to severe symptoms. Severe degree of symptoms were present in most of the patients in the 70-79 years age group. Among the120 patients 28 (23.3%) were very much bothered about sexual dysfunction. 20% patients (16.6%) were moderately bothered about their sexual dysfunction. 30% patients not at all bothered about their sexual dysfunction.

Conclusion: The prevalence of sexual dysfunction in patients with LUTS is 70%. The severity of sexual dysfunction correlate with severity of LUTS. Ejaculatory function deteriorates after treatment of LUTS due to BPH.

1. Kevin Mcvary et al ; Lower urinary tract symptoms and sexual dysfunction: epidemiology and pathophysiology BJU International volume 97 issue 2 page 23-28, April 2006.
2. Lowe et al ; Treatment of lower urinary tract symptoms suggestive of benign prostate hyperplasia : sexual function BJU Int 2005 Jun ;95 suppl 4: 12-8
3. Raymond Rosen et al; Lower urinary tract symptoms and male sexual dysfunction : The Multinational survey of Ageing Male (MSAM-7) European urology volume 44 ,issue6 December 2003 Pages 637-649
4. Claus G Roherborn, MD Sexual function and Benign prostatic Hyperplasia Rev urology 1999 summery 1(3) :157-158
5. Francisca EAE, D Ancona FCH , Meuleman EJH et al .j uro.1999; 161 : 486-490
6. Namasivayam S, Minha S, Brooke ,et al; The Evaluation of sexual function in Men presenting with symptomatic Benign Prostatic Hyperplasia . Br J Uro .1998; 82: 842-846
7. Braun M, Wassmer G, Klotz. Epidemiology of erectile dysfunction : results of the “ Cologne Male Survey “ Int J Import Res .2000; 12(6) : 537-44
8. Multinational Survey of the Ageing Male ( MSAM-7). Presented at the Annual meeting of the American Urological Association ; May 26,2006 Oralanto ,Fla
9. Rosen RC et al; The International Index of Erectile Function (IIEF); Amultinational dimensional scale for assessment of erectile dysfunction . J Urol1997; 49;822-30.
10. Rosen RC et al in sexual medicine ; Sexual dysfunction in men and women . Paris Health Publications , 2004, 173- 220.
11. Rosen RC et al; Development and Evaluation – 5 item version of IIEF as a diagnostic tool. Int j Impot Res 1999;11;319
12. Francois Giulianoetal; Impact of medical treatments for benign prostatic hyperplasia on sexual function BJU International 97, 34-38 April 2006.

Dr V. RAVI

A62 Abirami Residency, Anna Nagar, Thennur, Trichy, Tamil Nadu, 620017, India