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Urinary symptoms and sexual dysfunction among Italian men: The results of the #Controllati survey

Vincenzo Mirone, Roberto Carone, Giuseppe Carrieri, Elisabetta Costantini, Giuseppe Morgia, Giuseppe Mario Ludovico, Donata Villari, Fabio Parazzini
  • Vincenzo Mirone
    Università degli Studi di Napoli Federico II, UOC di Urologia della A.O.U. Federico II, Napoli, Italy
  • Roberto Carone
    Università degli Studi di Torino, Struttura Complessa di Neuro-Urologia A.O.U. Città della Salute e della Scienza, Torino, Italy
  • Giuseppe Carrieri
    Dipartimento Nefro/Urologico Clinica Urologica e Centro Trapianti di Rene, Università degli Studi di Foggia, Italy
  • Elisabetta Costantini
    Sezione di Urologia Femminile, Funzionale e di Chirurgia Urologica Mini-invasiva, Dipartimento di Scienze Chirurgiche e Biomedicali, Università di Perugia, Italy
  • Giuseppe Morgia
    Università degli Studi di Catania, Presidio Ospedaliero Policlinico, Catania, Italy
  • Giuseppe Mario Ludovico
    Struttura Complessa Urologia, Ospedale “Miulli”, Acquaviva delle Fonti, Italy
  • Donata Villari
    Università degli Studi di Firenze, SOD Chirurgia Urologica Mini-invasiva e dei Trapianti, Azienda Mista Universitaria Ospedaliera, Careggi, Italy
  • Fabio Parazzini
    Dipartimento di Scienze Cliniche e di Comunità, Università di Milano, IRCCS Policlinico Milano, Italy | fabio.parazzini@unimi.it

Abstract

Objective: Prevention may improve the quality of life and sexual and reproductive health. To improve prevention require a comprehensive research approach that examines the frequency and risk factors for urologic conditions. In June 2016 the Italian Urologic Society coordinated a preventive initiative : the 1st Week of Male Urologic Prevention ”#Controllati”. Material and methods: During the 1st Week of Male Urologic Prevention “#Controllati”, men aged 18 years or more were invited to attend participating urologic centers for a free of charge visit for counseling about urologic or andrologic conditions. Each participating man underwent a physical examination. Further he was asked about his a medical history and about his urologic symptoms, sexual activity and possible related problems. Results: Data were collected in 81 centers: 2380 men answered the questionnaire. A total of 1226 subjects participating in the study reported one or more urinary symptom [51.5% (IC 95% 48.9%-54.5%)]. The risk of any urinary symptoms increased with age: in comparison with men aged < = 30 years or less the risk of any urinary symptoms was 2.31, 2.92, 5.12, 7.82 and 17.02 respectively in the class age 31-40, 41-50, 51-60, 61-70 and > = 71. Overweight/obese men were at increased risk of any urinary symptoms [OR1.35 (95% CI 1.12-1.64)]. 27.2% (IC 95% overall 25.2% -29.3%) of the subjects had at least a sexual disorder (erectile dysfunction, premature ejaculation, hypoactive sexual desire). The erectile dysfunction and hypoactive sexual desire increased with age, but premature ejaculation tended to be higher among younger aged men aged 40 years or more. Current any urinary symptoms [OR 1.85 (CI 1.40-2.43)], hypertension [OR 1.66 (95% CI 1.21-2.26) and diabetes (OR 2.37 (95% CI 1.45-3.88)] increased the risk of erectile dysfunction. Conclusions: This large survey gives a picture of the burden of the more frequent urologic conditions offering useful information in order to focus preventive campaign.

Keywords

Risk factors; Urinary symptoms; Erectile dysfunction; Premature ejaculation

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Submitted: 2017-03-20 09:38:00
Published: 2017-03-31 00:00:00
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