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Cited by 45Urinary Bladder and Prostate ResearchSexual function and dysfunction studiesProstate Cancer Diagnosis and Treatment

Does “normal” aging imply urinary, bowel, and erectile dysfunction? A general population survey

Korfage, Ida J., Roobol, Monique, de Koning, Harry J., Kirkels, Wim J., Schröder, Fritz H., Essink-Bot, Marie-Louise·2008·Urology
DOI 10.1016/j.urology.2008.01.058
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Abstract

Objectives We assessed if urinary, bowel, and sexual dysfunction and associated bother were part of the "normal" aging process in the general male Dutch population.Methods Randomly selected participants of a screening trial were mailed a questionnaire on dysfunction and bother in the urinary, bowel, and sexual domains. A Dutch version of the Expanded Prostate Cancer Index Composite (EPIC) was used.Results Three thousand eight hundred ten (3810) men responded (81%), mean age 67 years, range 58 to 78. The prevalence of urinary dysfunction was low, and although the difference between younger versus older men was significant (P <0.001), it did not exceed the minimal important difference. Bowel dysfunction and bother were not related to age. Erectile dysfunction was reported by 19%, ranging from 12% in the youngest to 26% in the oldest group (P <0.001). The overall use of erectile aids was negatively associated with the satisfaction with sex life and positively with the importance attached to it (P <0.001), but not with age or sexual activity.Conclusions Urinary and bowel dysfunction were not part of the "normal" aging process. Erectile dysfunction was significantly more prevalent in older men. In men treated for localized prostate cancer, decreasing urinary or bowel function is thus not attributable to age, but may well be related to prior treatment. Decreasing erectile function, however, may be attributable to other causes as well. These data provide a benchmark for urologic functioning in men after treatment relative to age-related patterns, and will enable better interpretation of treatment outcomes.

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Authors
Korfage, I. J., Roobol, M., de Koning, H. J., Kirkels, W. J., Schröder, F. H., & Essink-Bot, M.-L.
Affiliations
Erasmus MC (NL)
ORCID
Venue
Urology
Publisher
Elsevier BV
Published
2008-07
Volume
72
Issue
1
Pages
3-9
ISSN
0090-4295 (ISSN-L)
DOI
10.1016/j.urology.2008.01.058
OpenAlex
W2051633182
Cited by
45
References
24
Citations by year
2020: 1 · 2019: 5 · 2018: 1 · 2017: 4 · 2016: 5 · 2015: 1 · 2014: 2 · 2012: 4
FWCI
8.78
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Urology (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
  • Pure Amsterdam UMC (submittedVersion)
Topics
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Diagnosis and Treatment
Keywords
normal aging, urinary dysfunction, bowel dysfunction, erectile dysfunction, older men, Expanded Prostate Cancer Index Composite, sexual satisfaction, prostate cancer treatment outcomes
MeSH terms
Aged, Aging, Humans, Erectile Dysfunction, Intestinal Diseases, Male, Middle Aged, Prostatic Neoplasms, Quality of Life, Surveys and Questionnaires, Urination Disorders, Prevalence

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