Opinion

Video

Olivia Paulsen on the association between BPH and erectile dysfunction

Key Takeaways

  • BPH affects 70-80% of men over 65 and is linked to lower urinary tract symptoms, but its relationship with ED is less explored.
  • The study used NHANES data from 2003-2004, assessing erectile function through a questionnaire and logistic multivariate regression.
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"This study is significant because it really emphasizes the importance of early detection of both BPH and ED, because knowing that information can really preserve men's quality of life," says Olivia Paulsen.

In this video, Olivia Paulsen gives an overview of the study “Benign Prostatic Enlargement Is Associated With Erectile Dysfunction in United States,” which she presented at the 2024 Sexual Medicine Society of North America Fall Scientific Meeting in Scottsdale, Arizona. Paulsen is a medical student at Idaho College of Osteopathic Medicine in Meridian, Idaho.

Transcription:

Please provide an overview of this study and its notable findings.

To give a little bit of background information, BPH, or benign prostatic hyperplasia, is a very common condition. It affects about 70% to 80% of men greater than 65 [years of age], and we know that it has an association with lower urinary tract symptoms, but its relationship to erectile dysfunction has not been explored in the same depth. That's exactly what our study sought to explore. To do that, we created a retrospective review between the years 2003 and 2004 using the NHANES database, which creates an algorithm and [generates] a weighted sample that is supposed to be representative of the US population. Erectile function was assessed using the questionnaire, ability to maintain an erection, and we completed a logistic multivariate regression to ascertain if BPH and ED were related.

From our results, we collected records from over 6 million men, and found that a prevalence of BPH was about 12%, and we had significant findings between age and BPH, veteran status and BPH, and then, most notably, BPH and erectile dysfunction. About 50% of men who had BPH said that they were almost never or only sometimes able to hold an erection, which is a significant amount. This study is significant because it really emphasizes the importance of early detection of both BPH and ED, because knowing that information can really preserve men's quality of life.

This transcript was AI generated and edited by human editors for clarity.

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