(216) BENIGN PROSTATIC ENLARGEMENT IS ASSOCIATED WITH ERECTILE DYSFUNCTION IN UNITED STATES

Abstract Introduction Benign Prostatic Hyperplasia (BPH) is common in older men with an approximated prevalence of 70-80% in men greater than 65. BPH has been associated with lower urinary tract symptoms, but its relationship to erectile dysfunction (ED) has not been explored in nearly the same detail, despite both conditions hosting similar risk factors. Objective This study aims to determine whether there is an association between BPH and erectile function in the United States. Methods A retrospective review was performed using data from the 2003-2004 National Health and Nutrition Examination Survey in patients who were diagnosed with BPH. Erectile function was assessed using a questionnaire “ability to maintain an erection.” Descriptive statistical analysis was performed on patient demographics and a logistic multivariate regression was completed to ascertain if BPH was associated with erectile function. Results This cohort comprised 6,089,425 males, with a 12% prevalence of BPH. The majority were aged 40-59 and non-Hispanic white. Age greater than 40 and veteran status were significantly correlated with BPH (p < 0.0001). Married individuals showed a higher BPH prevalence, with 84% diagnosed, but this was not statistically significant. The lowest prevalence was among separated individuals (0.2%). Household income did not correlate significantly with BPH prevalence, though those with incomes over $75,000 had the highest prevalence of 31%. Racial differences in BPH prevalence were not statistically significant; non-Hispanic whites represented 88% of the pool, while Mexican Americans represented only 2%. Educational attainment also did not significantly affect BPH prevalence, but higher rates were noted among college graduates (31%) compared to those with less than 9th-grade education (5%). Erectile dysfunction was significantly more prevalent in individuals with BPH (p < 0.0001), with almost 50% of those with BPH sometimes or never able to hold an erection, compared to approximately 30% without BPH. Conclusions BPH is an independent risk factor for erectile dysfunction in the United States. Early recognition and intervention are crucial to maintaining erectile function, especially in the aging population. In our study, we show that there were two-fold odds of erectile dysfunction if benign prostatic enlargement was reported. Disclosure No.