Terezia Višvaderová1, Martin Jankovich1, Frederico Manuel Figueiredo Goncalves1,2, Marián Hladík2, Peter Kertes2, Miroslav Helbich3
Objectives: The assessment of male patient status with urological symptoms regarding the occurrence and degree of severity of lower urinary tract symptoms (LUTS), as well as evaluating of the correlation with quality of life based on completed IPSS questionnaires. In some patients: evaluation of correlation with IIEF-5 questionnaire. Methods: 1431 therapeutically naive patients from two outpatient offices in Bratislava completed IPSS questionnaire between years 2009 and 2011, 1077 of which completed also the International index of erectile function questionnaire (IIEF-5). Based on the analysis of the IPSS questionnaires we assessed the incidence and degree of severity of lower urinary tract symptoms in the male population in Slovakia, we assessed the correlation with subjective quality of life given by the patients and the relationship with the quality of erection evaluated by IIEF-5 questionnaire. We verified the results of cross-sectional study by ANOVA and chi-square tests. Results: The total IPSS score (r = 0.781 p = < 0.001) showed the highest degree of correlation with subjective quality of life (QoL) in the population of patients living in Slovakia. The group of questions related to the disorder of urine storage had a higher correlation with QoL (r = 0.718 p = < 0.001), but both groups of questions were less correlated than IPSS. The highest rate of correlation with QoL from separate IPSS questions showed the question 5 about weak stream of urine (r = 0.652 p = < 0.001) and the question 2 about frequency of urination (r = 0.624 p = < 0.001). The highest percentage of erectile dysfunction is in patients who are according to IPSS in the group with serious miction symptoms. After analysis of variations in IIEF-5 there is a statistical significant the age (p = < 0.001), IPSS (p = < 0.001) and questions IPSS 4 (urgent urination, p = 0.018), 5 (weak stream at urination, p = 0.034) and 6 (pushing at urination, p = 0.011). Conclusions: The highest degree of correlation with subjective quality of life (QoL) in the population of patients living in Slovakia showed the total IPSS score. The group of questions related to the storage of urine symptoms had higher correlation with QoL, but both groups of questions were less correlated than IPSS. Lowest correlation with QoL showed separate IPSS questions, the highest of which was correlation with the question about weak stream of urine and frequency of urination. The total IPSS score in determining the quality of life was more meaningful than separate questions in IPSS. The subjectively reported erectile dysfunction affected IPSS score, but only with moderately strong correlation.