title: [Influence of aging on male sexual health].
abstract: BACKGROUND
  With the increase in life expectancy, men's sexual health has become a major concern for elderly couples. Erectile dysfunction (ED) is responsible for a 50 % decrease of sexually active men between 60 and 85. The aim of this study was to identify objective elements to evaluate the influence of age on male sexual health.
  
  
  METHODS
  Data on the effects of aging on men's sexual health have been explored in Medline and Embase using the MeSH keywords: prostate; sexuality and erectile dysfunction; aging. The articles were selected based on their methodology, relevance, date and language of publication.
  
  
  RESULTS
  ED concerns 64 % of 70 years old patients and up to 77.5 % after 75 years. The screening of this pathology is based on standardized diagnostic tools. The most used of them remains the "International Index of Erectile function" which, in its simplified version with 5 items (IIEF-5 or SHIM), presents at the cutoff score of 21, a sensitivity of 98 %, a specificity of 88 % and a kappa index of 0.82. The ED is often responsible for a decrease in the quality of life for 60 % of elderly couples wishing to pursue sexual activity. Some diagnostic tools, such as the "Self-Esteem And Relationship" (SEAR) questionnaire or the "Sexual Experience Questionnaire" (SEX-Q) assess individual and couple satisfaction. Physiological aging seems to favor erection disorders by the development of an Androgen Deficiency of the Aging Male (ADAM) but pathological aging appears to be primarily responsible. Cardiovascular or neurological diseases and lower urinary tract symptoms (LUTS) are, with the polymedication, modifiable risk factors of ED to systematically screen in elderly subjects.
  
  
  CONCLUSIONS
  Many diagnostic tools allow to detect ED and assess the impact on the quality of life of elderly men. The fundamental element of the management of ED is the research of modifiable risk factors including cardiovascular.
authors: Service d'Urologie de l'Hôpital Pitié-Salpêtrière, AP-HP, Université Paris VI, Faculté de médecine Pierre et Marie Curie, France, 83 boulevard de l'Hôpital, 75013 Paris, France.
authors: T
authors: T
authors: Seisen
authors: M
authors: M
authors: Rouprêt
authors: P
authors: P
authors: Costa
authors: F
authors: F
authors: Giuliano
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D007172:Erectile Dysfunction / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D018783:Impotence, Vasculogenic / Q000175:diagnosis; D008297:Male; D010410:Penile Erection / Q000187:drug effects; D011237:Predictive Value of Tests; D011788:Quality of Life; D012307:Risk Factors; D012647:Self-Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D012725:Sexual Behavior; D011795:Surveys and Questionnaires