title: Urinary symptoms and sexual dysfunction among Italian men: The results of the #Controllati survey.
abstract: OBJECTIVE
  Prevention may improve the quality of life and sexual and reproductive health. To improve prevention require a comprehensive research approach that examines the frequency and risk factors for urologic conditions. In June 2016 the Italian Urologic Society coordinated a preventive initiative : the 1st Week of Male Urologic Prevention "#Controllati".
  
  
  METHODS
  During the 1st Week of Male Urologic Prevention "#Controllati", men aged 18 years or more were invited to attend participating urologic centers for a free of charge visit for counseling about urologic or andrologic conditions. Each participating man underwent a physical examination. Further he was asked about his a medical history and about his urologic symptoms, sexual activity and possible related problems.
  
  
  RESULTS
  Data were collected in 81 centers: 2380 men answered the questionnaire. A total of 1226 subjects participating in the study reported one or more urinary symptom [51.5% (IC 95% 48.9%-54.5%)]. The risk of any urinary symptoms increased with age: in comparison with men aged &lt; = 30 years or less the risk of any urinary symptoms was 2.31, 2.92, 5.12, 7.82 and 17.02 respectively in the class age 31-40, 41-50, 51-60, 61-70 and &gt; = 71. Overweight/obese men were at increased risk of any urinary symptoms [OR1.35 (95% CI 1.12-1.64)]. 27.2% (IC 95% overall 25.2% -29.3%) of the subjects had at least a sexual disorder (erectile dysfunction, premature ejaculation, hypoactive sexual desire). The erectile dysfunction and hypoactive sexual desire increased with age, but premature ejaculation tended to be higher among younger aged men aged 40 years or more. Current any urinary symptoms [OR 1.85 (CI 1.40-2.43)], hypertension [OR 1.66 (95% CI 1.21-2.26) and diabetes (OR 2.37 (95% CI 1.45-3.88)] increased the risk of erectile dysfunction.
  
  
  CONCLUSIONS
  This large survey gives a picture of the burden of the more frequent urologic conditions offering useful information in order to focus preventive campaign.
authors.affiliation: Università degli Studi di Napoli Federico II, UOC di Urologia della A.O.U. Federico II, Napoli. fabio.parazzini@unimi.it.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Mirone
authors.forename: Roberto
authors.initials: R
authors.lastname: Carone
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Carrieri
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Costantini
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Morgia
authors.forename: Giuseppe Mario
authors.initials: GM
authors.lastname: Ludovico
authors.forename: Donata
authors.initials: D
authors.lastname: Villari
authors.forename: Fabio
authors.initials: F
authors.lastname: Parazzini
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D003920:Diabetes Mellitus / Q000453:epidemiology; D007172:Erectile Dysfunction / Q000453:epidemiology*; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D007558:Italy / Q000453:epidemiology; D007989:Libido / Q000502:physiology; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000453:epidemiology; D050177:Overweight / Q000150:complications / Q000453:epidemiology; D061686:Premature Ejaculation / Q000453:epidemiology*; D011788:Quality of Life; D012307:Risk Factors; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D014570:Urologic Diseases / Q000453:epidemiology*