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A nationwide population-based study on bladder pain syndrome/interstitial cystitis and ED

International Journal of Impotence Research volume 25, pages 224–228 (2013)Cite this article

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Abstract

As bladder pain syndrome/interstitial cystitis (BPS/IC) has been demonstrated to proceed through the inflammatory pathways to cause endothelial dysfunction, and endothelial dysfunction is a major factor in the development of ED, it is possible that BPS/IC may be associated with ED. This study set out to investigate the putative association between ED and BPS/IC by using a population-based data set and case–control design in Taiwan. We obtained the data from Taiwan’s National Health Insurance Research Database. Cases included 32 856 ED patients ⩾18-years old and 164 280 matched controls. Conditional logistic regression analyses were performed to compare the odds ratios (OR) and corresponding 95% confidence intervals (CIs) of having been previously diagnosed with BPS/IC in cases and controls. Among the total sample of 197 136 subjects, the prevalence of prior BPS/IC was 0.05%. The prevalence of prior BPS/IC was 0.10% and 0.04% for cases and controls, respectively (P<0.001). Conditional logistic regression analysis revealed that when compared with controls, the OR of prior BPS/IC for cases was 1.75 (95% CI=1.12–2.71) after adjusting for monthly income, geographic location, hypertension, diabetes, coronary heart disease, hyperlipidemia, renal disease, obesity, depressive disorder, alcohol abuse/alcohol-dependence syndromes and the number of outpatient visits within 1 year before index date. Subjects aged between 18 and 39 were additionally found to have the highest ORs for prior BPS/IC among cases when compared with controls (OR=10.40; 95% CI=2.93–36.94). There was an association between BPS/IC and ED. The youngest cases with ED were found to have the strongest magnitudes of association with BPS/IC.

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Authors and Affiliations

  1. Division of Urology, Department of Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan

    S-D Chung

  2. Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan

    S-D Chung

  3. School of Health Care Administration, Taipei Medical University, Taipei, Taiwan

    S-D Chung & H-C Lin

  4. School of Public Health, Taipei Medical University, Taipei, Taiwan

    J Keller

  5. Sleep Research Center, Taipei Medical University Hospital, Taipei, Taiwan

    H-C Lin

Authors
  1. S-D Chung
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  2. J Keller
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  3. H-C Lin
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Correspondence to H-C Lin.

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Chung, SD., Keller, J. & Lin, HC. A nationwide population-based study on bladder pain syndrome/interstitial cystitis and ED. Int J Impot Res 25, 224–228 (2013). https://doi.org/10.1038/ijir.2013.15

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