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Study uncovers factors potentially associated with lower LUTS risk

Sexual frequency was associated with lower odds of urinary symptoms in a US cohort but not a Chinese cohort.

  • By

  • Andrea Surnit

  • August 21, 2026

  • 4 min

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Clinical Report: Study uncovers factors potentially associated with lower LUTS risk

Overview

This study identifies sexual behavior-related factors associated with lower urinary tract symptoms (LUTS) in men.

Background

Lower urinary tract symptoms (LUTS) are common in men and can significantly affect quality of life. This study explores the relationship between sexual behaviors and LUTS.

Data Highlights

CohortFindings
NHANES1,034 men had LUTS; sexual activity 104+ times/year had 0.73 times adjusted odds of LUTS.
Chinese Cohort334 men had IPSS of 8+; first intercourse at 20+ years had 0.27 times adjusted odds of LUTS.

Key Findings

  • Men with first sexual intercourse at 20 years or older had lower LUTS risk.
  • In the NHANES cohort, sexual activity 104+ times/year was associated with reduced LUTS odds.
  • In the Chinese cohort, first intercourse at 20+ years had 0.27 times the adjusted odds of LUTS.
  • Immediate postcoital urination was linked to 1.83 times the adjusted odds of LUTS.
  • Hypertension and diabetes were associated with LUTS in both cohorts.
  • Moderate and extreme satisfaction with sexual activity correlated with lower LUTS odds.

Clinical Implications

Clinicians should consider assessing sexual behaviors in patients presenting with LUTS.

Conclusion

The study identifies associations between sexual behaviors and LUTS.

Related Resources & Content

  1. Can Lower Urinary Tract Symptoms Indicate Cardiovascular Disease Risk in Elderly Men? A Comprehensive Review and Meta-Analysis
  2. Testosterone Levels and Lower Urinary Tract Symptoms in Older Men
  3. Investigation of the Development of Lower Urinary Tract Symptoms in Patients with Multiple Sclerosis
  4. JAMA Network Open — Tamsulosin Deprescribing for Lower Urinary Tract Symptoms in Older Men: A Randomized Clinical Trial
  5. EAU Guidelines on the Management of Non-neurogenic Male LUTS
  6. Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA Guideline Amendment 2023
  7. https://d56bochluxqnz.cloudfront.net/documents/full-guideline/EAU-Guidelines-on-Non-Neurogenic-Male-LUTS-2025.pdf
  8. Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA Guideline (2026) Part II: Medical Management | Journal of Urology
  9. The Long-Term Effect of Doxazosin, Finasteride, and Combination Therapy on the Clinical Progression of Benign Prostatic Hyperplasia | New England Journal of Medicine
  10. The effects of combination therapy with dutasteride and tamsulosin on clinical outcomes in men with symptomatic benign prostatic hyperplasia: 4-year results from the CombAT study.
  11. Moderate sexual activity is associated with a reduced risk of developing lower urinary tract symptoms - ScienceDirect
  12. pubmed.ncbi.nlm.nih.gov

Original Source(s)

Study uncovers factors potentially associated with lower LUTS risk

  • by Andrea Surnit

  • August 21, 2026

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