{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T14:28:51Z","timestamp":1788791331257,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,7,22]],"date-time":"2015-07-22T00:00:00Z","timestamp":1437523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2015,11]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>To determine sexual dysfunctions and urinary symptoms in male ankylosing spondylitis (AS<\/jats:styled-content>) patients and their association with various disease and patient factors.<\/jats:p><\/jats:sec>Methods<\/jats:title>In this prospective case control study conducted at a tertiary care teaching institution, 100 males with AS<\/jats:styled-content> were compared to 100 controls using International Index of Erectile Function\u201015 (IIEF<\/jats:styled-content>), International Prostate Symptom Score (IPSS<\/jats:styled-content>), Hospital Anxiety and Depression Scale (HADS<\/jats:styled-content>) and a global question for overall relationship with their partners. Bath AS<\/jats:styled-content> Functional Index (BASFI<\/jats:styled-content>), visual analogue scale pain scores, patient global assessment scale and Bath AS<\/jats:styled-content> Disease Activity Index were also assessed in the AS<\/jats:styled-content> group. Chi\u2010square test, unpaired t<\/jats:italic>\u2010test and univariate and multivariate binary logistic regression analyses were used to analyze the data.<\/jats:p><\/jats:sec>Results<\/jats:title>Anxiety, depression, erectile dysfunction (ED<\/jats:styled-content>), orgasmic dysfunction, intercourse dissatisfaction, overall sexual dissatisfaction, altered overall relationship with partner and lower urinary tract symptoms (LUTS<\/jats:styled-content>) were significantly (P\u00a0<\/jats:italic><\u00a0<\/jats:italic>0.05) higher in the AS<\/jats:styled-content> group as compared to controls. Sexual desire, severe LUTS<\/jats:styled-content> and bothersome LUTS<\/jats:styled-content> (quality of life score >\u00a02) were not different (P\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.76, 0.82 and 0.30 respectively) between the two groups. ED<\/jats:styled-content> was associated with anxiety, depression, longer disease duration, higher BASFI<\/jats:styled-content> and higher age in AS<\/jats:styled-content> patients (P\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.02, 0.001, 0.02, 0.003 and 0.001 respectively).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>AS<\/jats:styled-content> is associated with higher incidence of sexual dysfunction in male patients. ED<\/jats:styled-content> is associated with anxiety, depression, longer duration of disease, higher BASFI<\/jats:styled-content> score and higher age in AS<\/jats:styled-content> patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.12683","type":"journal-article","created":{"date-parts":[[2015,7,22]],"date-time":"2015-07-22T11:19:25Z","timestamp":1437563965000},"page":"866-872","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Sexual dysfunctions and lower urinary tract symptoms in ankylosing spondylitis"],"prefix":"10.1111","volume":"18","author":[{"given":"Urmila","family":"Dhakad","sequence":"first","affiliation":[{"name":"Department of Rheumatology King George's Medical University Chowk Lucknow Uttar Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhupendra Pal","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Urology King George's Medical 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