(562) Association Between Erectile Dysfunction and Frailty in Elderly Male Patients with Urological Diseases

Introduction Erectile dysfunction (ED) and frailty are both common in elderly men, but their relationship has not been fully clarified. Objective We aimed to examine the association between ED and frailty in elderly male patients with urological diseases. Methods We studied 190 sexually active men aged ≥ 60 years who visited our department between September 2024 and August 2025. Frailty was assessed using the geriatric 8 screening tool (G8), modified frailty index (mFI), and frailty discriminant score (FDS). Erectile dysfunction was evaluated with the Sexual Health Inventory for Men (SHIM) and Erection Hardness Score (EHS). Patients were divided into ED and non-ED groups, and we compared frailty prevalence, frailty-related factors between two groups, and examined correlations between frailty and ED. Results The median age was 72 years (IQR: 67-76), and the median SHIM score was 10(IQR: 6-14) among all patients. Frailty prevalence was significant higher in the ED group across all tools. Significant differences were found in age (P< 0.0001), handgrip strength (P< 0.0001), and serum albumin level (P< 0.005) between two groups. All frailty tools were correlated with ED, with FDS showing the strongest correlation (r=-0.303). Conclusions ED was strongly linked to physical frailty, especially reduced gait speed, weak handgrip strength, and low serum albumin level. Among the frailty measurement tools, FDS showed the closest association with ED. Disclosure No