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available at https://pubmed.ncbi.nlm.nih.gov/31501060/ Editorial Comment: Maintaining satisfactory sexual health and function remains an important goal for many adults across their lifetime. Incidence and prevalence of various forms of sexual dysfunction increase but should not be considered normal or inevitable with the aging process. This study sought to examine clinical outcomes from surgical treatment of Peyronie’s disease in a cohort of men age 65 years or older treated by a single reconstructive surgeon. This is a common clinical condition that negatively affects erectile and sexual function as well as emotional and psychological status. Most published data have been obtained from younger patients. This is the first known study to explicitly examine surgical and clinical outcomes in a geriatric patient cohort. In this retrospective analysis 95% of the 86 men achieved a functionally straight penis, and 94% were able to engage in penetrative sexual intercourse. Median followup was 43.5 months, and overall satisfaction outcome was 85%. Several surgical options were used, including implantation of penile prosthesis with straightening maneuvers, tunica albuginea plication and partial plaque excision with grafting. Decisions about specific methods depend on the anatomy and other clinical factors for individual patients. Some authors have previously argued in favor of placing a penile prosthesis in almost all geriatric men undergoing surgical correction of Peyronie’s, assuming that erectile dysfunction may eventually develop. However, the current authors disagree and stress that the reconstructive surgical approach should be based on usual indications and not age alone. Tomas L. Griebling, MD, MPH Re: The Relationship between Gait Function and Erectile Dysfunction: Results from a Community-Based Cross-Sectional Study in Japan T. Okamoto, S. Hatakeyama, A. Imai, S. Konishi, K. Okita, H. Yamamoto, Y. Tobisawa, T. Yoneyama, K. Mori, T. Yoneyama, Y. Hashimoto, S. Nakaji and C. Ohyama Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan, Department of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan, and Department of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan J Sex Med 2019; 16: 1922e1929. doi: 10.1016/j.jsxm.2019.08.018 Abstract available at https://pubmed.ncbi.nlm.nih.gov/31522986/available at https://pubmed.ncbi.nlm.nih.gov/31522986/ Editorial Comment: Rates of erectile dysfunction (ED) increase with age in men but the relationships between ED and other clinical factors are complex. This study sought to determine if physical function status as measured by gait speed parameters was associated with ED in a crosssectional group of 324 men in Japan. Standard measures of gait function were used and are easy to reproduce in the clinical setting. Men were divided into 2 groups based on the IIEF (International Index of Erectile Function) as a measure of sexual function. Those with a low IIEF score (worse ED) tended to have slower gait and worse grip strength, both measures of decreased GERIATRICS 1357 Copyright © 2020 American Urological Association Education and Research, Inc. Unauthorized reproduction of this article is prohibited.