To determine the frequency of prostatic symptomatology, premature ejaculation (PE), erectile function, symptoms in the older adult/andropause assessment and to determine the risk factors involved. The study was conducted by the Mexican Society of Urology and was carried out from June to October 2006. Epidemiological information was obtained through the completion of four validated questionnaires by patients receiving non-institutional urology treatment. The large database was statistically analyzed using a logistic regression model. A total of 1,779 men with an average age of 56.6 years were included in the study. The average prostate-specific antigen value in the sample was 1.73 (n = 1,316). Prostatic symptomatology in accordance with the international prostate symptom score was 7.96 points. A total of 41.9% of participants reported experiencing PE. The average time to reach ejaculation was 10.97 min. Of the participating individuals, 39.5% were diagnosed with andropause. Prostatic symptomatology was associated with risk factors of age and prostatitis, P < 0.01. Premature ejaculation and erectile dysfunction were associated with age, P < 0.01. Vasomotor problems in the older adult were identified with an association tendency towards alcoholism and excess weight, P < 0.063, but without statistical significance. Sexual problems in the older adult were associated with diabetes mellitus, P < 0.01. Andropause was associated with traumatic problems in general.