Abstract
Giriş:
Aşırı aktif mesane(AAM) olan olguların %36sında sıkışma inkontinansı görülmektedir ve bu en can sıkıcı bulgudur. Cinsel disfonksiyon birçok kadının yaşam kalitesini olumsuz etkilemekte ve erkeklerdeki cinsel disfonksiyondan daha sık görülmektedir. Bu çalışmada AAM si olan kadınların cinsel fonksiyonlarını değerlendirmeyi amaçladık.
Materyal ve Metot:
Eylül 2019- Şubat 2020 tarihleri arasında aşırı aktif mesane şikayetiyle başvuran cinsel aktif kadın hastalar çalışmaya alınmak için değerlendirildi. İdrar kaçırması olan 32 hasta ve kaçırması olmayan 32 hastadan toplam 64 hasta çalışmaya dahil edildi. Tüm hastalara OAB-V8 ve Kadın Cinsel işlev Ölçüm (KCİÖ) sorgulama formları doldurtuldu. Kontinan ve inkontinan hastalar cinsel fonksiyon ve KCİÖ alt gruplar açısından karşılaştırıldı.
Bulgular:
64 hastanın 31 (%48.4)’inde cinsel disfonksiyon mevcuttu. İnkontinan hastaların 24(%75)’ünde cinsel disfonksiyon varken, kontinan olanların 7(%21.9)’sinde cinsel disfonksiyon vardır (p<0.01) idrar kaçırması olan 32 hastanın 6 (%18.8)’sı idrar kaçırmaya bağlı orgazm olamadığını söylerken, 28 (%87.5)’i idrar kaçırma korkusundan dolayı orgazm olamadıklarını belirtti. Diğer bir ifadeyle, idrar kaçırma korkusundan dolayı orgazm olamayanların 22 (%78.6)’sinde cinsel disfonksiyon vardı.
Sonuç:
Bu çalışmada AAM'li kadınlarda idrar kaçırmanın cinsel işlev bozukluğu ile ilişkisi ve cinsel aktivitenin temel amaçlarından biri olan orgazma ulaşamamayla idrar kaçırma endişesinin ilişkilendirilebileceği gösterilmiştir. AAM tedavi edildiğinde cinsel işlev bozukluğunun düzeldiğini gösteren çalışmalara ihtiyaç vardır.
References
- Referans1 Abrams P, Cardozo L, Fall M et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol, 187: 116, 2002 DOİ: 10.1067/mob.2002.125704
- Referans2 Wein AJ, Rovner ES. Definition and epidemiology of overactive bladder. Urology, 60 (5 Suppl 1): 7, 2002 DOİ: 10.1016/S0090-4295(02)01784-3
- Referans3 Homma Y, Yamaguchi O, Hayashi K. Epidemiologic survey of lower urinary tract symptoms in Japan. Urology, 68: 560, 2006 DOI: 10.1016/j.urology.2006.03.035
- Referans4 - I. MILSOM, P. ABRAMS, L. CARDOZO, R.G. ROBERTS, J. THUÈ ROFF§ and A. J. WE IN How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study. BJU International (2001), 87, 760±766 DOI: 10.1046/j.1464 410x.2001.02228.x
- Referans5 Coyne K, Revicki D, Hunt T et al. Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res, 11: 563, 2002 DOI: 10.1023/a:1016370925601
- Referans6 Acquadro C, Kopp Z, Coyne KS et al. Translating overactive bladder questionnaires in 14 languages. Urology, 67: 536, 2006 DOI:10.1016/j.urology.2005.09.035
- Referans7 Tarcan T, Mangır N, Özgür MÖ, Akbal C. OAB-V8 Overactive Bladder Questionnaire Validation Study. Uroloji Bulteni 2012;21:113-116
- Referans8 Önem K,Ahmedov İ,Kadıoğlu A.Kadın cinsel fonksiyon disfonksiyonun patafizyolojisi In:Kadığolu A,Başar M,Semerci B,Orhan İ,Aşçı R,Yaman Ö,Çayan S,Usta M,Kendirci M (ed).Erkek ve Kadın Sağlığı,Türk Androloji Derneği Yayını,İstanbul,2004;620-29
- Referans9 Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000;26:191-208 DOI: 10.1080/009262300278597
- Referans10 Alıcı B. Değerlendirme ve Tanı. In: Kadıoğlu A, Başar M, Semerci B, et all editors. Erkek ve Kadın Cinsel Sağlığı., İstanbul:Türk Androloji Derneği Yayını 2004; 630-634
- Referans11 Shaw C. A systematic review of the literature on the prevalence of sexual impairment in women with urinary incontinence and the prevalence of urinary leakage during sexual activity. Eur Urol 2002; 42: 432–440 DOI : 10.1016/s0302-2838(02)00401-3
- Referans12 Oksuz, E. and Malhan, S.: Reliability and validity of the Female Sexual Function Index in Turkish population. Sendrom, 17: 54, 2005
- Referans13 Cakir SS, Degirmentepe RB, Atalay HA, et al. The effect of overactive bladder treatment with anticholinergics on female sexual function in women: a prospective observational study. Int Urol Nephrol. 2019;51(1):27–32. DOI:10.1007/s11255-018-2030-7
- Referans14 Cohen BL, Barboglio P, Gousse A (2008) The impact of lower urinary tract symptoms and urinary incontinence on female sexual dysfunction using a validated instrument. J Sex Med 5(6):1418–1423. DOI:10.1111/j.1743-6109.2008.00818.x
- Referans15 Aslan G, Köseoğlu H, Sadik O, Gimen S, Cihan A, Esen A. Sexual function in women with urinary incontinence. Int J Impot Res. 2005;17(3):248–251. DOI:10.1038/sj.ijir.3901296
- Referans16 Nilsson M, Lalos O, Lindkvist H, Lalos A. How do urinary incontinence and urgency affect women's sexual life?. Acta Obstet Gynecol Scand. 2011;90(6):621–628. DOI:10.1111/j.1600-0412.2011.01120.x
- Referans17 Kim YH, Seo JT, Yoon H. The effect of overactive bladder syndrome on the sexual quality of life in Korean young and middle aged women. Int J Impot Res 2005;17:158-163. DOI: 10.1038/sj.ijir.3901270
- Referans18 Oh SJ, Ku JH, Choo MS, Yun JM, Kim DY, Park WH. Health-related quality of life and sexual function in women with stress urinary incontinence and overactive bladder. Int J Urol. 2008;15:62-67. DOI: 10.1111/j.1442-2042.2007.01905.x
Abstract
Abstract
İntroduction
Urge incontinence is observed in 36% of cases with overactive bladder (OAB) and this is the most bothersome finding. Sexual dysfunction negatively affects the quality of life of many women and is more common than in men. In this study, we aimed to evaluate the sexual functions of women with OAB.
Material and Methods
Patients who presented with overactive bladder complaints between September 2019 and February 2020 were evaluated. A total of 64 patients from 32 patients with urinary incontinence and 32 patients without urinary incontinence were included in the study. Over Active Bladder -V8 (OAB-V8) and Female Sexual Function Index (FSFI) questionnaire forms were filled in all patients. Patients with continence and incontinence were compared in terms of sexual function and FSFI subgroups.
Results
Of the 64 patients, 31 (48.4%) had sexual dysfunction. While 24 (75%) of patients with incontinence had sexual dysfunction, 7 (21.9%) of the continent ones had sexual dysfunction (p <0.01). While 6 (18.8%) of 32 patients with urinary incontinence said that they could not have orgasm due to urinary incontinence, 28 (87.5%) stated that they could not have orgasm due to fear of urinary incontinence. In other words, 22 (78.6%) of those who could not orgasm due to fear of urinary incontinence have sexual dysfunction.
Conclusion
In this study, urinary incontinence in women with OAB has been shown to be associated with sexual dysfunction. It has also been shown that anxiety of urinary incontinence can be associated with an inability to reach orgasm, one of the main goals of sexual activity. There is a need for studies showing that sexual dysfunction improves when OAB is treated.
References
- Referans1 Abrams P, Cardozo L, Fall M et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol, 187: 116, 2002 DOİ: 10.1067/mob.2002.125704
- Referans2 Wein AJ, Rovner ES. Definition and epidemiology of overactive bladder. Urology, 60 (5 Suppl 1): 7, 2002 DOİ: 10.1016/S0090-4295(02)01784-3
- Referans3 Homma Y, Yamaguchi O, Hayashi K. Epidemiologic survey of lower urinary tract symptoms in Japan. Urology, 68: 560, 2006 DOI: 10.1016/j.urology.2006.03.035
- Referans4 - I. MILSOM, P. ABRAMS, L. CARDOZO, R.G. ROBERTS, J. THUÈ ROFF§ and A. J. WE IN How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study. BJU International (2001), 87, 760±766 DOI: 10.1046/j.1464 410x.2001.02228.x
- Referans5 Coyne K, Revicki D, Hunt T et al. Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res, 11: 563, 2002 DOI: 10.1023/a:1016370925601
- Referans6 Acquadro C, Kopp Z, Coyne KS et al. Translating overactive bladder questionnaires in 14 languages. Urology, 67: 536, 2006 DOI:10.1016/j.urology.2005.09.035
- Referans7 Tarcan T, Mangır N, Özgür MÖ, Akbal C. OAB-V8 Overactive Bladder Questionnaire Validation Study. Uroloji Bulteni 2012;21:113-116
- Referans8 Önem K,Ahmedov İ,Kadıoğlu A.Kadın cinsel fonksiyon disfonksiyonun patafizyolojisi In:Kadığolu A,Başar M,Semerci B,Orhan İ,Aşçı R,Yaman Ö,Çayan S,Usta M,Kendirci M (ed).Erkek ve Kadın Sağlığı,Türk Androloji Derneği Yayını,İstanbul,2004;620-29
- Referans9 Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000;26:191-208 DOI: 10.1080/009262300278597
- Referans10 Alıcı B. Değerlendirme ve Tanı. In: Kadıoğlu A, Başar M, Semerci B, et all editors. Erkek ve Kadın Cinsel Sağlığı., İstanbul:Türk Androloji Derneği Yayını 2004; 630-634
- Referans11 Shaw C. A systematic review of the literature on the prevalence of sexual impairment in women with urinary incontinence and the prevalence of urinary leakage during sexual activity. Eur Urol 2002; 42: 432–440 DOI : 10.1016/s0302-2838(02)00401-3
- Referans12 Oksuz, E. and Malhan, S.: Reliability and validity of the Female Sexual Function Index in Turkish population. Sendrom, 17: 54, 2005
- Referans13 Cakir SS, Degirmentepe RB, Atalay HA, et al. The effect of overactive bladder treatment with anticholinergics on female sexual function in women: a prospective observational study. Int Urol Nephrol. 2019;51(1):27–32. DOI:10.1007/s11255-018-2030-7
- Referans14 Cohen BL, Barboglio P, Gousse A (2008) The impact of lower urinary tract symptoms and urinary incontinence on female sexual dysfunction using a validated instrument. J Sex Med 5(6):1418–1423. DOI:10.1111/j.1743-6109.2008.00818.x
- Referans15 Aslan G, Köseoğlu H, Sadik O, Gimen S, Cihan A, Esen A. Sexual function in women with urinary incontinence. Int J Impot Res. 2005;17(3):248–251. DOI:10.1038/sj.ijir.3901296
- Referans16 Nilsson M, Lalos O, Lindkvist H, Lalos A. How do urinary incontinence and urgency affect women's sexual life?. Acta Obstet Gynecol Scand. 2011;90(6):621–628. DOI:10.1111/j.1600-0412.2011.01120.x
- Referans17 Kim YH, Seo JT, Yoon H. The effect of overactive bladder syndrome on the sexual quality of life in Korean young and middle aged women. Int J Impot Res 2005;17:158-163. DOI: 10.1038/sj.ijir.3901270
- Referans18 Oh SJ, Ku JH, Choo MS, Yun JM, Kim DY, Park WH. Health-related quality of life and sexual function in women with stress urinary incontinence and overactive bladder. Int J Urol. 2008;15:62-67. DOI: 10.1111/j.1442-2042.2007.01905.x
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Articles |
| Authors | |
| Publication Date | April 30, 2020 |
| Submission Date | February 14, 2020 |
| Published in Issue | Year 2020 Volume: 3 Issue: 1 |