TY - JOUR
T1 - Bladder pain syndrome associated with highest impact on sexual function among women with lower urinary tract symptoms
AU - Sacco, Emilio
AU - D'Addessi, Alessandro
AU - Racioppi, Marco
AU - Pinto, Francesco
AU - Totaro, Angelo
AU - Bassi, Pierfrancesco
PY - 2012
Y1 - 2012
N2 - Objective
To investigate the differential impact of lower urinary tract symptoms (LUTS) on female sexual function (FSF).
Methods
In a cross-sectional study in Agostino Gemelli Hospital, Rome, Italy, 188 sexually active patients with LUTS, as assessed by self-reported questionnaires, underwent comprehensive urologic and urodynamic examination between January 2008 and December 2010. Patients with urinary incontinence, voiding-phase LUTS, overactive bladder (OAB), and bladder pain syndrome (BPS) were included. FSF was assessed by PISQ-12 questionnaire, and scores (0–100; higher scores indicate worse FSF) were compared between the patients and a group of age-matched women without LUTS. PISQ-12 scores of different clinical and urodynamic patient subgroups were also compared by multivariate analysis.
Results
The global PISQ-12 mean score was significantly higher among patients with LUTS (32.7) than among controls (18.4; P < 0.0001). Women with BPS reported the highest global PISQ-12 score (46.1), followed by those with urodynamic detrusor overactivity (45.0), clinical urgency (41.4), mixed (37.7) and stress urinary incontinence (28.1), dry OAB (22.2) and voiding-phase LUTS (19.6). Age, urinary incontinence, BPS, and detrusor overactivity were independent predictors of FSF.
Conclusion
BPS was associated with the greatest impairment of FSF among women with LUTS. Clinical and urodynamic urgency-type urinary incontinence affected FSF more markedly than other types.
AB - Objective
To investigate the differential impact of lower urinary tract symptoms (LUTS) on female sexual function (FSF).
Methods
In a cross-sectional study in Agostino Gemelli Hospital, Rome, Italy, 188 sexually active patients with LUTS, as assessed by self-reported questionnaires, underwent comprehensive urologic and urodynamic examination between January 2008 and December 2010. Patients with urinary incontinence, voiding-phase LUTS, overactive bladder (OAB), and bladder pain syndrome (BPS) were included. FSF was assessed by PISQ-12 questionnaire, and scores (0–100; higher scores indicate worse FSF) were compared between the patients and a group of age-matched women without LUTS. PISQ-12 scores of different clinical and urodynamic patient subgroups were also compared by multivariate analysis.
Results
The global PISQ-12 mean score was significantly higher among patients with LUTS (32.7) than among controls (18.4; P < 0.0001). Women with BPS reported the highest global PISQ-12 score (46.1), followed by those with urodynamic detrusor overactivity (45.0), clinical urgency (41.4), mixed (37.7) and stress urinary incontinence (28.1), dry OAB (22.2) and voiding-phase LUTS (19.6). Age, urinary incontinence, BPS, and detrusor overactivity were independent predictors of FSF.
Conclusion
BPS was associated with the greatest impairment of FSF among women with LUTS. Clinical and urodynamic urgency-type urinary incontinence affected FSF more markedly than other types.
KW - Bladder pain syndrome
KW - Female sexual dysfunction
KW - Lower urinary tract symptoms
KW - Overactive bladder
KW - Urinary incontinence
KW - Bladder pain syndrome
KW - Female sexual dysfunction
KW - Lower urinary tract symptoms
KW - Overactive bladder
KW - Urinary incontinence
UR - http://hdl.handle.net/10807/28867
U2 - 10.1016/j.ijgo.2011.12.015
DO - 10.1016/j.ijgo.2011.12.015
M3 - Article
SN - 0020-7292
VL - 117
SP - 168
EP - 172
JO - INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
JF - INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ER -