How does lower urinary tract dysfunction (LUTD) affect sexual function in men and women? ICI‐RS 2015—Part 2

Apostolidis, Apostolos; Rantell, Angie; Anding, Ralf; Kirschner‐Hermanns, Ruth; Cardozo, Linda

doi:10.1002/nau.23088

Cited by 9 publications

(5 citation statements)

References 64 publications

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“…3 After surgical or conservative restoration of continence, improvement of SF was observed, and the goal of improving sexuality and body image was an independent predictor of better SF. 4 However, there are conflicting reports after POP surgery, where sexual satisfaction remains unchanged 3,5 or improved. 6 In older women, marital status remains the strongest predictor of sexual activity.…”

Section: Introductionmentioning

confidence: 99%

“…In a group of sexually active patients with POP stage III or IV, one third believed that POP affected their ability to have sexual relations . After surgical or conservative restoration of continence, improvement of SF was observed, and the goal of improving sexuality and body image was an independent predictor of better SF . However, there are conflicting reports after POP surgery, where sexual satisfaction remains unchanged or improved …”

Section: Introductionmentioning

confidence: 99%

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Predictors of sexual function in women with stress urinary incontinence

Grzybowska

Wydra

2017

Neurourology and Urodynamics

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of sexual function in women with stress urinary incontinence

Grzybowska

Wydra

2017

Neurourology and Urodynamics

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“…Our study revealed that LUTS increased the likelihood of developing ED by 2.3 times, even when adjusting for age, gender, education, or comorbidities. This relationship has been extensively investigated, providing evidence for the causal relationship between LUTS and ED [ 68 ]. The prevalence of moderate-to-severe ED was 63% within our population, rising to 84% in patients experiencing at least mild ED.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Lower Urinary Tract Symptoms in Males and Urinary Incontinence in Females in Primary Health Care in Greece

Gkatzoudi,

Bouloukaki,

Mamoulakis

et al. 2024

Medicina

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Background and Objectives: The significant prevalence of Lower Urinary Tract Symptoms (LUTS), erectile dysfunction (ED), and associated adverse effects calls for increased attention in primary care settings. In Greece, there is a lack of sufficient data for LUTS and ED screening in primary care. Therefore, the aim of our study was to estimate the prevalence of LUTS and ED, identify associated risk factors, and evaluate their impact on quality of life among adult primary healthcare users aged 40 years and older in Crete, Greece. Materials and Methods: A cross-sectional study was conducted to explore the prevalence of LUTS and ED in 1746 primary health care users visiting rural primary health care practices in Crete, Greece. Participants underwent a comprehensive evaluation including demographic parameters, screening for LUTS utilizing the validated International Prostate Symptoms Score (IPSS) questionnaire and for ED using the International Index of Erectile Function (IIEF-5), in males, and for urinary incontinence in women with the International Consultation on Incontinence Questionnaire–Urinary Incontinence Short Form (ICIQ-UI SF). Participants with a prior diagnosis of LUTS or ED were excluded (n = 183). Results: Out of 536 participants finally included (n = 1746 screened), 32% of males and 36% of females exhibited moderate to severe LUTS. Following adjustments, we identified advanced age, retirement, and the presence of diabetes type 2 as factors associated with the occurrence of LUTS in men. Patients with LUTS also had a substantially increased likelihood of experiencing ED. Moreover, it was observed that women with hypertension or diabetes type 2 and lower education levels face an increased likelihood of developing LUTS, which adversely affects their quality of life. Conclusions: In conclusion, the findings of this study reveal a high occurrence of LUTS and ED in adults aged 40 years and older who utilize primary healthcare services, with a negative impact on their quality of life.

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“…Summary: It has been reported that approximately half of women with LUTS present sexual dysfunction, and that LUTS are an independent risk factor for female sexual dysfunction. [12][13][14][15] There is a higher rate of sexual dysfunction in OAB with urinary incontinence (OAB-wet) than in OAB-dry, and sexual dysfunction improves with treatment for OAB. [16][17][18][19] Stress urinary incontinence is strongly involved in urinary incontinence during sexual intercourse, with reduced urethral resistance contributing the most.…”

Section: Selected Cqsmentioning

confidence: 99%

Clinical Guidelines for Female Lower Urinary Tract Symptoms (second edition)

Takahashi¹,

Takei²,

Asakura³

et al. 2021

Int J of Urology

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The present article is an abridged English translation of the Japanese Clinical Guidelines for Female Lower Urinary Tract Symptoms (second edition), published in September 2019. These guidelines consist of a total of 212 pages and are unique worldwide in that they cover female lower urinary tract symptoms other than urinary incontinence. They contain two algorithms for "primary treatment" and "specialized treatment," respectively. These guidelines, consisting of six chapters, address a total of 26 clinical questions including: (i) treatment algorithms; (ii) what are female lower urinary tract symptoms?; (iii) epidemiology and quality of life; (iv) pathology and illness; (v) diagnosis; and (vi) treatment. When the patient's symptoms mainly involve voiding and post-micturition symptoms, specialized treatment should be considered. In the event of voiding symptoms concurrent with storage symptoms, residual urine should be measured; if the residual urine volume is <100 mL, then diagnosis and treatment for storage symptoms is prioritized, and if the volume is ≥100 mL, then specialized treatment should be considered. When storage symptoms are the primary condition, then the patient is subject to the primary treatment algorithm. Specialized treatment for refractory overactive bladder includes botulinum toxin injection and sacral nerve stimulation. For stress urinary incontinence, surgical treatment is indicated, such as urethral slings. The two causes of voiding symptoms and post-micturition symptoms are lower urinary tract obstruction and detrusor underactivity (underactive bladder). Mechanical lower urinary tract obstruction, such as pelvic organ prolapse, is expected to improve with surgery.

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How does lower urinary tract dysfunction (LUTD) affect sexual function in men and women? ICI‐RS 2015—Part 2

Cited by 9 publications

References 64 publications

Predictors of sexual function in women with stress urinary incontinence

Predictors of sexual function in women with stress urinary incontinence

Evaluation of Lower Urinary Tract Symptoms in Males and Urinary Incontinence in Females in Primary Health Care in Greece

Clinical Guidelines for Female Lower Urinary Tract Symptoms (second edition)

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