Lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis
OBJECTIVES: To assess the prevalence and interrelationship between lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis (MS). METHODS: In a cross-sectional study, we evaluated 41 men (mean age 41.1±9.9 years) with MS from February 2011 to March 2013, who were invited t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier España
2019-03-01
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| Series: | Clinics |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322019000100204&lng=en&tlng=en |
| _version_ | 1818115018103717888 |
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| author | André Luiz Farinhas Tomé Eduardo P. Miranda José de Bessa Júnior Carlos Alberto Bezerra Antônio Carlos Lima Pompeo Sidney Glina Cristiano Mendes Gomes |
| author_facet | André Luiz Farinhas Tomé Eduardo P. Miranda José de Bessa Júnior Carlos Alberto Bezerra Antônio Carlos Lima Pompeo Sidney Glina Cristiano Mendes Gomes |
| author_sort | André Luiz Farinhas Tomé |
| collection | DOAJ |
| description | OBJECTIVES: To assess the prevalence and interrelationship between lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis (MS). METHODS: In a cross-sectional study, we evaluated 41 men (mean age 41.1±9.9 years) with MS from February 2011 to March 2013, who were invited to participate irrespective of the presence of lower urinary tract symptoms or sexual dysfunction. Neurological impairment was assessed with the Expanded Disability Status Scale; lower urinary tract symptoms were evaluated with the International Continence Society male short-form questionnaire, and sexual dysfunction was evaluated with the International Index of Erectile Function. All patients underwent transabdominal urinary tract sonography and urine culture. RESULTS: The mean disease duration was 10.5±7.3 years. Neurological evaluation showed a median Expanded Disability Status Scale score of 3 [2-6]. The median International Continence Society male short-form questionnaire score was 17 [10-25]. The median International Index of Erectile Function score was 29 [15-46]. Twenty-nine patients (74.4%) had sexual dysfunction as defined by an International Index of Erectile Function score <45. Voiding dysfunction and sexual dysfunction increased with the degree of neurological impairment (r=0.02 [0.02 to 0.36] p=0.03 and r=-0.41 [-0.65 to -0.11] p=0.008, respectively). Lower urinary tract symptoms and sexual dysfunction also displayed a significant correlation (r=-0.31 [-0.56 to -0.01] p=0.04). CONCLUSIONS: Most male patients with MS have lower urinary tract symptoms and sexual dysfunction. The severity of the neurological disease is a predictive factor for the occurrence of voiding and sexual dysfunctions. |
| first_indexed | 2024-12-11T03:59:57Z |
| format | Article |
| id | doaj.art-6753abcb9d4a4b0386a927686a120e48 |
| institution | Directory Open Access Journal |
| issn | 1980-5322 |
| language | English |
| last_indexed | 2024-12-11T03:59:57Z |
| publishDate | 2019-03-01 |
| publisher | Elsevier España |
| record_format | Article |
| series | Clinics |
| spelling | doaj.art-6753abcb9d4a4b0386a927686a120e482022-12-22T01:21:40ZengElsevier EspañaClinics1980-53222019-03-0174010.6061/clinics/2019/e713S1807-59322019000100204Lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosisAndré Luiz Farinhas ToméEduardo P. MirandaJosé de Bessa JúniorCarlos Alberto BezerraAntônio Carlos Lima PompeoSidney GlinaCristiano Mendes GomesOBJECTIVES: To assess the prevalence and interrelationship between lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis (MS). METHODS: In a cross-sectional study, we evaluated 41 men (mean age 41.1±9.9 years) with MS from February 2011 to March 2013, who were invited to participate irrespective of the presence of lower urinary tract symptoms or sexual dysfunction. Neurological impairment was assessed with the Expanded Disability Status Scale; lower urinary tract symptoms were evaluated with the International Continence Society male short-form questionnaire, and sexual dysfunction was evaluated with the International Index of Erectile Function. All patients underwent transabdominal urinary tract sonography and urine culture. RESULTS: The mean disease duration was 10.5±7.3 years. Neurological evaluation showed a median Expanded Disability Status Scale score of 3 [2-6]. The median International Continence Society male short-form questionnaire score was 17 [10-25]. The median International Index of Erectile Function score was 29 [15-46]. Twenty-nine patients (74.4%) had sexual dysfunction as defined by an International Index of Erectile Function score <45. Voiding dysfunction and sexual dysfunction increased with the degree of neurological impairment (r=0.02 [0.02 to 0.36] p=0.03 and r=-0.41 [-0.65 to -0.11] p=0.008, respectively). Lower urinary tract symptoms and sexual dysfunction also displayed a significant correlation (r=-0.31 [-0.56 to -0.01] p=0.04). CONCLUSIONS: Most male patients with MS have lower urinary tract symptoms and sexual dysfunction. The severity of the neurological disease is a predictive factor for the occurrence of voiding and sexual dysfunctions.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322019000100204&lng=en&tlng=enBladder DysfunctionDemyelinating DiseasesErectile DysfunctionLower Urinary Tract SymptomsMultiple SclerosisSexual Symptoms |
| spellingShingle | André Luiz Farinhas Tomé Eduardo P. Miranda José de Bessa Júnior Carlos Alberto Bezerra Antônio Carlos Lima Pompeo Sidney Glina Cristiano Mendes Gomes Lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis Clinics Bladder Dysfunction Demyelinating Diseases Erectile Dysfunction Lower Urinary Tract Symptoms Multiple Sclerosis Sexual Symptoms |
| title | Lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis |
| title_full | Lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis |
| title_fullStr | Lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis |
| title_full_unstemmed | Lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis |
| title_short | Lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis |
| title_sort | lower urinary tract symptoms and sexual dysfunction in men with multiple sclerosis |
| topic | Bladder Dysfunction Demyelinating Diseases Erectile Dysfunction Lower Urinary Tract Symptoms Multiple Sclerosis Sexual Symptoms |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322019000100204&lng=en&tlng=en |
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