Jie, D.J.K. (2013) De impact van chronic pelvic pain syndrome en lower urinary tract symptoms op de seksuele functie bij mannen. thesis, Medicine.
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Abstract
Introduction: Sexual dysfunction is prevalent and associated with a lower quality of life. Chronic pelvic pain syndrome (CPPS) and lower urinary tract symptoms (LUTS) are associated with sexual dysfunction. One hypothesis is that the pelvic floor muscles play a central role. Comparison of the prevalence of sexual dysfunction between CPPS and LUTS is difficult as there is no consensus on how to measure sexual dysfunction. There is limited knowledge about factors that can influence the pelvic floor muscles and thereby influence sexual function. Therefore factors that can influence the pelvic floor muscles might be applicable for treatment and improving the sexual function. Method: Men who visited the Universitair Bekkenbodem Centrum Groningen (UBCG) with new complaints in the period 2010-2012, completed a questionnaire before the first consultation. A retrospective cohort study included these men that were diagnosed with CPPS or LUTS. Men with urological malignancy in their medical history or incomplete questionnaires were excluded. In total 44 men with CPPS, 47 men with LUTS and 3 men with CPPS and LUTS were included. The prevalence of sexual dysfunction could be calculated from the scores on the questionnaire. Then the prevalence of sexual dysfunction between CPPS and LUTS was compared. Factors that might influence sexual dysfunction were analysed. Results: No significant difference was seen in prevalence of sexual dysfunction between men with CPPS and men with LUTS. Men with CPPS showed significantly higher score on pain during or after sexual activity. Problems with defecation seems to be a significant predictor of sexual dysfunction in both men with CPPS and men with LUTS. The diagnosis CPPS or LUTS itself, micturition or pain complaints are no significant predictors of sexual dysfunction. Being 60 years or older is a significant predictor of sexual dysfunction in men with LUTS. Conclusion: In this study no significant difference was seen between men with CPPS and men with LUTS in prevalence of sexual dysfunction. One factor, influenced by the pelvic floor, that can predict sexual dysfunction in men with CPPS and men with LUTS, is defecation complaints. The age of men is associated with sexual dysfunction in men with LUTS. Problems with defecation can be treated and are associated with sexual dysfunction. In men with CPPS or LUTS it is important to have attention to sexual function and defecation. Further research is indicated to see if treatment of problems with defecation can improve sexual dysfunction.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Messelink, Drs. E.J. |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:01 |
| Last Modified: | 25 Jun 2020 11:01 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2100 |
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