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Urinary incontinence as a cause of depression and sexual dysfunction: Questionnaire-based study
Selcuk Sarikaya1, Fatma Gokcem Yildiz2, Cagri Senocak3
1Gulhane Research and Training Hospital, Department of Urology, Ankara, Turkey.
Revista Internacional De Andrologia
|November 25, 2018
Summary
Urinary incontinence significantly impacts sexual function and increases depression in patients. This study found higher rates of sexual dysfunction and depression across genders, particularly in urge incontinence cases.
Area of Science:
- Urology
- Psychiatry
- Sexual Health
Background:
- Urinary incontinence (UI) is a prevalent and debilitating condition.
- UI significantly affects patients' quality of life, including mental and sexual health.
Purpose of the Study:
- To evaluate the severity of sexual dysfunction and depression in patients diagnosed with urinary incontinence.
- To explore the relationship between UI type, Overactive Bladder (OAB) symptom scores, depression, and sexual dysfunction.
Main Methods:
- A cohort of 33 patients (12 male, 21 female) with UI were assessed between 2015-2017.
- Data collected included demographics, BMI, OAB scores, UI type, Beck Depression Inventory, and validated sexual function indices (IIEF-5 for males, IFSF and FSDS for females).
Main Results:
- Urge incontinence was the most common type.
- Higher OAB scores were observed in the urge incontinence group.
- Elevated depression scores were noted in female patients and in specific UI subtypes (urge in males, mixed in females).
- Sexual dysfunction rates were high in both male and female patients across different UI types.
Conclusions:
- Urinary incontinence is strongly associated with increased depression and sexual dysfunction in both genders.
- Urge incontinence appears particularly linked to higher OAB scores and depression.
- Comprehensive assessment and management of UI should include evaluation of psychological and sexual health.
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