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Bladder pain syndrome and sexual function: a systematic review and meta-analysis
A Sobti1, S Shawer2, P Ballard2
1South Tees Hospitals NHS Foundation Trust, James Cook University Hospital, Middlesbrough, TS4 3BW, UK. alka.sobti@gmail.com.
International Urogynecology Journal
|August 22, 2023
Summary
Patients with bladder pain syndrome (BPS) experience worse sexual function compared to healthy individuals. However, intravesical treatments for BPS show potential for improving sexual function in affected individuals.
Area of Science:
- Urology
- Sexual Medicine
- Systematic Review & Meta-Analysis
Background:
- Bladder pain syndrome (BPS), also known as interstitial cystitis, significantly impacts patients' physical, mental, and sexual well-being.
- Sexual dysfunction is a recognized but often under-addressed consequence of BPS.
Purpose of the Study:
- To systematically review and compare sexual function in patients diagnosed with BPS versus healthy controls.
- To evaluate the efficacy of BPS treatments in improving sexual function.
Main Methods:
- A comprehensive literature search was performed across major databases (Embase, Medline).
- Included studies compared sexual function in BPS patients against healthy controls and assessed changes before and after treatment.
- Data were pooled for meta-analysis using a random effects model and standardized mean difference (SMD).
Main Results:
- The review included 26 studies, with 11 used for meta-analysis.
- Sexual function, measured by the Female Sexual Function Index (FSFI), was significantly worse in BPS patients compared to controls (SMD = -1.02, p=0.001).
- Intravesical treatment for BPS demonstrated a significant improvement in overall sexual function (SMD = 0.69, p=0.003).
Conclusions:
- Sexual function is notably impaired in individuals with BPS compared to the general population.
- Intravesical treatments appear to be an effective strategy for ameliorating sexual dysfunction in BPS patients.
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