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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
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Navigating Life with Posterior Urethral Valves-Sexual Health and Lower Urinary Tract Symptoms
Pirmin I Zöhrer1, Franziska Vauth1, Anke K Jaekel2
1Department of Pediatric Urology, Clinic St. Hedwig, University Medical Center, 93049 Regensburg, Germany.
Journal of Clinical Medicine
|August 10, 2024
Summary
Young adults with posterior urethral valves (PUV) commonly experience lower urinary tract symptoms (LUTS). While quality of life and sexual function are generally unaffected, LUTS may decrease sexual self-efficacy (SSE).
Area of Science:
- Urology
- Pediatric Surgery
- Quality of Life Research
Background:
- Posterior urethral valves (PUV) significantly impact young adults' quality of life (QoL).
- Lower urinary tract symptoms (LUTS) are a common sequela of PUV treatment.
- Assessing QoL, sexual health, and self-efficacy is crucial for this population.
Purpose of the Study:
- To investigate the impact of LUTS on QoL and sexual health in adults with PUV.
- To evaluate sexual self-efficacy (SSE) in young adults treated for PUV.
- To identify factors influencing QoL and SSE in the PUV cohort.
Main Methods:
- A cohort of 16+ year old patients treated for PUV completed validated questionnaires.
- Validated instruments included the Sexual Self-Efficacy Scale (SSES-E), ICIQ MLUTS, ICIQ MLUTSsex, and ICIQ LUTSqol.
- Individual health questionnaires gathered data on renal function and urinary diversion.
Main Results:
- 18/34 (52.9%) patients responded; median age 23 years.
- Most patients had mild LUTS (16/18), with 13 having natural urination.
- Overall SSE scores were comparable to healthy controls, but moderate LUTS correlated with lower SSE (75 vs. 84).
Conclusions:
- QoL and sexual function are not significantly impaired in adults with PUV despite common LUTS.
- LUTS are associated with decreased sexual self-efficacy, particularly in those with moderate symptoms.
- Attention to LUTS and SSE is vital during the transition from pediatric to adult care.
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