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多发性硬化患者下尿路症状的女性性功能障碍:一项意大利病例对照研究
Raffaele Balsamo1, Felice Crocetto2, Biagio Barone3
1Department of Surgical Sciences, AORN dei Colli/Monaldi Hospital, Naples 80131, Italy.
Sexual medicine
|October 3, 2024
概括
性功能障碍在患有多发性硬化症 (MS) 的女性中很常见,影响生活质量. 早期评估和对性健康的公开讨论对于管理多发性硬化症症状和改善患者护理至关重要.
科学领域:
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性医学性医学性医学性医学
背景情况:
- 多发性硬化症 (MS) 是一种慢性自身免疫性疾病,影响年轻人,往往导致性功能障碍.
- 性功能障碍 (SD) 是影响MS患者生活质量的重大不良影响.
研究的目的:
- 为了确定女性多发性硬化患者性功能障碍的患病率.
- 研究MS中SD,神经障碍,抑郁症和下泌尿道症状 (LUTS) 之间的关系.
- 将多发性硬化患者的性功能与健康女性的性功能进行比较.
主要方法:
- 在2023年1月至2024年1月期间招募了绝经前女性多发性硬化症患者队列.
- 进行了标准化尿液分析,超声波和尿动力学测试.
- 他们使用了女性性功能指数 (FSFI),国际前列腺症状得分 (IPSS) 和贝克抑郁 inventory-II (BDI-II).
主要成果:
- 与健康对照组相比,女性多发性硬化患者的FSFI得分明显较低 (P < .001).
- 较低的FSFI分数与较高的IPSS相关 (P <.001) 和抑郁症的存在 (BDI-II ≥17).
- 61%的MS患者被诊断为抑郁症,对照组为0%.
结论:
- 性功能障碍在患有多发性硬化症的女性中非常普遍,并且多因素.
- 对性健康的评估应该是MS妇女的随访护理的常规部分.
- 关于性健康的公开沟通可以减少耻辱,改善医生患者关系.
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