Ottem Derek P, Carr Lesley K, Perks Alexandra E, Lee Patricia, Teichman Joel M H
Division of Urology, Providence Healthcare, Vancouver, British Columbia, Canada.
Urology. 2007 Apr;69(4):608-10. doi: 10.1016/j.urology.2006.12.024.
To use the Female Sexual Function Index (FSFI) to compare female sexual dysfunction in patients with interstitial cystitis/painful bladder syndrome (IC) with that in controls.
Consecutive patients with IC and asymptomatic controls were tested for voiding diary voided volumes, Pelvic Pain and Urgency/Frequency Questionnaire scores, and FSFI scores.
Of the 97 subjects, 75 had IC and 22 were controls. The mean age was 38 and 43 years (P = 0.09), the voided volume was 165 mL and 294 mL (P <0.0001), and the Pelvic Pain and Urgency/Frequency Questionnaire score was 18 versus 3 (P <0.0001) for the IC and control groups, respectively. The total adjusted FSFI scores differed between patients with IC and the controls (20.2 +/- 9.6 versus 29.0 +/- 6.8, respectively, P <0.001). Using 26.55 as the cutpoint, 51 patients with IC (68%) had an abnormal FSFI score versus 3 controls (14%; P <0.001). Patients with IC scored worse on all domains of female sexual dysfunction than did the controls (P <0.01).
The results of our study have shown that female patients with IC have sexual dysfunction, including pain, more commonly than do controls.
使用女性性功能指数（FSFI）比较间质性膀胱炎/膀胱疼痛综合征（IC）患者与对照组女性的性功能障碍情况。
对连续性的IC患者和无症状对照组进行排尿日记排尿量、盆腔疼痛及尿急/尿频问卷评分和FSFI评分测试。
97名受试者中，75名患有IC，22名是对照组。平均年龄分别为38岁和43岁（P = 0.09），排尿量分别为165毫升和294毫升（P <0.0001），IC组和对照组的盆腔疼痛及尿急/尿频问卷评分分别为18分和3分（P <0.0001）。IC患者和对照组的总调整后FSFI评分存在差异（分别为20.2±9.6和29.0±6.8，P <0.001）。以26.55作为切点，51名IC患者（68%）的FSFI评分异常，而对照组为3名（14%；P <0.001）。IC患者在女性性功能障碍的所有领域的得分均低于对照组（P <0.01）。
我们的研究结果表明，IC女性患者比对照组更常出现包括疼痛在内的性功能障碍。
