OAB 对男性和女性的性生活健康的影响：来自 EpiLUTS 的结果。

The impact of OAB on sexual health in men and women: results from EpiLUTS.

机构信息

United BioSource Corporation, Bethesda, MD, USA.

出版信息

J Sex Med. 2011 Jun;8(6):1603-15. doi: 10.1111/j.1743-6109.2011.02250.x. Epub 2011 Apr 14.

DOI:10.1111/j.1743-6109.2011.02250.x

PMID:21492396

Abstract

INTRODUCTION

Prior research suggests that overactive bladder (OAB) is common and adversely affects sexuality in both men and women. However, more data are needed from population-based studies to evaluate the impact OAB on sexual health.

AIM

To describe sexual health outcomes in men and women with continent and incontinent OAB (C-OAB, I-OAB) compared to those with no/minimal urinary symptoms (NMS) and to evaluate correlates of decreased sexual activity and enjoyment in men and women, and correlates of erectile dysfunction (ED), ejaculatory dysfunction (EjD), and premature ejaculation (PE) in men.

METHODS

A cross-sectional, population-representative survey was conducted via the Internet in the United Kingdom, Sweden, and United States. OAB was assessed via a questionnaire based on current International Continence Society definitions. Descriptive statistics were used to compare outcomes for those with I-OAB, C-OAB and NMS, and logistic regressions were used to evaluate predictors of sexual functioning.

MAIN OUTCOME MEASURES

Participants responding to the sexual health portion of the survey were asked questions about sexual activity and satisfaction. Other outcomes included two domains from the Abbreviated Sexual Function Questionnaire, the erectile function domain of the International Index of Erectile Function, and questions assessing EjD and PE.

RESULTS

Survey response was 59.2%; 6,326 men and 8,085 women participated in the sexual health portion of the survey. Across outcomes, I-OAB and C-OAB were associated with worse sexual health as compared to those with NMS. Logistic regressions showed that those with I-OAB and C-OAB were significantly (P<0.0001) more likely to report diminished sexual activity and enjoyment of sex. I-OAB and C-OAB were also significant predictors of ED and EjD in men, but not PE.

CONCLUSIONS

The impact of OAB is evident across domains of sexual health in both men and women. Sexual health should be assessed in men and women presenting with OAB.

摘要

简介

先前的研究表明，膀胱过度活动症（OAB）很常见，会对男性和女性的性生活产生不利影响。然而，需要更多来自基于人群的研究来评估 OAB 对性健康的影响。

目的

描述有控尿和非控尿 OAB（C-OAB，I-OAB）的男性和女性的性健康结果，并与无/轻度尿症状（NMS）的患者进行比较，评估男性和女性性欲降低和性快感降低的相关因素，以及男性勃起功能障碍（ED）、射精功能障碍（EjD）和早泄（PE）的相关因素。

方法

通过互联网在英国、瑞典和美国进行了一项横断面、具有代表性的人群调查。通过基于当前国际尿控协会定义的问卷来评估 OAB。使用描述性统计来比较 I-OAB、C-OAB 和 NMS 患者的结果，使用逻辑回归来评估性功能的预测因素。

主要观察指标

对调查中涉及性健康部分做出回应的参与者被问及性行为和性满意度的问题。其他结果包括简化性功能问卷的两个领域、国际勃起功能指数的勃起功能领域以及评估 EjD 和 PE 的问题。

结果

调查的回应率为 59.2%；6326 名男性和 8085 名女性参与了调查的性健康部分。在所有结果中，与 NMS 患者相比，I-OAB 和 C-OAB 与较差的性健康相关。逻辑回归显示，I-OAB 和 C-OAB 患者报告性欲降低和性快感降低的可能性显著增加（P<0.0001）。I-OAB 和 C-OAB 也是男性 ED 和 EjD 的显著预测因素，但不是 PE。