Department of Urology, Korea University Medical Center, Seoul, Korea.
World J Mens Health. 2012 Dec;30(3):172-6. doi: 10.5534/wjmh.2012.30.3.172. Epub 2012 Dec 27.
Retinopathy, neuropathy, and nephropathy are well-known complications of diabetes; they are often expected to occur and, therefore, are usually tested for. However, urogenital complications, such as sexual and voiding dysfunctions, are less well known, and consequently, many patients are not treated appropriately despite their symptoms. Thus, we surveyed diabetic patients with regard to their perception of urogenital complications.
We designed a survey for patients in our hospital who were being treated for diabetes mellitus (DM). The questionnaire included items on age, sex, treatment duration, treatment options for and the level of perception of urogenital symptoms, the presence of urogenital symptoms, and whether treatment was intended or had been initiated.
In total, 275 patients participated in the survey. The perception questions on DM-associated urogenital complications showed that 89 patients (32.4%) had no knowledge, 84 patients (30.5%) had some knowledge, and 102 patients (37.1%) had detailed knowledge about these complications. A total of 124 patients (45.1%) reported urogenital symptoms: 93 patients (75.0%) reported voiding dysfunction and 61 patients (49.2%) reported sexual dysfunction. Common symptoms of voiding dysfunction were urinary frequency, nocturia, sense of residual urine, weak stream, and urinary incontinence. Common symptoms of sexual dysfunction were reduced libido, and erectile and ejaculatory dysfunction.
The survey showed that the subjective prevalence rate of urogenital symptoms in diabetic patients was 45.1%. However, only a small percentage (37.1%) of the patients cognized that these symptoms were associated with DM. Therefore, it is necessary to properly inform and educate diabetic patients on possible urogenital complications that may occur.
视网膜病变、神经病变和肾病是糖尿病的已知并发症；通常预计这些并发症会发生，因此通常会进行检测。然而，泌尿道并发症，如性功能障碍和排尿功能障碍，就不那么为人所知，因此，尽管许多患者有症状，但他们并没有得到适当的治疗。因此，我们调查了糖尿病患者对泌尿道并发症的认知。
我们为在我院接受糖尿病（DM）治疗的患者设计了一份调查问卷。问卷包括年龄、性别、治疗时间、泌尿道症状的治疗选择和认知水平、泌尿道症状的存在，以及是否有治疗意图或已经开始治疗。
共有 275 名患者参与了调查。对糖尿病相关泌尿道并发症的认知问题显示，89 名患者（32.4%）不了解，84 名患者（30.5%）有所了解，102 名患者（37.1%）详细了解这些并发症。共有 124 名患者（45.1%）报告有泌尿道症状：93 名患者（75.0%）报告有排尿功能障碍，61 名患者（49.2%）报告有性功能障碍。排尿功能障碍的常见症状是尿频、夜尿、尿残留感、尿流弱和尿失禁。性功能障碍的常见症状是性欲减退，以及勃起和射精功能障碍。
调查显示，糖尿病患者主观泌尿道症状的患病率为 45.1%。然而，只有一小部分（37.1%）的患者意识到这些症状与 DM 有关。因此，有必要向糖尿病患者正确告知和教育可能发生的泌尿道并发症。
