Hospital Augusto de Oliveira Camargo, Idaiatuba, SP, Brasil.
Centro de Incontinência Urinária, Hospital Sirio Libanes, São Paulo, SP, Brasil.
Int Braz J Urol. 2020 May-Jun;46(3):374-380. doi: 10.1590/S1677-5538.IBJU.2019.0162.
Urinary or sexual dysfunction in the elderly are underreported. However, they are highly prevalent. This study aims to identify the prevalence of these conditions.
The aim is to carry out an investigation in non-institutionalized individuals over 60 years of age, to obtain data on its sexual and urinary health in São Paulo, Campinas, Santo André and Londrina.
6.000 questionnaires were distributed, and 3425 were included in the study, for the analysis of the questionnaires separately. In relation to ADAM, 92% of the 1385 evaluated were suspicious of androgen deficiency (ADAM). As for the male sexual function, it was observed 37% of premature ejaculation. As for the female sexual function, 1300 (74%) did not practice sexual intercourse and the main reasons were: lack of partner and lack of sexual desire. In addition, 988 (78%) of women who had no sexual intercourse responded that they didn't want sex and, more importantly, about 22% of them would like to have sexual intercourse. International prostate symptom score (IPSS) showed gradual worsening of urinary symptoms with increasing age, being the most prevalent: nocturia and urinary urgency. As for the female IPSS, we noted that even after 80 years, the majority have mild symptoms related to voiding dysfunction; with increasing age there is a gradual increase in the result of the IPSS.
Due to the large number of sexual and urinary disorders found, we recommend the improve-ment in health conditions, promoting a better quality of life in the elderly.
老年人的尿失禁或性功能障碍报告不足,但实际上这些问题非常普遍。本研究旨在确定这些情况的患病率。
旨在对圣保罗、坎皮纳斯、圣安德烈和隆德里纳的 60 岁以上非住院个体进行调查,以获取其性和尿失禁健康数据。
共发放了 6000 份问卷,其中 3425 份被纳入研究,分别对问卷进行分析。在 ADAM 方面,1385 名评估者中有 92%怀疑存在雄激素缺乏(ADAM)。在男性性功能方面,观察到 37%的人存在早泄。在女性性功能方面,1300 名(74%)不进行性行为,主要原因是:缺乏伴侣和缺乏性欲。此外,988 名(78%)没有进行性行为的女性表示她们不想要性生活,更重要的是,约 22%的人希望有性生活。国际前列腺症状评分(IPSS)显示,随着年龄的增长,尿失禁症状逐渐恶化,最常见的是夜尿症和尿急。对于女性的 IPSS,我们注意到即使在 80 岁以上,大多数人仍存在与排尿功能障碍相关的轻度症状;随着年龄的增长,IPSS 的评分逐渐增加。
鉴于发现了大量的性和尿失禁障碍,我们建议改善健康状况,提高老年人的生活质量。