Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
Department of Urology, The Fifth People's Hospital of Shanghai, Fudan University, Shanghai, China.
Urol Int. 2021;105(1-2):124-130. doi: 10.1159/000508764. Epub 2020 Nov 11.
Sexual dysfunction in women with overactive bladder (OAB) syndrome has been an important topic, while the sexual satisfaction of partners has not been fully investigated. Our aim was to explore the association between the severity of OAB with female sexual dysfunction and sexual satisfaction of partners.
A total of 323 patients with OAB recruited in our hospital were included in our study from September 2017 to March 2019. Data were collected by Overactive Bladder Symptom Score (OABSS) questionnaire, self-designed questionnaire for basic characteristics; Female Sexual Function Index (FSFI); and sexual satisfaction survey for sex partners of patients. χ2 test or 1-way ANOVA was used to compare the variables among groups. Logistic regression analysis was performed to analyze the severity of OAB with female sexual dysfunction and sexual satisfaction of partners. The correlations between different OABSS domains with female sexual dysfunction and sexual satisfaction of partners were assessed.
All the patients were classified into mild (n = 107), moderate (n = 98), severe (n = 118) OAB group based on OABSS. Most of the basic information were similar among groups, except for BMI, highest education, occupation, fertility, and history of pelvic floor surgery. After multiple factors correction, the severity of OAB, exercise frequency, and the history of pelvic floor surgery were statistically associated with the female sexual dysfunction and sexual satisfaction of partners. Urgency score was significantly correlated with female sexual dysfunction, and the urge incontinence was most significantly associated with the sexual satisfaction of partners.
Severe OAB was closely associated with female sexual dysfunction and sexual satisfaction of partners. The urgency and urge incontinence should be focused for OAB management.
女性膀胱过度活动症（OAB）患者的性功能障碍一直是一个重要的话题，而其伴侣的性满意度尚未得到充分研究。本研究旨在探讨 OAB 严重程度与女性性功能障碍和伴侣性满意度之间的关系。
2017 年 9 月至 2019 年 3 月，我们共纳入 323 例 OAB 患者。采用膀胱过度活动症症状评分量表（OABSS）问卷、自行设计的基本特征问卷、女性性功能指数（FSFI）和患者性伴侣的性满意度调查收集数据。采用 χ2 检验或单因素方差分析比较组间变量。采用 Logistic 回归分析 OAB 严重程度与女性性功能障碍和伴侣性满意度的关系。评估不同 OABSS 领域与女性性功能障碍和伴侣性满意度的相关性。
所有患者均根据 OABSS 分为轻度（n = 107）、中度（n = 98）和重度（n = 118）OAB 组。除 BMI、最高学历、职业、生育和盆底手术史外，各组基本信息相似。经多因素校正后，OAB 严重程度、运动频率和盆底手术史与女性性功能障碍和伴侣性满意度相关。急迫评分与女性性功能障碍显著相关，急迫性尿失禁与伴侣性满意度相关性最显著。
严重 OAB 与女性性功能障碍和伴侣性满意度密切相关。OAB 管理应重点关注急迫性和急迫性尿失禁。
