THE EFFECT OF BLADDER PAIN SYNDROME/INTERSTITIAL CYSTITIS ON PARTNER SEXUAL FUNCTIONS

Öz

Objective: Bladder pain syndrome/Interstitial cystitis (BPS/IC) negatively affects both women’s social life and sexual functions. The study researched if this situation can negatively affect the sexual functions of the male partners of these women. Material and Method: The husbands of fifty female patients, who were treated for BPS/IC in our clinic, were contacted by telephone. The international index of erectile function-5 (IIEF- 5), premature ejaculation diagnostic tool (PEDT), orgasmic function, sexual desire, sexual intercourse satisfaction and total satisfaction scores were used for the survey (Group 1). The same questionnaire was also used with fifty men whose wives did not have IC/BPS but who had applied to the urology outpatient clinic (Group 2). The scores of the participants were recorded and then the groups were compared. Results: The median IIEF-5 score was 23 (22-24) in both groups (p=0.899). Both groups had a median orgasmic score of 8 (7-9) (p=0.980). While the Median PEDT score was 7.00 (4.00-12.25) in Group 1, it was 4.50 (3.00-6.00) in Group 2 (p=0.002). The men in Group 2 were significantly more advantageous than Group 1 in terms of sexual desire, sexual intercourse satisfaction and total satisfaction scores, (p=0.003, p=0.0001 and p=0.003, respectively). Conclusion: Although BPS/IC does not have a significant effect on the IIEF-5 score of the husbands of women, it negatively affects the scores of sexual desire, sexual intercourse satisfaction, total satisfaction and premature ejaculation.

Anahtar Kelimeler

• Painful bladder
• interstitial cycstitis
• partner sexual dysfunction

AĞRILI MESANE SENDROMU/İNTERSTİSYEL SİSTİTİN PARTNER SEXÜEL FONKSİYONLARINA ETKİSİ

Öz

Amaç: Ağrılı mesane sendromu/İnterstisyel sistit (BPS/IC) kadınların gerek sosyal hayatlarına gerekse de sexüel fonksiyonlarına negatif etki etmektedir. Çalışmamızda bu durumun kadınların eşlerinin sexüel fonksiyonlarına etkisi olup olmadığını göstermeyi amaçladık. Gereç ve Yöntem: Kliniğimizde BPS/IC nedeniyle tedavi gören 50 kadın hastanın eşlerine telefonla ulaşılarak hastaneye çağırılıp Uluslar arası erektil fonksiyon-5 (IIEF-5), prematür ejekülasyon (PEDT), orgazmik fonksiyon, sexüel istek, cinsel ilişki memnuniyet ve total memnuniyet skorları sorgulanmıştır (Grup 1). Aynı sorgulama eşinde interstisyel sistit olmayan ve üroloji polikliniğine başvuran diğer 50 erkek üzerinde de yapılmıştır (Grup 2). Katılımcıların skorları kayıt altına alınarak gruplar karşılaştırılmıştır. Bulgular: Median IIEF-5 skoru her iki grupta da 23 (22-24) bulunmuştur (p=0,899). Her iki grubun median orgazmik skorunun 8 (7-9) olduğu görülmüştür (p=0,980). Median PEDT skoru Grup 1’de 7,00 (4,00-12,25) iken Grup 2’de 4,50 (3,00-6,00) bulunmuştur (p=0,002). Sexüel istek, cinsel ilişki memnuniyet ve total memnuniyet skorları bakımından da Grup 2’deki erkeklerin Grup 1’den anlamlı olarak avantajlı olduğu görülmüştür (p=0,003, p=0,0001 ve p=0,003, sırasıyla). Sonuç: IC/BPS, kadınların eşlerinin IIEF-5 skoru üstünde anlamlı etki yapmasa da sexüel istek, cinsel ilişki memnuniyet, total memnuniyet ve prematür ejekülasyon skorlarını olumsuz yönde etkilemektedir.

Anahtar Kelimeler

• Ağrılı mesane
• interstisyel sistit
• partner seksüel disfonksiyonu

Kaynakça

1. 1. Doggweiler R, Whitmore KE, Meijlink JM, Drake MJ, Frawley H, Nordling J, et al. A standard for terminology in chronic pelvic pain syndromes: A report from the chronic pelvic pain working group of the international continence society. Neurourol Urodyn 2017;36(4):984-1008. [CrossRef]
2. 2. Konkle KS, Berry SH, Elliott MN, Hilton L, Suttorp MJ, Clauw DJ, et al. Comparison of an interstitial cystitis/bladder pain syndrome clinical cohort with symptomatic community women from the RAND Interstitial Cystitis Epidemiology study. J Urol 2012;187(2):508-12. [CrossRef]
3. 3. Colaco M, Evans R. Current guidelines in the management of interstitial cystitis. Transl Androl Urol 2015;4(6):677-83.
4. 4. Forrest JB. Epidemiology and quality of life. J Reprod Med 2006;51(3):227-33.
5. 5. Tripp DA, Nickel JC, Fitzgerald MP, Mayer R, Stechyson N, Hsieh A. Sexual functioning, catastrophizing, depression, and pain, as predictors of quality of life in women with interstitial cystitis/painful bladder syndrome. Urology 2009;73(5):987-92. [CrossRef]
6. 6. Warren JW, Clauw DJ, Wesselmann U, Langenberg PW, Howard FM, Morozov V. Sexuality and reproductive risk factors for interstitial cystitis/painful bladder syndrome in women. Urology 2011;77(3):570-5. [CrossRef]
7. 7. Gardella B, Porru D, Nappi RE, Dacco MD, Chiesa A, Spinillo A. Interstitial cystitis is associated with vulvodynia and sexual dysfunction-a case-control study. J Sex Med 2011;8(6):1726-34. [CrossRef]
8. 8. Carvalho J, Nobre P. Gender issues and sexual desire: the role of emotional and relationship variables. J Sex Med 2010;7(7):2469-78. [CrossRef]

9. 9. Furuya R, Masumori N, Furuya S, Oda T, Takahashi S, Takeuchi M. Glomerulation observed during transurethral resection of the prostate for patients with lower urinary tract symptoms suggestive of benign prostatic hyperplasia is a common finding but no predictor of clinical outcome. Urology 2007;70(5):922-6. [CrossRef]
10. 10. Esen B, Obaid K, Süer E, Gökçe Mİ, Gökmen D, Bedük Y, et al. Reliability and validity of Turkish versions of the interstitial cystitis symptom index and interstitial cystitis problem index. Neurourol Urodyn 2020;39(8):2338-43. [CrossRef]
11. 11. Akkus E, Kadioglu A, Esen A, Doran S, Ergen A, Anafarta K, et al. Turkish Erectile Dysfunction Prevalence Study Group: Prevalence and correlates of erectile dysfunction in Turkey: a population-based study. Eur Urol 2002;41(3):298-304. [CrossRef]
12. 12. Serefoglu EC, Cimen HI, Ozdemir AT, Symonds T, Berktas M, Balbay MD. Turkish validation of the premature ejaculation diagnostic tool and its association with intravaginal ejaculatory latency time. Int J Impot Res 2009;21(2):139-44. [CrossRef]
13. 13. McCabe MP, Sharlip ID, Atalla E, Balon R, Fisher AD, Laumann E, et al. Definitions of sexual dysfunctions in women and men: A consensus statement from the fourth international consultation on sexual medicine 2015. J Sex Med 2016;13(2):135-43. [CrossRef]
14. 14. Yehuda R, Lehrner A, Rosenbaum TY. PTSD and sexual dysfunction in men and women. J Sex Med 2015;12(5):1107- 19. [CrossRef]
15. 15. Glass Clark SM, Huang Q, Sima AP, Siff LN. Effect of surgery for stress incontinence on female sexual function. Obstet Gynecol 2020;135(2):352-60. [CrossRef]
16. 16. Naumann G, Steetskamp J, Meyer M, Laterza R, Skala C, Albrich S, et al. Changes in sexual function and quality of life after single-incision mid-urethral sling for treatment of female stress urinary incontinence. Eur J Obstet Gynecol Reprod Biol 2013;168(2):231-5. [CrossRef]
17. 17. Stanford EJ, Paraiso MF. A comprehensive review of suburethral sling procedure complications. J Minim Invasive Gynecol 2008;15(2):132-45. [CrossRef]
18. 18. Brubaker L. Editorial: partner dyspareunia (hispareunia). Int Urogynecol J Pelvic Floor Dysfunct 2006;17(4):311. [CrossRef] 19. Tarr M, Valaitis S. Tension-free vaginal tape vaginal erosion and penile abrasion. Female Pelvic Medicine & Reconstructive Surg 2008;14(5):391-5. [CrossRef]
19. 20. Mohr S, Kuhn P, Mueller MD, Kuhn A. Painful love- ”hispareunia” after sling erosion of the female partner. J Sex Med 2011;8(6):1740-6. [CrossRef]
20. 21. McCabe M, Althof SE, Assalian P, Chevret-Measson M, Leiblum SR, Simonelli C, et al. Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med 2010;7(2):327-36. [CrossRef]
21. 22. Peters KM, Killinger KA, Carrico DJ, Ibrahim IA, Diokno AC, Graziottin A. Sexual function and sexual distress in women with interstitial cystitis: A case-control study. Urology 2007;70(3):543-7. [CrossRef]
22. 23. Yoon HS, Yoon H. Correlations of interstitial cystitis/painful bladder syndrome with female sexual activity. Korean J Urol 2010;5(1):45-9. [CrossRef]
23. 24. Ottem DP, Carr LK, Perks AE, Lee P, Teichman JM. Interstitial cystitis and female sexual dysfunction. Urology 2007;69(4):608-10. [CrossRef]
24. 25. Nickel JC, Parsons CL, Forrest J, Kaufman D, Evans R, Chen A, et al. Improvement in sexual functioning in patients with interstitial cystitis/painful bladder syndrome. J Sex Med 2008;5(2):394-9. [CrossRef]
25. 26. Bogart LM, Suttorp MJ, Elliott MN, Clemens JQ, Berry SH. Prevalence, and correlates of sexual dysfunction among women with bladder pain syndrome/interstitial cystitis. Urology 2011;77(3):576-80. [CrossRef]
26. 27. Hung MJ, Su TH, Lin YH, Huang WC, Lin TY, Hsu CS, et al. Changes in sexual function of women with refractory interstitial cystitis/bladder pain syndrome after intravesical therapy with a hyaluronic acid solution. J Sex Med 2014;11(9):2256-63. [CrossRef]
27. 28. Agrawal A, Tripathy S, Kumar D. Sexual dysfunction in women with interstitial cystitis/bladder pain syndrome: A case-control study. Indian J Urol 2020;36(3):212-5. [CrossRef]