Narayanamoorthy, N (2008) Evaluation of sexual dysfunction in LUTS/BPH patients. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION : Sexual dysfunction affects a couple’s relationship and the quality of life of the patient a nd the partner irrespective of age. Lower Urinary Tract Symptoms suggestive of BPH is highly prevalent among the elderly. So too are the symptoms of sexual dysfunction in old age. But the symptoms of sexual dysfunction are not concentrated upon, both by the patient and the physician at least in our country. Sexual dysfunction manifests mainly as erectile dysfunction (ED), ejaculatory disorders, or decreased libido/hypoactive sexual desire (HSD). Men with moderate-to-severe LUTS are at increased risk for sexual dysfunction. Though reduced rigidity and reduced ejaculate volume are the highly prevalent symptoms in ageing men, reduced rigidity and pain on ejaculation are considered to be most bothersome, affecting the quality of life. Sexual dysfunction is much more prevalent in patients with LUTS/BPH than in men without them, even after controlling for confounding variables such as age and co morbid illnesses. Hence LUTS/BPH is considered to be an independent risk factor for sexual dysfunction. 3 The reason for the association being a common underlying pathology or the psychological effect of LUTS / BPH on sexual function needs to be confirmed. Despite a decline in the frequency of sexual intercourse, as well as in overall sexual functioning, most elderly men report regular sexual activity and consider their sex life as an important dimension of their quality of life (QoL). However, most patients with LUTS/BPH experience a negative effect of LUTS on their sex life. AIM & OBJECTIVES : To evaluate the prevalence of sexual dysfunction in LUTS/BPH patients. To assess the effect of LUTS/BPH effect on sexual function. To assess the treatment effect of LUTS/BPH on sexual function. MATERIALS & METHODS : Between June 2007 and November 2007, all patients admitted into our ward with LUTS/BPH were included for evaluation. These patients were admitted for either evaluation or intervention for LUST/ BPH. Informed consent obtained from all eligible patients. All patients after admission were given the linguistic version of IPSS & MSHQ. Pts who are literate were asked to fill up the questionnaire. (Self administered questionnaire) . Pts who were not able to fill up (for various reasons like illiterate, poor eye sight, not able to understand the contents) were interviewed personally. To avoid interviewer bias, the same interviewer interviewed all pts. All details regarding the pts demographics, scoring, results will be entered into a proforma Post treatment effect evaluation was done at the end of 3 months following treatment. CONCLUSION : The prevalence of sexual dysfunction in patients with LUTS is 70%. The severity of sexual dysfunction correlates with severity of LUTS. Ejaculatory function deteriorates after treatment of LUTS/BPH.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | sexual dysfunction ; LUTS/BPH ; patients ; Evaluation. |
| Subjects: | MEDICAL > Urology |
| Depositing User: | Kambaraman B |
| Date Deposited: | 09 Aug 2017 04:35 |
| Last Modified: | 09 Aug 2017 04:35 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2532 |
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