Prevalence of sexual dysfunction and its association with lower urinary tract symptoms in men and women over 18 years old : results from the Colombian Overactive Bladder and Lower urinary Tract symptoms (COBaLT) study
AuthorsPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
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Introduction & Objectives: There is an age-independent association between sexual dysfunction (SD) and LUTS. Few studies have been conducted in Latin America addressing these issues. We aim to determine the prevalence of SD and its association with LUTS in Colombia. Materials & Methods: This is a sub-analysis of a cross-sectional, population-based study conducted in subjects ≥18 years old to evaluate LUTS and overactive bladder (OAB). A sample size of 1,054 subjects was estimated (prevalence of LUTS/OAB 15%, CI 95%, statistical power 80%, precision 3%). We used a multi-stage probabilistic sampling technique to randomly select individuals in the community. SD was defined as ≤21 points in the SHIM and ≤19 in the FSFI-6. For LUTS, we used the 2002 ICS definitions and validated questionnaires. Descriptive and inferential statistics were employed. Results: We included 1,060 participants. Sixty-three (12%) men and 175 (33%) women were sexually inactive. The prevalence of SD was 47% (men 53%, women 39%). The most common SD symptoms were diminished erection maintenance after penetration in men (13%) and poor lubrication in women (43%). Individuals with SD had higher rates of LUTS (Figure 1). Patients with moderate-to-severe LUTS had lower sexual satisfaction rates (men 89% vs 95%, women 72% vs 88%). The multivariate logistic regression model found that diabetes (DM), menopause, urge urinary incontinence (UUI) and nocturia>2 were associated with SD in women. In men, age, depression, high-school education or less and LUTS were associated with SD (Table 1).
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Link to the resourcehttps://www-sciencedirect-com.ezproxy.javeriana.edu.co/science/article/pii/S1569905618319377#!
SourceEuropean Urology Supplements; Vol. 17 Núm. 2 (2018)
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