Bladder and sexual function among women with multiple sclerosis
Bladder and sexual function among women with multiple sclerosis
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DOI：
10.1191/1352458504ms1060oa
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发表时间：
2004-01-01
影响因子：
5.8
通讯作者：
Cannon, TW
中科院分区：
文献类型：
--
作者：
Borello-France, D;Leng, W;Cannon, TW
目的：泌尿生殖系统功能障碍在多发性硬化症（MS）女性中很常见，但很少有研究评估这些女性膀胱和性功能障碍之间的关系。本研究的目的是确定因素，包括人口统计学和膀胱功能，与性功能障碍的妇女MS的样本。方法：133名MS妇女完成了问卷调查相关的整体健康状况，膀胱功能和性功能。计算问卷答复的答复频率和百分比。进行多变量逻辑回归分析以确定性功能障碍的预测因子。结果：61%的样本表示，他们有膀胱控制的问题。47%的受访者表示，他们的神经问题影响了他们的性生活。超过70%的样本表示，他们在性活动中享受、感到兴奋并经历了性高潮。没有性伴侣和神经系统问题是性功能障碍的最佳预测因素。有趣的是，与没有受到急迫性尿失禁困扰的女性相比，被急迫性尿失禁困扰的患者有更高的性高潮水平。结论：虽然超过一半的女性报告了排尿症状，但大多数人仍然享受，感到兴奋，并能体验到性高潮。神经系统症状和缺乏性伴侣是性功能障碍的最佳预测因素。急迫性尿失禁可能不是性高潮障碍的危险因素。我们的研究结果阐明了MS女性性功能障碍的复杂性。
Objective: Genitourinary dysfunction is common in women with multiple sclerosis ( MS), yet few studies have evaluated the association between bladder and sexual dysfunction in these women. The aim of this study was to determine factors, including demographic and bladder function, associated with sexual dysfunction in a sample of women with MS. Methods: One hundred and thirty-three women with MS completed questionnaires related to overall heath status, bladder function and sexual function. Response frequencies and percentages were calculated for questionnaire responses. Multivariate logistic regression analyses were performed to determine predictors of sexual dysfunction. Results: Sixty-one per cent of the sample indicated that they had a problem with bladder control. Forty-seven per cent of respondents indicated that their neurological problems interfered with their sex life. Over 70% of the sample reported that they enjoyed, felt aroused and experienced orgasm during sexual activity. Not having a sexual partner and the indication of bothersome neurological problems were the best predictors of sexual dysfunction. Interestingly, patients bothered by their urge incontinence had higher levels of orgasm compared to women not bothered by urge incontinence. Conclusions: Although over half of the women reported voiding symptoms, most still enjoyed, felt aroused and could experience orgasm. Neurological symptoms and lacking a sexual partner emerged as the best predictors of sexual dysfunction. Urge incontinence may not be a risk factor for anorgasm. Our findings elucidate the complex nature of sexual dysfunction in women with MS.