1511 PREVALENCE AND PREDICTORS OF SEXUAL DYSFUNCTION AMONG WOMEN WITH SYMPTOMS OF INTERSTITIAL CYSTITIS/PAINFUL BLADDER SYNDROME (IC/PBS)

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Female Urology I1 Apr 20101511 PREVALENCE AND PREDICTORS OF SEXUAL DYSFUNCTION AMONG WOMEN WITH SYMPTOMS OF INTERSTITIAL CYSTITIS/PAINFUL BLADDER SYNDROME (IC/PBS) Laura M. Bogart, Marika Suttorp, J. Quentin Clemens, and Sandra H. Berry Laura M. BogartLaura M. Bogart Boston, MA More articles by this author , Marika SuttorpMarika Suttorp Santa Monica, CA More articles by this author , J. Quentin ClemensJ. Quentin Clemens Ann Arbor, MI More articles by this author , and Sandra H. BerrySandra H. Berry Santa Monica, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1249AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES As part of the RAND Interstitial Cystitis Epidemiology Study (RICE) we examined the prevalence of sexual dysfunction, and relationship of IC/PBS symptom severity to sexual dysfunction in a national representative sample of women with IC/PBS symptoms. METHODS We screened 146,246 households with telephones to identify those with a female age 18 or over who had bladder symptoms and conducted second stage telephone screening to identify women who met symptom criteria and did not meet standard exclusion criteria. A total of 1,473 women met RICE specific criteria for IC/PBS symptoms, and completed a telephone interview. Women who had a current partner were asked the extent to which they had experienced general sexual dysfunction due to physical health in the past 12 months and IC/PBS-specific sexual dysfunction symptoms in the past four weeks. We calculated the proportion of women reporting each sexual dysfunction symptom and average general sexual dysfunction and IC-specific sexual dysfunction scores. We conducted multivariate linear regressions predicting each type of sexual dysfunction score as function of Interstitial Cystitis Symptom Index (ICSI), controlling for age, income, education, marital status, mental health, physical health, number of physical conditions, and receiving medical care for bladder symptoms. RESULTS The Table shows the percentages of women who experienced each IC-specific sexual dysfunction symptom. In multivariate models, higher ICSI scores were associated with higher general and IC/PBS-specific sexual dysfunction scores. Younger age, being married, more mental and physical health symptoms, and visiting a doctor for bladder symptoms were also significant predictors of sexual dysfunction. For IC/PBS-specific sexual dysfunction, the same predictors were significant with the exception of visiting a doctor for bladder symptoms. Item Past 12 months None of the time A little of the time Some of the time Most of the time All of the time Physical health interfered with sex 19.2 27.7 29.0 13.7 10.6 Past 4 weeks Not a problem A little of a problem Somewhat of a problem Very much of a problem N/A Bladder pain during sex 32.4 23.4 23.4 18.9 1.9 Bladder pain after sex 33.3 21.9 23.7 19.3 1.8 Fear sex would exacerbate bladder problems 42.6 17.1 19.0 20.4 1.1 Urge to urinate during sex 40.5 22.2 21.0 14.8 1.6 Pain in genital area 47.2 19.2 20.6 11.6 1.4 CONCLUSIONS Women with IC/PBS symptoms experience very high levels of sexual dysfunction, which may be exacerbated by IC/PBS symptoms. Clinicians should be educated about the extent of dysfunction in IC/PBS populations, as well as potential ways to identify and treat sexual dysfunction among such patients. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e582 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Laura M. Bogart Boston, MA More articles by this author Marika Suttorp Santa Monica, CA More articles by this author J. Quentin Clemens Ann Arbor, MI More articles by this author Sandra H. Berry Santa Monica, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...