Üreterorenoskopi sonrası double J stentin kadın cinsel fonksiyonlarına etkisi

Abstract

OBJECTIVE: This study aims to evaluate the impact of double J stenting on female sexual functions following ureterorenoscopy (URS). MATERIAL and METHODS: Between April 2023 and September 2023, data from a total of 60 patients who underwent ureteroscopy (URS) treatment for ureteral stones in our clinic and a control group consisting of 30 individuals were retrospectively analyzed. Demographic and clinical characteristics of the patients, including age, body mass index (BMI), stone size, whether a double J stent was placed or not, length of hospital stay, duration of the double J stent in the patient, patients’ educational status, and Female Sexual Function Index (FSFI) scores at preoperative, postoperative 1 st, and 3rd months, were recorded. To assess psychological status, Beck Depression Scale scores were recorded at preoperative, postoperative 1 st, and 3rd months. The obtained parameters were compared between the groups. RESULTS: There were no statistically significant difference in mean age and BMI among the three groups (p=0.877 and p=0.932, respectively). The preoperative FSFI scores for Group 1, Group 2, and Group 3 were 13.83±1.76, 13.51±1.45, and 15.72±1.36, respectively. A statistically significant difference was observed among the groups (p<0.001). The FSFI scores at postoperative 1st month were 14.2±1.39 for Group 1 and 12.82±1.5 for Group 2, with a statistically significant difference between the groups (p<0.001). The FSFI scores at postoperative 3rd month were 14.54±1.7 for Group 1 and 14.4±1.54 for Group 2 (p=0.740). There was no statistically significant difference in Beck Depression scores during the preoperative period among the three groups (p=0.966). CONCLUSION: Based on our study, we believe that the placement of a double J stent after ureteroscopy (URS) may lead to a temporary impairment in female sexual functions. We recommend that patients be informed about this aspect during the preoperative period, suggest the removal of the double J stent at the earliest possible time when deemed necessary. Keywords: double J stent, female sexual function, ureteroscopy