Sexual Dysfunction in Patients With Urinary Bladder Stones but no Bladder Outlet Obstruction.

Zhi-Cheng Gong,Michael P Feloney,Zhi-Liang Wu,Xisheng Wang,Yao-An Wen,Xiaoyan Leng,Anthony J Bleyer,Yuanyuan Zhang,Chunhua Deng,Jie-Peng Zou,Shan-Chao Zhao

doi:10.3389/fmed.2021.704360

Abstract

Objective: To explore the correlates of sexual dysfunction and lower urinary tract symptoms (LUTS) in male patients with urinary bladder stones and to determine the effect of stone extraction on recovery of sexual function.Materials and Methods: A total of 87 male patients with primary bladder stones were studied from January 2015 to May 2016. All patients underwent pneumatic lithotripsy for bladder stones. Sexual dysfunction was assessed based on sexual function assessment scales. The relationship of bladder stones with sexual dysfunction or LUTS was assessed using a two-sample t-test. Postoperative improvement of sexual function was assessed by repeated measures Analysis of Variance (ANOVA).Results: Forty-one patients had primary bladder stones and 46 had secondary stones from the kidneys. Eighty-three of 87 patients (95%) had sexual dysfunction; 79 patients (91%) had both sexual dysfunction and LUTS. There was a significant association between bladder stones and sexual dysfunction, between sexual dysfunction and LUTS, and between bladder stone and LUTS (p < 0.05). There was no significant association between the course of illness, size and number of bladder stones, or urinary tract infection with sexual function (p > 0.05). In addition, among 83 patients with both bladder stone and sexual dysfunction, 61 patients (73%) had benign prostatic hyperplasia (BPH) and 22 patients (27%) had no BPH. On postoperative evaluation at 3 months, sexual dysfunction scores were significantly improved in 77 patients (88.5%)Conclusion: Patients with bladder stones have a high incidence of sexual dysfunction, particularly those with co-existing LUTS and BPH. About 1/3 patients without BPH had sexual dysfunction and surgical removal of bladder stones significantly improved sexual function and LUTS.

Highlights

Bladder stones are common in the patients with bladder outlet obstruction, either from mechanical obstruction, as in older male patients with benign prostatic hyperplasia (BPH), or functional obstruction, as in patients with a neurogenic bladder
Sexual dysfunction occurred in 98% patient with BPH and bladder stones and in 88% of patients with bladder stones alone Sexual function recovery occurred in 88% patients with either bladder stones alone or the combination
This indicates that sexual dysfunction is highly prevalent in patients with bladder stones compared to the healthy male population

Summary

Introduction

Bladder stones are common in the patients with bladder outlet obstruction, either from mechanical obstruction, as in older male patients with benign prostatic hyperplasia (BPH), or functional obstruction, as in patients with a neurogenic bladder. The risk factors for bladder stone include recurrent bladder infections, presence of a foreign body in the bladder, kidney stones, congenital abnormalities of the urinary tract and dehydration [1]. Typical symptoms of bladder stones include intermittent painful micturition, terminal hematuria, and lower urinary tract symptoms (LUTS). Common complications of bladder stones include chronic bladder dysfunction and urinary tract infections. Few studies have evaluated sexual dysfunction in patients with bladder stones. The purpose of this study was to characterize the presence of sexual dysfunction in men with bladder stones. We assessed the correlates of sexual dysfunction and LUTS in patients with lower urinary tract stones and evaluated the beneficial effects of stone removal on improvement of sexual dysfunction

Methods

Results

Discussion

Conclusion