Abstract
Aim: To determine whether there is a change in sexual satisfaction and self-esteem in adult patients with monosymptomatic enuresis. Methods: This study was a prospective questionnaire analysis. 35 adult age individuals still suffering from monosymptomatic enuresis filled out 5-item Arizona Sexual Experiences (ASEX) scale and the 10-item Self-Esteem Scale (SES). Same query forms were filled out by 23 similar aged healthy control group and the results were compared. A value of P<0.05 was used as significance limit. Results: Mean age of the 35 individuals included in the study was 21.6 ± 1.39 for the patient group and 22 ± 2.59 for the control group (n:23). While 7 patients in the enuresis group had sexual dysfunction, there was only in 1 patient in the control group. The self-esteem score has decreased in 22 respondents in patient group whereas there wasn't any decline in the self-esteem of control group. The two groups' responses to SES questions were statistically different (p<0.02). Conclusion: Monosymptomatic enuresis at adult ages might affect body respect negatively as well as it might have negative effects on sexual function independent of lower urinary tract symptoms.
Highlights
Nocturnal enuresis is the condition describing the symptom of incontinence during night
Institutional Ethics Committee approval for the study was obtained and the written informed consent was obtained from all the study subjects. 35 patients suffering from monosymptomatic nocturnal enuresis and 23 healthy people have been included in the study
35 patients suffering from monosymptomatic nocturnal enuresis and applied to urology outpatient clinic between 2009-2011 with complaints of bed-wetting have been included in the study
Summary
Nocturnal enuresis is the condition describing the symptom of incontinence during night. Any wetting during sleep above the age of 5 years is enuresis. While 5 years-old children are expected to sleep dry, 15% still wet their bed. Bed-wetting is known to have negative psychosocial effects on children. A study on adults shows a decrease in selfesteem caused by enuresis [4]. Lower urinary tract symptoms (LUTS) such as overactive bladder and nocturia are shown to have negative effects on quality of life, including business life and sexuality [7,8]. Effects of enuresis on sex life have not yet been studied. The purpose of our study is to comparatively identify self-esteem and sexual problems in young adult males with enuresis and to present the effects of previous failed treatments to this case
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