ABSTRACT
Objective:
In this study, it was aimed to show the changes in the sexual function of the male patients who underwent ureterorenoscopic (URS) and who had JJ stent (DJS) because of ureteral calculi and their spouses before and after the procedure.
Methods:
The male patients and their spouses who were admitted to the Urology Outpatient Clinic of Eskişehir State Hospital between May and August 2018 due to unilateral ureteral stones were included in the study. In order to determine sexual life, all of the male patients filled the International Index of Erectile Function (IIEF) form while their spouses filled the Female Sexual Function Index (FSFI) form. The patients with DJS and their spouses completed the forms just before the removal of DJS while the patients without DJS and their spouses filled the same forms 4 weeks after the procedure. The patients who were applied DJS after the operation of URS were defined as the study group, the patients who were not applied DJS after the operation of URS were defined as the control group.
Results:
Thirty one (34.4%) of 90 males who participated in the study were included in the study group. Fifty nine males (65.6%) without DJS included in the control group. There was no statistically significant difference between preoperational and post-operational scores of the male patients and their spouses on the scales of IIEF and FSFI, respectively (p>0.05). There was statistically significant decreases in the postoperational total and subscale scores of the male patients on the IIEF scale and the female patients on the FSFI scale compared to their total and subscale pre-operational scores (p<0.001).
Conclusion:
The male patients should be informed about their sexual life before endo-urologic procedures while their spouses should be informed about their sexual life after the procedure. DJSs should not be inserted except unavoidable circumstances; if they are inserted, they should be removed as soon as possible for minimizing their effects on the sexual lives of couples.
Keywords:
Erectile dysfunction, female sexual health, stent, ureteroscopy
References
1Lewis RW, Sadovsky R, Eardley I, O’Leary M, Seftel A, Wang WC et al. The efficacy of tadalafil in clinical populations. J Sex Med 2005;2:517-31.
2Zippe C, Nandipati K, Agarwal A, Raina R. Sexual dysfunction after pelvic surgery. Int J Impot Res 2006;18:1-18.
3Poulakis V, Ferakis N, Witzsch U, de Vries R, Becht E. Erectile dysfunction after transurethral prostatectomy for lower urinary tract symptoms: results from a center with over 500 patients. Asian J Androl 2006;8:69-74
4Eryildirim B, Tuncer M, Kuyumcuoglu U, Faydaci G, Tarhan F, Ozgül A. Do ureteral catheterisation procedures affect sexual functions? A controlled prospective study. Andrologia. 2012;44 Suppl 1:419-23.
5Otero JR, Cruz CR, Gómez BG, Geli JS, Polo JM, Castañé ER, et al. Comparison of the patient and partner satisfaction with 700CX and Titan penile prostheses. Asian J Androl 2017;19:321-5.
6Galbraith ME, Fink R, Wilkins GG. Couples surviving prostate cancer: challenges in their lives and relationships. Seminars in Oncology Nursing 2011;27:300-8.
7Eryildirim B, Tuncer M, Sahin C, Yucetas U, Sarica K. Evaluation of sexual function in patients submitted to ureteroscopic procedures. Int Braz J Urol 2015;41:791-5.
8Akbal C, Türker P, Tavukçu HH, Simsek F, Türkeri L. Erectile function in prostate cancer-free patients who underwent prostate saturation biopsy. Eur Urol 2008;53:540-4.
9Sofer M, Yehiely R, Greenstein A, Bar-Yosef Y, Matzkin H, Chen J. Endourological procedures and sexual dysfunction: a prospective multivariate analysis. BJU Int 2012; 109:250-3.
10Bolat MS, Akdeniz E, Asci R, Erdemir F, Cinar O, Tomak L. Ureterorenoscopy with stenting and its effect on male sexual function: A controlled randomised prospective study. Andrologia 2017;49:doi: 10.1111/and.12746.
11Sighinolfi MC, Micali S, De Stefani S, Mofferdin A, Grande M, Giacometti M, et al. Indwelling ureteral stents and sexual health: a prospective, multivariate analysis. J Urol 2007;178:229-31.
12Joshi HB, Newns N, Stainthorpe A, MacDonagh RP, Keeley FX Jr, Timoney AG. Ureteral stent symptom questionnaire: development and validation of a multidimensional quality of life measure. J Urol 2003;169:1060-4.
13Acar M, Kaya C, Catli T, Hancı D, Bolluk O, Aydin Y. Effects of nasal continuous positive airway pressure therapy on partners’ sexual lives. Eur Arch Otorhinolaryngol. 2016;273:133-7.
