Yıl: 2021 Cilt: 11 Sayı: 1 Sayfa Aralığı: 7 - 11 Metin Dili: İngilizce DOI: 10.5336/urology.2020-80457 İndeks Tarihi: 07-06-2021

The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function

Öz:
Objective: The present study aimed to investigate theincidence of lower urinary tract symptoms, overactive bladder (OAB)syndrome, and erectile dysfunction (ED) in chronic obstructive pulmonarydisease (COPD) patients. Material and Methods: The studyincluded a total of 707 male patients with COPD. The Overactive BladderQuestionnaire, the International Prostate Symptom Score (IPSS),and the International Index of Erectile Function (IIEF) were administeredto each patient. Additionally, each patient was also queried as to whetherthey had any loss of libido. Pulmonary examination was performedbased on physical examination findings, spirometric measurements, andarterial blood gas analyses. Results: Mean age of the patients was52.5±10.6 years and a significant relationship was found between patientage and ED and lower urinary tract symptoms (p=0.01). Mean body massindex (BMI) was 33.2±5.6 kg/m2. A significant relationship was foundbetween BMI >35 kg/m2 and ED (p=0.042). Mean OAVB-V8 score was7.71±4.44. Mean IPSS score was 10.3±5.7 and mean IIEF score wasfound to be 11.6±6.44. A significant relationship was established betweensevere and most severe COPD and lower urinary tract symptoms includingurgency and urge incontinence (p=0.035 and p=0.021, respectively).A significant relationship was detected between COPD severity and ED(p=0.001). Moreover, the incidence of ED was higher in patients withoxygen saturation of ≤90 (p=0.044). Normal libido was reported by 91%of the patients. Conclusion: Our results indicated that the prevalence ofED is increased in patients with severe and most severe COPD and thatthe prevalence of lower urinary tract symptoms (especially urge incontinenceand urgency) is higher in COPD patients.
Anahtar Kelime:

Kronik Obstrüktif Akciğer Hastalığının Şiddeti Alt Üriner Sistem Semptomlarını ve Cinsel Fonksiyonu Etkilemektedir

Öz:
Amaç: Bu çalışmada, kronik obstrüktif akciğer hastalığı (KOAH) olan hastalarda alt üriner sistem semptomları, aşırı aktif mesane [overactive bladder (OAB)] sendromu ve erektil disfonksiyon (ED) görülme sıklığı araştırıldı. Gereç ve Yöntemler: Çalışmaya KOAH’lı toplam 707 erkek hasta dâhil edildi. Her hastaya Aşırı Aktif Mesane Anketi, Uluslararası Prostat Semptom Skoru [International Prostate Symptom Score (IPSS)] ve Uluslararası Erektil Fonksiyon İndeksi [International Index of Erectile Function (IIEF)] formu dolduruldu. Ek olarak, her hasta libido kaybı olup olmadığı konusunda da sorgulandı. Akciğer muayenesi; fizik muayene bulguları, spirometrik ölçümler ve arteriyel kan gazı analizleri ile yapıldı. Bulgular: Hastaların ortalama yaşı 52,5±10,6 yıl idi ve hasta yaşı ile ED ve alt üriner sistem semptomları arasında anlamlı bir ilişki bulundu (p=0,01). Ortalama beden kitle indeksi (BKİ) 33,2±5,6 kg/m2 idi. BKİ> 35 kg/m2 ile ED arasında anlamlı bir ilişki bulundu (p=0,042). Ortalama OAVBV8 skoru 7,71±4,44, ortalama IPSS skoru 10,3±5,7 ve ortalama IIEF skoru 11,6±6,44 bulundu. Şiddetli ve ileri KOAH ile acil ve idrar kaçırma da dâhil olmak üzere alt üriner sistem semptomları arasında anlamlı bir ilişki bulundu (sırasıyla p=0,035 ve p=0,021). KOAH şiddeti ile ED arasında anlamlı ilişki saptandı (p=0,001). Ayrıca, oksijen saturasyonu ≤90 olan hastalarda ED insidansı daha yüksek bulundu (p=0,044). Hastaların %91’inde normal libidonun normal olduğu görüldü. Sonuç: Sonuçlarımız şiddetli ve ileri şiddetli KOAH’lı hastalarda ED prevalansının arttığını ve KOAH hastalarında alt üriner sistem semptomlarının (özellikle urge inkontinans ve urgency) prevalansının daha yüksek olduğunu göstermiştir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA kotuk m, solakhan m (2021). The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function. , 7 - 11. 10.5336/urology.2020-80457
Chicago kotuk mahir,solakhan mehmet The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function. (2021): 7 - 11. 10.5336/urology.2020-80457
MLA kotuk mahir,solakhan mehmet The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function. , 2021, ss.7 - 11. 10.5336/urology.2020-80457
AMA kotuk m,solakhan m The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function. . 2021; 7 - 11. 10.5336/urology.2020-80457
Vancouver kotuk m,solakhan m The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function. . 2021; 7 - 11. 10.5336/urology.2020-80457
IEEE kotuk m,solakhan m "The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function." , ss.7 - 11, 2021. 10.5336/urology.2020-80457
ISNAD kotuk, mahir - solakhan, mehmet. "The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function". (2021), 7-11. https://doi.org/10.5336/urology.2020-80457
APA kotuk m, solakhan m (2021). The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function. Journal of Reconstructive Urology, 11(1), 7 - 11. 10.5336/urology.2020-80457
Chicago kotuk mahir,solakhan mehmet The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function. Journal of Reconstructive Urology 11, no.1 (2021): 7 - 11. 10.5336/urology.2020-80457
MLA kotuk mahir,solakhan mehmet The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function. Journal of Reconstructive Urology, vol.11, no.1, 2021, ss.7 - 11. 10.5336/urology.2020-80457
AMA kotuk m,solakhan m The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function. Journal of Reconstructive Urology. 2021; 11(1): 7 - 11. 10.5336/urology.2020-80457
Vancouver kotuk m,solakhan m The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function. Journal of Reconstructive Urology. 2021; 11(1): 7 - 11. 10.5336/urology.2020-80457
IEEE kotuk m,solakhan m "The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function." Journal of Reconstructive Urology, 11, ss.7 - 11, 2021. 10.5336/urology.2020-80457
ISNAD kotuk, mahir - solakhan, mehmet. "The Severity of Chronic Obstructive Pulmonary Disease Affect Lower Urinary Tract Symptoms and Sexual Function". Journal of Reconstructive Urology 11/1 (2021), 7-11. https://doi.org/10.5336/urology.2020-80457