A questionnaire study of sexological problems following urinary diversion in the female patient.
A questionnaire study was conducted to evaluate the sexological problems after urinary diversion, using the continent Kock reservoir or the ileal conduit diversion. Thirty-seven female patients completed the questionnaire: 17 patients had a continent and 20 an ileal conduit diversion, with a median follow-up of 0.8 year (range 0.5-4.4) and 4.6 years (range 2.8-12.0), respectively. Data from only 33 patients were eligible for analysis, but no significant between-group differences were found. Coital frequency remained unchanged or increased among 44% of patients with a continent reservoir and among 18% of ileal conduit patients (p = 0.11). Among those reporting other than unchanged/increased activity almost one-third gave physical problems or decreased desire as the reason, and 30% felt less sexually attractive, with cystectomized patients reporting a higher percentage than others. A higher frequency of dyspareunia among patients with a continent reservoir was an unexpected finding (p = 0.06), and merits further investigation in a larger sample. Here it may be due to the shorter follow-up of these patients. Thirty per cent of all patients would have like more sexological counselling.
Bjerre
B D
BD
Department of Social Medicine, Herlev Hospital, University of Copenhagen, Denmark.
Johansen
C
C
Steven
K
K
D000328:Adult; D000368:Aged; D001828:Body Image; D003075:Coitus / Q000502:physiology; D015653:Cystectomy / Q000523:psychology; D004414:Dyspareunia / Q000209:etiology / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000523:psychology; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology* / Q000523:psychology; D011795:Surveys and Questionnaires; D014547:Urinary Diversion / Q000523:psychology; D016476:Urinary Reservoirs, Continent / Q000523:psychology