title: Survey on the perception of urogenital complications in diabetic patients.
abstract: OBJECTIVE
  Retinopathy, neuropathy, and nephropathy are well-known complications of diabetes; they are often expected to occur and, therefore, are usually tested for. However, urogenital complications, such as sexual and voiding dysfunctions, are less well known, and consequently, many patients are not treated appropriately despite their symptoms. Thus, we surveyed diabetic patients with regard to their perception of urogenital complications.
  
  
  METHODS
  We designed a survey for patients in our hospital who were being treated for diabetes mellitus (DM). The questionnaire included items on age, sex, treatment duration, treatment options for and the level of perception of urogenital symptoms, the presence of urogenital symptoms, and whether treatment was intended or had been initiated.
  
  
  RESULTS
  In total, 275 patients participated in the survey. The perception questions on DM-associated urogenital complications showed that 89 patients (32.4%) had no knowledge, 84 patients (30.5%) had some knowledge, and 102 patients (37.1%) had detailed knowledge about these complications. A total of 124 patients (45.1%) reported urogenital symptoms: 93 patients (75.0%) reported voiding dysfunction and 61 patients (49.2%) reported sexual dysfunction. Common symptoms of voiding dysfunction were urinary frequency, nocturia, sense of residual urine, weak stream, and urinary incontinence. Common symptoms of sexual dysfunction were reduced libido, and erectile and ejaculatory dysfunction.
  
  
  CONCLUSIONS
  The survey showed that the subjective prevalence rate of urogenital symptoms in diabetic patients was 45.1%. However, only a small percentage (37.1%) of the patients cognized that these symptoms were associated with DM. Therefore, it is necessary to properly inform and educate diabetic patients on possible urogenital complications that may occur.
authors.affiliation: Department of Urology, Korea University Medical Center, Seoul, Korea.
authors.forename: Jong Wook
authors.initials: JW
authors.lastname: Kim
authors.forename: Ji Yun
authors.initials: JY
authors.lastname: Chae
authors.forename: Jin Wook
authors.initials: JW
authors.lastname: Kim
authors.forename: Cheol Yong
authors.initials: CY
authors.lastname: Yoon
authors.forename: Mi Mi
authors.initials: MM
authors.lastname: Oh
authors.forename: Je Jong
authors.initials: JJ
authors.lastname: Kim
authors.forename: Du Geon
authors.initials: du G
authors.lastname: Moon
keywords: Complications; Diabetes mellitus; Urogenital system