Sexual Dysfunction in Patients With Urinary Bladder Stones but no Bladder Outlet Obstruction.

Objective: To explore the correlates of sexual dysfunction and lower urinary tract symptoms (LUTS) in male patients with urinary bladder stones and to determine the effect of stone extraction on recovery of sexual function. Materials and Methods: A total of 87 male patients with primary bladder stones were studied from January 2015 to May 2016. All patients underwent pneumatic lithotripsy for bladder stones. Sexual dysfunction was assessed based on sexual function assessment scales. The relationship of bladder stones with sexual dysfunction or LUTS was assessed using a two-sample t-test. Postoperative improvement of sexual function was assessed by repeated measures Analysis of Variance (ANOVA). Results: Forty-one patients had primary bladder stones and 46 had secondary stones from the kidneys. Eighty-three of 87 patients (95%) had sexual dysfunction; 79 patients (91%) had both sexual dysfunction and LUTS. There was a significant association between bladder stones and sexual dysfunction, between sexual dysfunction and LUTS, and between bladder stone and LUTS (p < 0.05). There was no significant association between the course of illness, size and number of bladder stones, or urinary tract infection with sexual function (p > 0.05). In addition, among 83 patients with both bladder stone and sexual dysfunction, 61 patients (73%) had benign prostatic hyperplasia (BPH) and 22 patients (27%) had no BPH. On postoperative evaluation at 3 months, sexual dysfunction scores were significantly improved in 77 patients (88.5%) Conclusion: Patients with bladder stones have a high incidence of sexual dysfunction, particularly those with co-existing LUTS and BPH. About 1/3 patients without BPH had sexual dysfunction and surgical removal of bladder stones significantly improved sexual function and LUTS.

Frontiers in medicine. 2021 Sep 07*** epublish ***

Zhi-Cheng Gong, Zhi-Liang Wu, Yao-An Wen, Jie-Peng Zou, Xisheng Wang, Xiaoyan Leng, Anthony J Bleyer, Chunhua Deng, Michael P Feloney, Yuanyuan Zhang, Shan-Chao Zhao

Department of Urology, Nanfang Hospital, The First School of Clinical Medicine, Southern Medical University, Guangzhou, China., Department of Urology, Shenzhen Longhua New District Central Hospital, Shenzhen, China., Public Health Sciences, Department of Biostatistics, Wake Forest University School of Medicine, Winston-Salem, NC, United States., Section on Nephrology, Wake Forest University School of Medicine, Winston-Salem, NC, United States., Department of Urology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China., Department of Urology, School of Medicine, Creighton University, Omaha, NE, United States., Wake Forest Institute for Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, United States., Department of Urology, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.

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