Evaluation of sexual function in patients submitted to ureteroscopic procedures

Eryıldırım, Bilal; Tuncer, Murat; Şahin, Cahit; Yücetaş, Uğur; Sarıca, Kemal

doi:10.1590/s1677-5538.ibju.2014.0353

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…It is as yet unclear as to how the DJ stent affects sexual function. One possibility is the presence of bothersome lower urinary tract symptoms resulting in secondary deterioration of sexual function [15].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Ureteric Stenting on Female Sexual Function: A Prospective Cohort Study

Kazmi

Umer

Ather

2020

Cureus

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Background and objective Urolithiasis is a highly prevalent disease worldwide, with Pakistan belonging to the stone belt of Asia. The usage of the double J (DJ) stent is highly effective when it comes to the management of urolithiasis. However, studies investigating the side effects of DJ stent placement on sexual function in individuals are scarce. In this study, we aimed to assess the impact of DJ stent placement on sexual function in women. Methods After obtaining ethical approval, a prospective study was conducted at a university hospital from June 2018 to September 2019. All sexually active women requiring semi-rigid ureteroscopy (URS) or flexible URS [retrograde intrarenal surgery (RIRS)] were enrolled. Women with DJ stent placement (Group A) were compared to women who did not require DJ stent (Group B). The outcome variable was to assess temporary sexual dysfunction after DJ stent placement using the standardized Female Sexual Functionality Index (FSFI) in English or its validated vernacular version. The FSFI was completed at four weeks, and again at three months, following URS/RIRS. Results Of the 106 sexually active women initially included in the study, 69 were found to be eligible for final analysis. In Group A, the mean FSFI score at the initial presentation was 31.54 ±4.37. The mean FSFI score at four weeks was lower compared to the baseline score (0 time): 13.96 ±5.5 (p<0.05). At three months, the mean FSFI score returned to near baseline at 32.053 ±5.35 with no significant difference (p=0.65). In comparison to women in Group B, the mean FSFI score at four weeks was significantly lower in Group A (28.87 ±6.59 vs. 13.96 ±5.49; p<0.05). However, there was no significant difference between the mean FSFI scores at any of the three time points within Group B. Conclusion DJ stent insertion results in transient postoperative sexual dysfunction in women, which resolves spontaneously within a span of three months after stent removal.

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Section: Discussionmentioning

confidence: 99%

The Effect of Ureteric Stenting on Female Sexual Function: A Prospective Cohort Study

Kazmi

Umer

Ather

2020

Cureus

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“…Previously conducted studies which eliminated the routine use of stents following an uncomplicated URSL demonstrated severe impairment of sexual function in both genders, particularly in males, with reduced IIEF scores; however, this was temporary [ 14 ]. Among women who were stented, individual domains of the FSFI—the Arousal, Orgasm, and Satisfaction subdomains—were statistically lower in the stented group [ 24 , 25 , 26 ]. Meanwhile, studies involving complete intraureteral stents with extraction strings by Kim et al [ 27 ] and Shah M et al [ 23 ] demonstrated a general drop in sexual activity among patients following placement of a stent with extraction strings due to stent-related pain, anxiety of stent dislodgement, or a thread dangling from the urethral meatus.…”

Section: Discussionmentioning

confidence: 99%

Outcomes and Complications from a Randomized Controlled Study Comparing Conventional Stent Placement Versus No Stent Placement after Ureteroscopy for Distal Ureteric Calculus < 1 cm

Reddy

Chawla

et al. 2022

JCM

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Ureteric stent insertion following ureteroscopic lithotripsy (URSL) is a common and widely accepted procedure. However, there is no agreement on whether a ureteric stent should be placed following an uncomplicated URSL. Furthermore, the definition of uncomplicated URSL remains debatable. To compare the efficacy, safety, and morbidity of no stent placement with the conventional stent placement after uncomplicated retrograde semirigid URS for a distal ureteric calculus of size ≤1 cm, we compared the corresponding complication rates, emergency visits, secondary interventions, and pain at follow-up. Following an uncomplicated ureteroscopic lithotripsy, 104 patients were randomized into the conventional stented group (CSG) and nonstented group (NSG). Lower urinary tract symptoms and sexual function were evaluated using validated questionnaires (IPSS + IIEF-5 + MSHQ-EjD/FSFI) preoperatively and at 4 weeks during follow-up. Pain scores at follow-up were recorded using a visual analogue scale (VAS). Patients who visited the emergency room or needed secondary interventions before the recommended follow-up time were noted. The Generalized Estimating Equations method was used to explore the difference in change in the domains of IPSS, IIEF-5, MSHQ-EjD, and FSFI between the two groups over time. A significant difference was noted in the following IPSS domains: Frequency, Urgency, Nocturia, Storage Symptoms, Total IPSS Score (p ≤ 0.001), and QoL (p = 0.002); IIEF-5 domains: Overall Score (p = 0.004); MSHQ-EjD domains: Ejaculation Bother/Satisfaction (p ≤ 0.001); and FSFI domains: Lubrication (p ≤ 0.001), Satisfaction (p = 0.006), and Overall Score (p = 0.004). There was no significant difference between the various groups in terms of distribution of emergency visits, readmission and secondary interventions, pain at follow-up (VAS), and need for long-term analgesia. Nonplacement of stents after uncomplicated URS decreases stent-related symptoms and preserves QoL without placing the patient under increased postoperative risk.

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“…The study publication years ranged from 2007 to 2017. Studies were from three countries (one from Italy [15], one from Egypt [16] and three from Turkey [17][18][19]). All five studies were non-randomized controlled trials.…”

Section: Literature Searchmentioning

confidence: 99%

Impact of Endourological procedures with or without double-J stent on sexual function: a systematic review and meta-analysis

Yang

et al. 2020

BMC Urol

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Background: Endourological procedures are widely used to treat benign urinary disorders and the double-J stent is routinely used. However, its potential impact on sexual function remains unclear. Therefore, we performed a quantitative systematic review to determine the relationship between endourological procedures with or without double-J stent and post-operative sexual function. Methods: We conducted a search of PubMed, EMBASE, Web of Science, and Cochrane Library databases up to December 2018 for studies that compared sexual function before and after endourological procedures. The quality of the included studies was evaluated using the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I). We performed subgroup analyses to explore heterogeneity. A random effects model was used to combine the results. Results: Five prospective studies involving 485 sexually active participants were identified. Pooled results showed that, in patients without a double-J stent, the change in sexual function after endourological procedures was not significant in men (mean difference [MD]: − 0.61, 95% confidence interval [CI]: − 1.43 to 0.22, p = 0.148) or women (MD: 0.53, 95% CI: − 0.52 to 1.57, p = 0.322). However, in patients with indwelling double-J stent, sexual function scores significantly declined after the procedure in both men (MD:-4.25, 95% CI: − 6.20 to − 2.30, p < 0.001) and women (MD:-7.17, 95% CI: − 7.88 to − 6.47, p < 0.001). Conclusions: Our meta-analysis suggests that indwelling double-J stent after endourological procedures could be a crucial factor causing temporary sexual dysfunction post-operatively. Our results may be used to provide evidencebased advice to patients.

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Evaluation of sexual function in patients submitted to ureteroscopic procedures

Cited by 8 publications

References 16 publications

The Effect of Ureteric Stenting on Female Sexual Function: A Prospective Cohort Study

The Effect of Ureteric Stenting on Female Sexual Function: A Prospective Cohort Study

Outcomes and Complications from a Randomized Controlled Study Comparing Conventional Stent Placement Versus No Stent Placement after Ureteroscopy for Distal Ureteric Calculus < 1 cm

Impact of Endourological procedures with or without double-J stent on sexual function: a systematic review and meta-analysis

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