Do ureteral catheterisation procedures affect sexual functions? A controlled prospective study

Abstract

The use of ureteral stents is a common procedure in urology practice. We investigated whether the use of double-J stent had an effect on sexual functions or not. One hundred and seventy-seven cases were included in the study. Unilateral double-J stent was placed during ureteral stone treatment in one hundred and eight of these cases. Sixty-nine cases were included as the control group. 'International Index of Erectile Function' (IIEF) and 'Female Sexual Function Index' (FSFI) questionaries were assessed before and 4 weeks after the intervention in all patients. When total IIEF and subdomains of IIEF scores of men and total FSFI and subdomains of FSFI scores of women whom double-J stent was placed were evaluated before and after the procedure, there was statistically significant reduction in patient's scores. In the control group, any statistically significant alteration in patient's score was not observed in men and women. Sexual functions are negatively affected in both women and men whom ureteral stents are placed. To reduce these problems specific to urinary system owing to stents, new treatment strategies and new studies that lead to improvements in the material and design of stents are required.

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

“…The so-called "stent-related symptoms" range from mild discomfort, dysuria, and hematuria, to more significant morbidities, such as UTI, reflux, mal-positioning, fracture, and encrustation [7]. In addition to all of these, a DJ stent is also known to have a significant impact on sexual function in both genders [14]. This aspect is rarely talked about, especially in certain cultures.…”

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

“…Non-stent procedures had no impact on general sexual function in both sexes even though one or two domains of the administered questionnaires were mildly impaired, including erectile function and orgasmic function in men and sexual desire in women. One study reported that sexual deterioration in women recovered 1 month after stent removal [19]. In another study, the IIEF score remained unchanged on the 10th day after stent removal when compared with the preoperative baseline value [16].…”

“…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.…”

Sexual dysfunction in Indian men undergoing Double J ureteral stenting following ureteroscopy—A prospective analysis

“…This questionnaire has 'sexual matters' as one of 6 domains. To the best of our (Bolat et al, 2017;Eryildirim et al, 2012;Sofer et al, 2012). The remaining two used the IIEF-5 questionnaire which is an abridged version consisting of only 5 questions (Mosharafa et al, 2016;Sighinolfi et al, 2007).…”