Aralik 2011
Inflamatuvar barsak hastaliginda cinsel disfonksiyon varligi
The existence of sexual dysfunction in inflammatory bowel disease
- Ana Sayfa
- Sayılar
- Aralik 2011
- Inflamatuvar barsak hastaliginda cinsel disfonksiyon varligi...
Elazig Egitim ve Arastirma Hastanesi, 2Gastroenteroloji Klinigi, Elazig
Haydarpasa Numune Egitim ve Arastirma Hastanesi 3 2. Üroloji Klinigi, 5Gastroenteroloji Klinigi, Istanbul
Istanbul Bayindir Hastanesi, 4Endokrinoloji Klinigi, Istanbul
Özet
Giris ve Amaç: Günümüzde inflamatuvar barsak hastaliklarinda gerek hastaligin kendisi ile ilgili, gerekse de neden oldugu komplikasyonlarla siklikla karsilasilmaktadir. Bununla beraber günlük hekimlik pratiginde hastaligin sebep olabilecegi cinsel problemler siklikla göz ardi edilebilmektedir. Bu çalismadaki amacimiz inflamatuvar barsak hastaligina sahip hastalarda, cinsel disfonksiyonlarin varligini degerlendirmektir. Gereç ve Yöntem: Çalismaya gastroenteroloji polikliniginden takipli, remisyonda olan, cinsel açidan aktif (ayda en az 1 kere cinsel aktivitede bulunmus olmasi, aktivite kriteri olarak kabul edildi) 21 kadin, 17 erkek inflamatuvar barsak hastasi alindi. Cinsel fonksiyonlarini degerlendirmek için kadin hastalara Female Sexual Function Index, erkek hastalara International Index of Erectile Function sorgulama formu verilerek doldurmalari istendi. Bulgular: Çalismaya 21 kadin, 17 erkek hasta alindi. Kadin hastalarin %57.14'ünde cinsel disfonksiyon saptandi. Alt gruplara bakildiginda cinsel disfonksiyon orani Crohn hastalarinda %75, ülseratif kolit hastalarinda ise %33.33?dü. Erkek hastalarin %58.82'sinde cinsel disfonksiyon mevcuttu. 3 hastada agir (%17.64), 7 hastada hafif (%41.17) erektil disfonksiyon saptanirken, 7 hastada erektil disfonksiyon yoktu. Erektil disfonksiyon orani Crohn hastalarinda %44.44, ülseratif kolit hastalarinda ise %75 idi. Sonuç: Cinsel fonksiyon bozuklugu inflamatuvar barsak hastalarinda oldukça belirgindir. Ancak hastalar bu konuda sorgulanmadikça bu konudaki sikayetlerini dile getirmemektedirler.
Abstract
Background/aims: Extraintestinal manifestations are important causes of mortality and morbidity from inflammatory bowel diseases. However, sexual problems are usually underestimated in these patients in our daily clinical practice. In this study, we aimed to evaluate the prevalence of sexual dysfunction in inflammatory bowel diseases. Methods: The study included sexually active patients who had inflammatory bowel diseases in remission. Sexual activity was defined as at least one sexual intercourse per month. To evaluate sexual function, the Female Sexual Function Index was used for women and the International Index of Erectile Function for men. Results: The study included 21 female and 17 male patients. Sexual dysfunction was present in 54.54% of female patients with inflammatory bowel disease. The prevalence of sexual dysfunction was 69.23% in female patients with Crohn?s disease and 33.33% in those with ulcerative colitis. Sexual dysfunction was present in 58.82% of male patients with inflammatory bowel disease. Of those patients, 3 (17.64%) had severe and 7 (41.17%) had mild erectile dysfunction, whereas 7 patients did not have erectile dysfunction. The prevalence of erectile dysfunction was 88.88% in patients with Crohn?s disease and 75% in those with ulcerative colitis. Conclusions: Sexual dysfunction is frequently seen in patients with inflammatory bowel diseases; however, patients do not declare these complaints unless they are interviewed.
