(292) Impact of Urinary Incontinence on Sexual Function in Patients Presenting for Lower Urinary Tract Symptoms

Abstract Introduction Patients with low urinary tract symptoms (LUTS) frequently complain some sexual dysfunction and sometimes even episodes of bothersome incontinence (UI). Objective We aimed to assess the relationship between UI (as measured ICIQ-UI-SF), disfunction IIEF), in men presenting LUTS at a tertiary-referral centre. Methods In this cross-sectional study, data were retrospectively retrieved from 938 consecutive patients aged >18 years seeking first medical help for self-reported (i.e., all had IPSS≥1). All complete clinical assessment completed IPSS, ICIQ-UI-SF, OAB-q IIEF questionnaires. stratified into “no UI” (ICIQ-UI-SF=0), “mild (ICIQ-UI-SF=1-7), “moderate (ICIQ-UI-SF=8-13) or “severe (ICIQ-UI-SF=14-21). ANOVA test assessed differences baseline characteristics among these groups. Spearman correlation was applied evaluate ICIQ-UI-SF domain scores. A linear regression analyses tested putative risk factors associated increased Results Of 938, 589 (63%) no UI, 237 (25%) mild 76 (8%) moderate 36 (4%) severe UI. There substantial total PSA levels uroflowmetry parameters groups, whereas prostate volume, IPSS scores higher as (all p≤ 0.03). negative found IIEF-total, IIEF-Erectile Function, IIEF-Intercourse Satisfaction IIEF-Overall worse symptoms, overall function (rho= -0.12; p<0.001), IIEF-EF -0.15; IIEF-IS (rho = -0.1; p=0.004) IIEF-OS p<0.001). Sexual desire orgasmic domains not correlated ICIQ-UI-SF. Finally, BMI (Coeff 0.12; 95% CI 0.03-0.32; p=0.011), diabetes 1.76; 0.35-3.18; p=0.015) presence comorbidities (Coeff: 0.9; 0.06-0.1.74; p=0.035) Main limitations study that does discriminate urge stress Conclusions LUTS, worsening erectile function, intercourse satisfaction satisfaction). Disclosure No