Doğan ATILGAN, Bekir PARLAKTAŞ, Engin KÖLÜKÇÜ, Abdülkerim YILMAZ, Nihat ULUOCAK, Fikret ERDEMİR

İrritable Bağırsak Sendromu (İBS) Tanısı Almış Erkek Hastalarda Alt Üriner Sistem Semptomları ve Erektil Fonksiyonların Değerlendirilmesi

Amaç: İrritable bağırsak sendromu (İBS) dünya genelinde yaklaşık %5-20 insanı etkilemekte ve yaşam kalitesinde düşmeye sebep olmaktadır. İBS hastalarının yaklaşık %50’sinde en az bir ek somatik bozukluk bulunmakta ve İBS’lu hastaların çoğu başka bir fonksiyonel bozukluğa bağlı tanı kriterlerini karşılamaktadır. Biz bu çalışmada, İBS’lu erkek hastalarda alt üriner sistem semptomlarının (AÜSS) ve erektil fonksiyonların değerlendirilmesini amaçladık.Gereç ve Yöntem: Ocak 2012- Mart 2013 tarihleri arasında gastroenteroloji kliniğinde İBS tanısı almış 50 erkek hasta ve gastrointestinal problemi olmayan ve İBS tanı kriterlerini karşılamayan 50 kontrol çalışmaya dâhil edildi. Rutin ürolojik değerlendirmeyi takiben tüm hastaların IPSS, IIEF, OAB-V8 ve BECK depresyon skorları tespit edildi. Ek olarak tüm hastalara üroflowmetri yapılarak Qmax değerleri ve işeme sonrası rezidüel idrar miktarları kaydedildi. Sonuçlar istatistiksel olarak değerlendirildi.Bulgular: Grupların yaş ortalaması grup 1 ve 2 için sırasıyla 44,1±14,3 ve 46,76±8,58 idi. Grup 1 ve Grup 2 deki hastaların ortalama Qmax değerleri ve işeme sonrası ortalama rezidüel idrar miktarları sırasıyla 20,52±8,69, 25,4±38,5 ve 19,10±9,23, 15,6±19,29 olarak saptanırken, ortalama IPSS değerleri sırasıyla 10,61±6,15 ve 10,50±6,08 idi. Grup 1 de ortalama OAB-V8 skoru 9,1±5,78 ve Grup 2 de ortalama OAB-V8 skoru 5,24±3,28 saptandı. Grup 1 deki hastaların %48’inde (n=24) aşırı aktif mesane semptomları tespit edilirken bu sayı kontrol grubunda 6 (%12) olarak bulundu. IIEF skorları Grup 1 ve Grup 2 için sırasıyla 19,92±7,08 ve 18,92±7,13 olarak tespit edildi. Ortalama yaş, IPSS skoru, IIEF skoru, Qmax ve işeme sonrası rezidüel idrar açısından gruplar arsında anlamlı fark tespit edilmedi (p>0,05). IBS grubunda ortalama OAB-V8 ve BECK depresyon skorları kontrol grubu ile karşılaştırıldığında anlamlı olarak yüksek bulundu (p<0,001).Sonuç: İBS ciddi psikososyal yan etkileri olan önemli bir sağlık problemidir ve hastaların yaşam kalitesini düşürür. AÜSS ve erektil disfonksiyon İBS’lu hastalarda sık olarak görülebilir bu nedenle bu hastaların değerlendirilmesinde multidisipliner yaklaşım akılda tutulmalıdır.

Anahtar Kelimeler:

irritable bağırsak sendromu; alt üriner sistem semptomları; erektil fonksiyon

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Objectives: Irritable bowel syndrome (IBS) affects as many as 5-20% of individuals worldwide and causes a reduced quality of life. Approximately 50% of IBS patients have at least one co-morbid somatic complaint and many IBS patients meet diagnostic criteria for other functional disorders. In this study we aimed to evaluate lower urinary tract symptoms (LUTS) and erectile function in men with IBS. Material and Methods: Between January 2012 and March 2013 fifty men diagnosed with IBS in gastorenterology clinic and 50 healhty male voulanters without any gastrointestinal disorders were included in this study. After routine urological examination, the IPSS, IIEF, OAB-V8 and BECK depression scale scores of the patients were evaluated. All patients underwent uroflowmetric evaluation. Qmax values and postvoidal residual urine volumes, measured with suprapubic USG, were recorded. The results were compared statistically. Results: Mean age of the patients was 44.1±14.3 in group 1 and 46.76±8.58 in group 2. Mean Qmax values and mean postvoid residual urine volumes in group 1 and group 2 were 20.52±8.69, 25.4±38.5 cc and 19.10±9.23, 15.6±19.29 cc, respectively. Mean IPSS scores were 10.61±6.15 in group 1 and 10.50±6.08 in group 2. While mean OAB-V8 scores of the groups were 9.1±5.78 and 5.24±3.28, mean IIEF scores were 19.92±7.08 ve 18.92±7.13, respectively. Overactive bladder was determined in 48% (n=24) in group 1 and 12% (n=12) in control group. There were no statistically significant difference between groups in terms of mean age, IIEF scores, IPSS scores, mean Qmax and mean postvoidal residual urine volumes (p>0.05). However, mean OAB-V8 scores and mean BECK depression scores were significantly higher in Group 1 in comparision with control group (p

Keywords:

irritable bowel syndrome, lower urinary tract symptoms erectile function,

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