Sema KARAKAŞ, Şükrü YILDIZ, Levent YAŞAR

Postmenopozal Kadınlarda Vulvar Liken Sklerozun Ürojinekolojik Fonksiyonlara Etkisi

Amaç: Üriner semptomlar ile vulvar liken skleroz arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Bu kesitsel çalışma Ocak 2019 ile Mart 2020 tarihleri arasında kliniğimizde yapılmıştır. Çalışmaya 110 hasta dahil edildi. Hepsi postmenopozal kadınlardan oluşan hastalar iki gruba ayrıldı. Çalışma grubu liken skleroz tanısı alan kadınlardan (n=59) ve kontrol grubu rutin jinekolojik muayene isteyen menopoz sonrası kadınlardan (n=51) oluşuyordu. Çalışma grubundaki tüm hastalara dermatopatolojik olarak biyopsi ile tanı konuldu. Her iki grup da valide edilmiş Ürogenital Sıkıntı Envanteri (UDI-6) ve İnkontinans Etki Anketi (IIQ-7) anketlerini doldurdu. UDI-6 ve IIQ-7’nin anket ve alt gruplarından alınan toplam puanlar analiz edildi. Bulgular: Her iki grup için demografik özelliklerde veya menopoz başlangıcından bu yana geçen sürede fark yoktu. Toplam UDI-6 puanları çalışma grubunda anlamlı olarak daha yüksekti (p

The Effect of Vulvar Lichen Sclerosus on Urogynecological Functions in Postmenopausal Women

Aim: To examine the relationship between urinary symptoms and vulvar lichen sclerosus. Materials and Methods: This cross-sectional study was performed in our clinic between January 2019 and March 2020. One hundred and ten patients were included in the study. They were all postmenopausal women and were divided into two groups: the study group comprised of women diagnosed with lichen sclerosus (n=59), and the control group comprised of postmenopausal women who sought a routine gynecological examination (n=51). In the study group, all patients were dermatopathologically diagnosed with biopsy. Both groups completed two validated questionnaires: the Urogenital Distress Inventory (UDI-6) and the Incontinence Impact Questionnaire (IIQ-7). The total scores from questionnaires and sub-groups of UDI-6 and IIQ-7 were also analyzed in detail. Results: There were no differences in demographic features or in time from the onset of menopause for both groups. Total UDI-6 scores were significantly higher in the study group (p

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