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Abstract：
BACKGROUND: This study aims to investigate the effects of shock wave lithotripsy (SWL) treatment for proximal ureteral stones on the sexual functions of patients of both genders.
METHODS: In this prospective study, 30 female and 72 male patients who had received SWL treatment for proximal ureteral stones in our clinic between August 2019 and October 2020 were evaluated. CT, creatinine, urinary analysis, and culture were performed during the initial consultation for all patients. Information regarding the age, BMI, and stone burden of the patients was recorded. Male patients answered the International Index of Erectile Function-5 (IIEF-5) questionnaire, and female participants answered the Female Sexual Function Index (FSFI) 3 times: pre-procedural and post-procedural first and third month. CT was repeated on the first month, and any residues were noted.
RESULTS: The mean IIEF-5 scores of the male patients were 23.11 ± 8.11 prior to surgery, and it decreased to 19.74 ± 7.65 in the first month and 23.88 ± 9.23 in the third, p = 0.001. The mean FSFI scores of female patients were 18.2 ± 9.9, which decreased to 12.8 ± 6.12 in the first month and 17.8 ± 8.66 in the third, p = 0.001. Univariate analysis revealed that the patients\' age (male: p = 0.004 and female: p = 0.008) and BMI (male: p = 0.044 and female: p = 0.027) were related to the poorer scores for both genders. However, there were not any significant findings regarding stone burden (male: p = 0.054 and female: p = 0.078).
CONCLUSIONS: The possibility of developing temporary sexual dysfunction should be taken into account for patients who are candidates for SWL treatment. As the patient\'s age and BMI increase, SWL-related sexual dysfunction becomes more severe.
METHODS: In this prospective study, 30 female and 72 male patients who had received SWL treatment for proximal ureteral stones in our clinic between August 2019 and October 2020 were evaluated. CT, creatinine, urinary analysis, and culture were performed during the initial consultation for all patients. Information regarding the age, BMI, and stone burden of the patients was recorded. Male patients answered the International Index of Erectile Function-5 (IIEF-5) questionnaire, and female participants answered the Female Sexual Function Index (FSFI) 3 times: pre-procedural and post-procedural first and third month. CT was repeated on the first month, and any residues were noted.
RESULTS: The mean IIEF-5 scores of the male patients were 23.11 ± 8.11 prior to surgery, and it decreased to 19.74 ± 7.65 in the first month and 23.88 ± 9.23 in the third, p = 0.001. The mean FSFI scores of female patients were 18.2 ± 9.9, which decreased to 12.8 ± 6.12 in the first month and 17.8 ± 8.66 in the third, p = 0.001. Univariate analysis revealed that the patients\' age (male: p = 0.004 and female: p = 0.008) and BMI (male: p = 0.044 and female: p = 0.027) were related to the poorer scores for both genders. However, there were not any significant findings regarding stone burden (male: p = 0.054 and female: p = 0.078).
CONCLUSIONS: The possibility of developing temporary sexual dysfunction should be taken into account for patients who are candidates for SWL treatment. As the patient\'s age and BMI increase, SWL-related sexual dysfunction becomes more severe.
摘要：
背景：本研究旨在探讨冲击波碎石术（SWL）治疗输尿管近端结石对男女患者性功能的影响。
方法：在这项前瞻性研究中，对2019年8月至2020年10月在我们的诊所接受SWL治疗的30名女性和72名男性患者进行了评估。CT,肌酐,尿路分析,在所有患者的初始会诊期间进行培养。关于年龄的信息，BMI,并记录患者的结石负担。男性患者回答了国际勃起功能指数-5（IIEF-5）问卷，女性参与者回答女性性功能指数（FSFI）3次：手术前和手术后第一个月和第三个月。第一个月重复CT,并注意到任何残留物。
结果：手术前男性患者的平均IIEF-5评分为23.11±8.11，第一个月下降到19.74±7.65，第三个月下降到23.88±9.23，p=0.001。女性患者的平均FSFI评分为18.2±9.9，第一个月下降到12.8±6.12，第三个月下降到17.8±8.66，p=0.001。单因素分析显示，患者年龄（男性：p=0.004，女性：p=0.008）和BMI（男性：p=0.044，女性：p=0.027）与两种性别的较差评分相关。然而,关于结石负荷没有任何显著发现(男性:p=0.054,女性:p=0.078).
结论：对于接受SWL治疗的患者，应考虑发生暂时性性功能障碍的可能性。随着患者年龄和BMI的增加,SWL相关的性功能障碍变得更加严重。
方法：在这项前瞻性研究中，对2019年8月至2020年10月在我们的诊所接受SWL治疗的30名女性和72名男性患者进行了评估。CT,肌酐,尿路分析,在所有患者的初始会诊期间进行培养。关于年龄的信息，BMI,并记录患者的结石负担。男性患者回答了国际勃起功能指数-5（IIEF-5）问卷，女性参与者回答女性性功能指数（FSFI）3次：手术前和手术后第一个月和第三个月。第一个月重复CT,并注意到任何残留物。
结果：手术前男性患者的平均IIEF-5评分为23.11±8.11，第一个月下降到19.74±7.65，第三个月下降到23.88±9.23，p=0.001。女性患者的平均FSFI评分为18.2±9.9，第一个月下降到12.8±6.12，第三个月下降到17.8±8.66，p=0.001。单因素分析显示，患者年龄（男性：p=0.004，女性：p=0.008）和BMI（男性：p=0.044，女性：p=0.027）与两种性别的较差评分相关。然而,关于结石负荷没有任何显著发现(男性:p=0.054,女性:p=0.078).
结论：对于接受SWL治疗的患者，应考虑发生暂时性性功能障碍的可能性。随着患者年龄和BMI的增加,SWL相关的性功能障碍变得更加严重。
