Relationship between condom usage and lower urinary tract symptoms in sexually active young men [Seksüel aktif genç erkeklerde kondom kullani{dotless}mi{dotless}ni{dotless}n alt üriner system semptomlari{dotless} ile ilişkisi]
Küçük Resim Yok
Tarih
2011
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: The effect of condom usage on the presence and intensity of the lower urinary tract symptoms (LUTS) in sexually active young men was evaluated. Materials and methods: Seventy patients (35 were using condoms and the other 35 were not), who applied to our outpatient clinic with LUTS between December 2009-May 2009, who were sexually active, aged 18-45 years, and complying with study criteria were included in the study. Patients have been evaluated with anamnesis, physical examination, International Prostate Symptom Score (IPSS) questionnaire, 2-cup test, uroflowmetry, postvoid residual volume, and transrectal ultrasonography. Results: Mean age of the patients was 31.79±7.23 years, sexually active time was 123.29±74.03 months, and symptom duration was 31.23±32.29 months. Although condom usage has no significant effect on IPSS, urinating with strain, dysuria, frequent urination, nocturia; feeling of pain or discomfort during ejaculation was more common among condom users (59.6% vs. 40.4%, p=0.041). Mean uro-flowmetry Qmax value was 20.80±1.95 and 15.83±2.56, in non-condom users and condom users, respectively (p<0.001). Five non-condom users (14.3%) and 10 condom users (28.6%) showed positivity in post-massage urine culture (p=0.244). Two non-condom users and 8 condom users showed coagulase negative staphylococcus in urine culture (p<0.01). Twenty-five condom users (57.1%) and 9 non-condom users (25.7%) showed positivity in post-massage chlamydia cell culture (p=0.015). Conclusion: Condom usage is a predisposing factor for LUTS. Increment of gram-positive bacteria and Chlamydia trachomatis positivity in post-massage prostate secretion culture shows analogy with the pain during ejaculation in these patients and gives preliminary data on the retrograde flow hypothesis.
Açıklama
Anahtar Kelimeler
Condom, LUTS, Retrograde flow
Kaynak
Turk Uroloji Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
37
Sayı
3
