Couple Uro
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Couple Uro
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1 School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia; Quality Use of Medicines and Pharmacy Research Centre, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia. Electronic address: renly_lim@hotmail.com.
2 Department of Urology, Island Hospital, Penang, Malaysia.
3 Department of Urology, Lam Wah Ee Hospital, Penang, Malaysia.
4 School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia.
Renly Lim et al.
Urology .
2018 Feb .
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Affiliations
1 School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia; Quality Use of Medicines and Pharmacy Research Centre, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia. Electronic address: renly_lim@hotmail.com.
2 Department of Urology, Island Hospital, Penang, Malaysia.
3 Department of Urology, Lam Wah Ee Hospital, Penang, Malaysia.
4 School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia.
Lim R, Liong ML, Lau YK, Yuen KH.
Lim R, et al.
Eur J Obstet Gynecol Reprod Biol. 2018 Mar;222:109-112. doi: 10.1016/j.ejogrb.2018.01.024. Epub 2018 Jan 31.
Eur J Obstet Gynecol Reprod Biol. 2018.
PMID: 29408740
Lim R, Liong ML, Leong WS, Khan NA, Yuen KH.
Lim R, et al.
J Urol. 2016 Jul;196(1):153-8. doi: 10.1016/j.juro.2016.01.090. Epub 2016 Jan 23.
J Urol. 2016.
PMID: 26812304
Lim R, Liong ML, Lau YK, Leong WS, Khan NAK, Yuen KH.
Lim R, et al.
J Sex Marital Ther. 2018 Apr 3;44(3):260-268. doi: 10.1080/0092623X.2017.1348417. Epub 2017 Aug 4.
J Sex Marital Ther. 2018.
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Elzevier HW, Nieuwkamer BB, Pelger RC, Lycklama à Nijeholt AA.
Elzevier HW, et al.
J Sex Med. 2007 Mar;4(2):406-16. doi: 10.1111/j.1743-6109.2006.00257.x.
J Sex Med. 2007.
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Turgut H, Hasırcı E, Atkın MS, Okutucu TM, Ileri F, Ozdemir A, Usta SS, Sarier M.
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Objective:
To evaluate the correlation between sexual function of couples with and without stress urinary incontinence (SUI) partners, and to identify predictors of poor sexual function.
Materials and methods:
A cross-sectional survey was conducted involving sexually active women with or without SUI aged at least 21 years old, and their respective partners. Both partners completed the Golombok Rust Inventory of Sexual Satisfaction (GRISS), a 28-item multidimensional measure with separate forms for male and female designed to assess sexual satisfaction of both partners. Spearman rank correlation coefficient was used to analyze bivariate association, whereas multiple regression analysis was used to identify predictors for overall sexual function as measured using GRISS score.
Results:
Sixty-six couples with SUI partners and 95 couples with continent partners were recruited. Overall GRISS scores and thus sexual function of men and women were strongly correlated. The correlation coefficient was higher in couples with SUI partners (r = 0.702, P <.001) compared with couples with continent partners (r = 0.629, P <.001), indicating a stronger correlation in the sexual function of couples with SUI partners. In multivariate analysis, poorer sexual function (lower GRISS score) in women, increasing age, and less frequency of sexual intercourse were significant predictors of poorer overall GRISS score in couples (P <.001).
Conclusion:
Female sexual function is strongly correlated with male partners' sexual function, with a stronger correlation observed in couples with SUI partners. Poorer sexual function in women, increasing age, and less frequency of sexual intercourse are predictive of poorer sexual function in a couple.
Copyright © 2017 Elsevier Inc. All rights reserved.
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Once the catheter is removed after urolift, most men can void. A subset of men may not be able to void if the bladder is not ready to go yet and may need the catheter replaced. You should drink plenty of fluids during the day to promote increased production of urine. You can restrict the amount of fluids you drink later in the day so that you do not have to get up as much at night to urinate.
It will be normal to have burning and stinging with urination for the first two months. There may be blood which will develop on an intermittent basis during the first several months as well.
You should avoid strenuous activity during the first two weeks, which includes heavy lifting, bike riding, treadmill activity, or riding a lawnmower. Avoid sexual activity for two weeks. You may resume your normal daily activities. You may resume driving a car. During the first several months, the primary milestone to look for is increased urinary flow. With the urolift procedure, the material which was blocking the urinary pathway has been pulled back away from the urinary pathway. The bladder should now be able to empty with better flow, which you will notice as a more powerful urinary stream. It is important to recognize that it may take a much longer timeframe for the frequency of urination, particularly frequency of urination at night, to reduce. The bladder has been working against obstruction for years. As the bladder has worked against obstruction, it has become thicker and less elastic so that its storage capacity is diminished. After the urolift procedure, the bladder is no longer working as hard against obstruction. Some of the thickening of the bladder muscle will lessen and the bladder will regain its elasticity. Its storage capacity will increase. When that occurs, there will be less of the “gotta go, gotta get there”, but it may take anywhere from two to 12 months to notice that improvement. It is important to recognize that it took years for the bladder to get thicker and less elastic, and so it will take time for the bladder to reverse those changes.
Office follow-up at eight weeks is advised. Most men are asked to do a “flow study”. You should come to the office with a full bladder prepared to urinate. You will be asked to void in a special commode which allows measurement of the force of urinary flow to see if the force of urination is adequate.
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