STUDY OF PELVIC ORGAN DYSFUNCTION IN PARKINSON'S DISEASE
Abstract
INTRODUCTION Pelvic organ dysfunction
(urinary bladder, bowel and genital
organs) is well recognized in Parkinsons
disease (PD). However the incidence of
this condition is not well established. AIM
To ascertain the incidence and characteristics
of pelvic organ dysfunction in
patients with PD. METHODS This is a
case control (questionnaire based) study.
100 patients with PD and 50 age
matched controls were included in this
study. Questionnaire based on Sakakibara
R et al study regarding the three
pelvic organ dysfunction was applied to
the patients and controls. The findings
were compared with age matched control
subjects. All PD patients were on
levodopa without dopamine agonists.
The questionnaire assessed the bladder
(nine questions), bowel (four questions)
and sexual function (three questions for
women, five for men). Each question was
scored from 0(none)to 3(severe)with an
additional quality of life(QOL)index
scored from 0(satisfied)to 3(extremely
dissatisfied). RESULTS As compared
with the control group, the frequency of
dysfunction in the PD group was
significantly higher for constipation(58), difficulty
in expulsion(54) ,diarrhea (13) urinary
urgency(25), daytime frequency
(43),nighttime frequency(52),urge incontinence(
20), poor stream (men50),straining
(19) decrease in libido (74), decrease in
sexual intercourse(78), decrease in orgasm
(50) and in men, decrease in erection(57)
and ejaculation(46). The dissatisfaction
score of PD patients was significantly
higher for sexual dysfunction(56)compared
to bladder(23)and bowel(30).
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