Men with inflammatory bowel disease may have increased sexual dysfunction.
To measure the prevalence of sexual dysfunction in male patients, Dr Sonia Friedman and colleagues from Massachusetts, USA developed a new inflammatory bowel disease-specific male sexual dysfunction scale.
The team used a cross-sectional survey and enrolled male patients ≥18 years old who attended inflammatory bowel disease clinics at two Boston hospitals.
The researchers collected information on sexual functioning via a 15-item scale.
General male sexual functioning was measured using the international index of erectile dysfunction the patient health questionnaire-9 measured depressive symptoms.
Medical history and sociodemographic information were extracted from medical record review.
Exploratory factor analyses assessed unidimensionality, factor structure, reliability, and criterion and construct validity of the 15-item scale.
The doctors used regression models to identify clinical factors associated with sexual dysfunction.
Exploratory factor analyses suggested retaining 10-items generating a unidimensional scale with strong internal consistency reliability.
The team found that the inflammatory bowel disease-specific male sexual dysfunction scale was significantly correlated with the patient health questionnaire-9 and the composite score for active inflammatory bowel disease cases.
The doctors observed that male sexual dysfunction in inflammatory bowel disease was significantly associated with the presence of an ileoanal pouch anastomosis, depression and increased disease activity.
Dr Friedman's team comments, "We have developed and validated an inflammatory bowel disease-specific scale to assess the psychosexual impact of inflammatory bowel disease."
"This new survey tool may help physicians screen for and identify factors contributing to impaired sexual functioning in their male patients."