ANALYSIS OF UROGYNECOLOGICAL AND SEXUAL CHANGES ASSOCIATED WITH COVID-19

• DOI: 10.22533/at.ed.1593272315048

• Palavras-chave: COVID-19, Pelvic Floor Disorders, Sexuality

• Keywords: COVID-19, Pelvic Floor Disorders, Sexuality

• Abstract:

  Although SARS-CoV-2 is responsible for causing the Coronavirus disease, and mainly affects the respiratory tract, it has been associated with other series of extrapulmonary manifestations, including pelvic dysfunctions. Goal: To analyze urogynecological and sexual sequelae in women and men affected by the Coronavirus and establish a relationship between the symptoms and the characteristics of the population with the highest prevalence. Method: A cross-sectional study was carried out, with a convenience sample, 191 participants, 135 female and 56 male. After free consent, we sent the link to the Google Forms questionnaire for the investigation of post-COVID-19 urogynecological and sexual symptoms. Data were statistically analyzed using non-parametric tests, such as Friedman, Wilcoxon, Equality of Two Proportions, Chi-Square, Spearman correlation and Confidence Interval for the mean, considering a significance level of p≤0.05. Result: In the urinary system, an increase in Stress Urinary Incontinence (SUI) (p=0.06), nocturia (p<0.05) and the feeling of urinary urgency (p<0.05) was observed in women. In men, only increased urinary frequency without statistical significance (p=0.061). Considering sexuality, sexual performance and lubrication scores were reported in both as a sign of reduction, but only women showed statistical significance for scores and lubrication respectively (p<0.001, p<0.056). Conclusion: We concluded that the COVID-19 infection increased the incidence of urinary disorders more in women than in men, with SUI, urinary urgency/hyperactivity and nocturia being more prevalent. Considering sexuality, both groups were affected and women were more affected.