P-04-10 Italian Residents in Urology Sexual Health: A Multicentric Study

Abstract

Objectives: Several trials have dealt with residents well-being and burn-out, few data are available on residents Sexual Health. We aim to investigate Sexual Health among Italian residents in urology. Methods: Female Sexual Function Index (FSFI), Brief Index of Sexual Functioning Male (BISF-M), General Health Survey (SF-36) and Beck Depression Inventory Primary Care (BDI-PC) questionnaires were webbased administered to 299 residents from all of the 25 Italian Residency Programs. Data included: year of training (PGY), location, age, gender, sexual orientation, marital status, children, duty hours. Mean level differences in BDI-PC, FSFI and BISF-M levels for between-people variables such as gender, day/night shifts and children were inspected via ANOVA; correlations between depression and sexual functioning were investigated. Results: Responding rate 49%. Mean age 30.4 (SD 2.2), 83% M, 86% F had stable relationship, 33% engaged to a colleague, 6% had children. 97% heterosexual, 2% bisexual, 1% homosexual. 19% F reported FSFI total score < 26, indicating a possible sexual dysfunction. 33% F, 11% M had a BMIPC >3, indicating a mild to severe depression level. 64% did night shifts, ANOVAs revealed a significant interaction effect (p < 0.05, eta square ¼.06) between sexual function and night shifts on BDI-PC levels; F with night shifts reaching a critical mean BDI-PC score of 4.21. Higher BDI scores were associated with lower FSFI Arousal (p< 0.001), higher FSFI Dyspareunia (p< 0.05), lower FSFI total scores (p< 0.05). No correlations between BDI-PC and BISF-M or between sexual satisfaction and PGY, stable relationship and workload. Conclusion: Residency is a stressful period and personal relationship may be affected. These results indicate that female suffer more than male from such an experience. These findings highlight the importance of introducing stressmanagement efforts in residency programs to improve sexual health and quality of life with probable positive effects on residents work.