(O-18) Strong association between urinary incontinence domain of the neurogenic bladder symptom score - short form and sexual dysfunction in women with neurogenic bladder due to spinal cord disease

Abstract Introduction The Neurogenic Bladder Symptom Score short form (NBSS-SF) is a validated tool for evaluating neurogenic lower urinary tract dysfunction in spinal cord disease (SCD). It includes subscores for urinary incontinence (UI), storage symptoms, consequences, and one item on quality of life. This study aimed to assess NBSS-SF performance and its association with sexual dysfunction (SD) in women with SCD. Methods In this cross-sectional study, 98 women (>18 years, SCD >1 year) from a tertiary hospital were evaluated. Demographics, neurological data, and sexual activity were collected. NBSS-SF (range 0–28) assessed bladder management and UI; leakage several times/week defined incontinence. Sexual function was assessed via FSFI-19, with scores ≤26.55 indicating SD. A Likert scale assessed satisfaction. We analyzed correlations between NBSS-SF and FSFI scores, and the incontinence domain’s accuracy in identifying SD. Results Among 98 women (mean age 42.5 ± 12.1), 85.7% had non-traumatic SCD, 55.9% with MS. Most (66.3%) voided spontaneously; 25.5% used CIC and 8.2% had Foley catheters. Mean NBSS-SF score was 11.0 ± 6.9, with 52% having UI. Of 48 sexually active women, 58.3% had SD (mean FSFI 22 ± 10.1). UI was more prevalent among inactive women (74% vs 29.2%, p < 0.001), and their NBSS-SF score was higher (14.3 vs 9, p < 0.001). UI domain score > 2 was associated with 7.1-fold higher odds of SD (CI 2.3–21.6, p < 0.001), unlike storage/consequences domains. Conclusion NBSS-SF is strongly associated with SD in women with SCD, with the UI domain showing the strongest predictive value. Financing No conflict.