Misophonia in Urological Patients: Our Experience of Management

Abstract

This case report presents five patients suffering from recurrent chronic urological inflammatory diseases and adverse sound sensitivity. Unifying psychological feature of all presented patients is their intolerance of usual bodily sounds produced by partners and other people, called “misophonia”, which makes long-term relationships impossible. In our sample, despite psychiatric care, misophonic symptoms have not ceased completely. Patients continued to practice partner avoidance, with frequent changes of sexual partners or long-term abstinence. Consequently, frequently un-protected sexual contacts caused new sexually transmitted diseases, combined with recurrences of chronic prostatitis/ cystitis, while abstinence led to chronic nonbacterial (congestive) prostatitis. It looks like misophonia complicates the ability to maintain long-term sexual relationships that might influence urological status in sufferers. Better understanding of misophonia, its coping mechanisms and the hypothetical indirect contribution of misophonia-related behaviour to urological pathology could be possible only after future multidisciplinary investigations with larger statistically significant number of enrolled patients.