What Is the Real Impact of Urinary Incontinence on Female Sexual Dysfunction? A Case Control Study
Introduction: Urinary incontinence (UI) has been associated with negative effects on women's sexuality. Women's sexuality and sexual function are a complex issue, and the role of UI is not completely clear. Aim: To assess the impact of UI on female sexual function by comparing this populat...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Oxford University Press
2017-03-01
|
| Series: | Sexual Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2050116116300708 |
| _version_ | 1797711562283155456 |
|---|---|
| author | Mariana Rhein Felippe, ScM Joao Paulo Zambon, MD, PhD Marcia Eli Girotti, ScM Juliana Schulze Burti, ScM Claudia Rosenblatt Hacad, ScM Lina Cadamuro, PT Fernando Almeida, MD, PhD |
| author_facet | Mariana Rhein Felippe, ScM Joao Paulo Zambon, MD, PhD Marcia Eli Girotti, ScM Juliana Schulze Burti, ScM Claudia Rosenblatt Hacad, ScM Lina Cadamuro, PT Fernando Almeida, MD, PhD |
| author_sort | Mariana Rhein Felippe, ScM |
| collection | DOAJ |
| description | Introduction: Urinary incontinence (UI) has been associated with negative effects on women's sexuality. Women's sexuality and sexual function are a complex issue, and the role of UI is not completely clear.
Aim: To assess the impact of UI on female sexual function by comparing this population with a control group of continent women.
Methods: We performed a case-control study from August 2012 to September 2013. We evaluated continent and incontinent women (age range = 30–70 years) for their sexuality.
Main Outcome Measures: All patients were evaluated by anamnesis, physical examination, and self-report quality-of-life questionnaires. In addition, incontinent women underwent a 1-hour pad test. Patients without sexual activity were evaluated for the role of UI in their sexual abstinence. Sexual abstinence was defined as the absence of sexual activity for more than 6 months. All sexually active women completed the self-report Sexuality Quotient–Female Version (SQ-F) questionnaire.
Results: A total of 356 women were included in the study (incontinent, n = 243; continent, n = 113). Sexual abstinence was found in 162 women (45%). Incontinent women presented a higher prevalence (P < .001) of sexual abstinence than their counterparts (129 [53%] and 33 [29.2%], respectively). Age, marital status, and UI were found to be isolated predictive factors for more sexual abstinence in incontinent women. Sexually active women (incontinent, n = 114; continent, n = 80) presented similar demographic data. Despite a similar frequency of sexual activity, incontinent women had less sexual desire, foreplay, harmony with a partner, sexual comfort, and sexual satisfaction than their counterparts. Women with greater urinary leakage during the 1-hour pad test (weight > 11 g) had the worst sexual function (SQ-F) score.
Conclusion: Women with UI were more likely to be sexual abstinent than continent women. Furthermore, women with UI showed less sexual desire, sexual comfort, and sexual satisfaction than their counterparts despite having a similar frequency of sexual activity. |
| first_indexed | 2024-03-12T07:08:47Z |
| format | Article |
| id | doaj.art-12a8430d80af4307a868b992efefc3c7 |
| institution | Directory Open Access Journal |
| issn | 2050-1161 |
| language | English |
| last_indexed | 2024-03-12T07:08:47Z |
| publishDate | 2017-03-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Sexual Medicine |
| spelling | doaj.art-12a8430d80af4307a868b992efefc3c72023-09-02T23:15:21ZengOxford University PressSexual Medicine2050-11612017-03-0151e54e6010.1016/j.esxm.2016.09.001What Is the Real Impact of Urinary Incontinence on Female Sexual Dysfunction? A Case Control StudyMariana Rhein Felippe, ScM0Joao Paulo Zambon, MD, PhD1Marcia Eli Girotti, ScM2Juliana Schulze Burti, ScM3Claudia Rosenblatt Hacad, ScM4Lina Cadamuro, PT5Fernando Almeida, MD, PhD6Department of Urology, University of Sao Paulo, Sao Paulo, BrazilInstitute of Regenerative Medicine, Wake Forest University, Winston-Salem, North CarolinaDepartment of Urology, University of Sao Paulo, Sao Paulo, BrazilDepartment of Urology, University of Sao Paulo, Sao Paulo, BrazilDepartment of Urology, University of Sao Paulo, Sao Paulo, BrazilDepartment of Urology, University of Sao Paulo, Sao Paulo, BrazilInstitute of Regenerative Medicine, Wake Forest University, Winston-Salem, North CarolinaIntroduction: Urinary incontinence (UI) has been associated with negative effects on women's sexuality. Women's sexuality and sexual function are a complex issue, and the role of UI is not completely clear. Aim: To assess the impact of UI on female sexual function by comparing this population with a control group of continent women. Methods: We performed a case-control study from August 2012 to September 2013. We evaluated continent and incontinent women (age range = 30–70 years) for their sexuality. Main Outcome Measures: All patients were evaluated by anamnesis, physical examination, and self-report quality-of-life questionnaires. In addition, incontinent women underwent a 1-hour pad test. Patients without sexual activity were evaluated for the role of UI in their sexual abstinence. Sexual abstinence was defined as the absence of sexual activity for more than 6 months. All sexually active women completed the self-report Sexuality Quotient–Female Version (SQ-F) questionnaire. Results: A total of 356 women were included in the study (incontinent, n = 243; continent, n = 113). Sexual abstinence was found in 162 women (45%). Incontinent women presented a higher prevalence (P < .001) of sexual abstinence than their counterparts (129 [53%] and 33 [29.2%], respectively). Age, marital status, and UI were found to be isolated predictive factors for more sexual abstinence in incontinent women. Sexually active women (incontinent, n = 114; continent, n = 80) presented similar demographic data. Despite a similar frequency of sexual activity, incontinent women had less sexual desire, foreplay, harmony with a partner, sexual comfort, and sexual satisfaction than their counterparts. Women with greater urinary leakage during the 1-hour pad test (weight > 11 g) had the worst sexual function (SQ-F) score. Conclusion: Women with UI were more likely to be sexual abstinent than continent women. Furthermore, women with UI showed less sexual desire, sexual comfort, and sexual satisfaction than their counterparts despite having a similar frequency of sexual activity.http://www.sciencedirect.com/science/article/pii/S2050116116300708Urinary IncontinenceSexualityFemale Sexual Function |
| spellingShingle | Mariana Rhein Felippe, ScM Joao Paulo Zambon, MD, PhD Marcia Eli Girotti, ScM Juliana Schulze Burti, ScM Claudia Rosenblatt Hacad, ScM Lina Cadamuro, PT Fernando Almeida, MD, PhD What Is the Real Impact of Urinary Incontinence on Female Sexual Dysfunction? A Case Control Study Sexual Medicine Urinary Incontinence Sexuality Female Sexual Function |
| title | What Is the Real Impact of Urinary Incontinence on Female Sexual Dysfunction? A Case Control Study |
| title_full | What Is the Real Impact of Urinary Incontinence on Female Sexual Dysfunction? A Case Control Study |
| title_fullStr | What Is the Real Impact of Urinary Incontinence on Female Sexual Dysfunction? A Case Control Study |
| title_full_unstemmed | What Is the Real Impact of Urinary Incontinence on Female Sexual Dysfunction? A Case Control Study |
| title_short | What Is the Real Impact of Urinary Incontinence on Female Sexual Dysfunction? A Case Control Study |
| title_sort | what is the real impact of urinary incontinence on female sexual dysfunction a case control study |
| topic | Urinary Incontinence Sexuality Female Sexual Function |
| url | http://www.sciencedirect.com/science/article/pii/S2050116116300708 |
| work_keys_str_mv | AT marianarheinfelippescm whatistherealimpactofurinaryincontinenceonfemalesexualdysfunctionacasecontrolstudy AT joaopaulozambonmdphd whatistherealimpactofurinaryincontinenceonfemalesexualdysfunctionacasecontrolstudy AT marciaeligirottiscm whatistherealimpactofurinaryincontinenceonfemalesexualdysfunctionacasecontrolstudy AT julianaschulzeburtiscm whatistherealimpactofurinaryincontinenceonfemalesexualdysfunctionacasecontrolstudy AT claudiarosenblatthacadscm whatistherealimpactofurinaryincontinenceonfemalesexualdysfunctionacasecontrolstudy AT linacadamuropt whatistherealimpactofurinaryincontinenceonfemalesexualdysfunctionacasecontrolstudy AT fernandoalmeidamdphd whatistherealimpactofurinaryincontinenceonfemalesexualdysfunctionacasecontrolstudy |