Abstract
Objective
Urinary incontinence (UI) may affect a woman's physical and psychological well-being
in different aspects. The aim of this study was to compare the effects of urinary
stress incontinence (USI), detrusor overactivity (DO) and mixed urinary incontinence
(MUI) on sexual function.
Study design
One-hundred and seventy urinary incontinent, sexually active women were included in
this cross-sectional study. After urodynamic evaluation, participants were divided
into three subgroups as USI (n = 61), DO (n = 55) and MUI (n = 54). Patients were matched according to age, parity and body mass index (BMI), rendering
the sample size to 41 patients in each group. Turkish version short form of the Pelvic
Organ Prolapse/Incontinence Sexual Function Questionnaire (PISQ-12) was filled out
by each of the participants. Totally, 52 patients were excluded from the study (47
could not be matched and 5 incomplete questionnaire). Demographic characteristics
of the participants, total and three domain scores of PISQ-12 were compared among
three UI subgroups.
Results
The study group was consisted of 38 (32.2%) DO, 41 (34.7%) USI and 39 (33.1%) MUI
patients. Demographic characteristics of the patients were similar in three subgroups.
Patients with a diagnosis of MUI had significantly lower mean PISQ-12 scores than
the ones with USI and DO whereas patients with USI had lower mean PISQ-12 scores than
patients with DO.
Conclusion
Although urinary stress incontinence effects sexual function more than detrusor overactivity
in terms of PISQ-12 scores, mixed urinary incontinence has the greatest impact on
sexual function when compared with urinary stress incontinence and detrusor overactivity.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to European Journal of Obstetrics and Gynecology and Reproductive BiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Sexual dysfunctional and urinary incontinence.Br J Obstet Gynaecol. 1979; 86: 387-388
- Correlation of symptoms with location and severity of pelvic organ prolapse.Am J Obstet Gynecol. 2001; 185: 1332-1337
- Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life.Neurourol Urodyn. 2000; 19: 259-271
- The impact of urodynamic stress incontinence and detrusor overactivity on marital relationship and sexual function.Am J Obstet Gynecol. 2003; 188: 1244-1248
- The prevalence and determinants of health care-seeking behavior for urinary incontinence in United Arab Emirates women.Int Urogynecol J Pelvic Floor Dysfunct. 1999; 10: 160-165
- Sexual function among women with urinary incontinence and pelvic organ prolapse.Am J Obstet Gynecol. 2004; 191: 751-756
- Biologic correlates of sexual function in women with stress urinary incontinence.J Sex Med. 2008; 5: 2871-2879
- The impact of pelvic organ prolapse on sexual function in women with urinary incontinence.Int Urogynecol J Pelvic Floor Dysfunct. 2006; 17: 14-17
- The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction.Am J Obstet Gynecol. 1996; 175: 10-17
- Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence, report.Obes Res. 1998; 6: 51S-209S
- The standardization of terminology of lower urinary tract function: report from the standardization sub-committee of the International Continence Society.Neurourol Urodyn. 2002; 21: 167-178
- Validation of the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) in a Turkish population.Eur J Obstet Gynecol Reprod Biol. 2009; 146: 104-107
- Sexual function in women with urodynamic stress incontinence, detrusor overactivity, and mixed urinary incontinence.Am J Obstet Gynecol. 2006; 195: 1758-1761
- The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: results from the EPIC study.BJU Int. 2008; 101: 1388-1395
- Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life.Neurourol Urodyn. 2000; 19: 259-271
- A systematic review of the literature on the prevalence of sexual impairment in women with urinary incontinence and the prevalence of urinary leakage during sexual activity.Eur Urol. 2002; 42: 432-440
- Sexual function in women with urinary incontinence.Int J Impot Res. 2005; 17: 248-251
- Sexual function in women with and without urinary incontinence and/or pelvic organ prolapse.Int Urogynecol J Pelvic Floor Dysfunct. 2001; 12: 361-365
- Sexual function in women attending a urogynecology clinic.Int Urogynecol J. 1999; 10: 325-328
- The effect of overactive bladder syndrome on the sexual quality of life in Korean young and middle aged women.Int J Impot Res. 2005; 17: 158-163
- Effect of urinary incontinence on sexual activity in women.J Reprod Med. 1993; 38: 679-683
- Health-related quality of life and sexual function in women with stress urinary incontinence and overactive bladder.Int J Urol. 2008; 15: 62-67
- The impact of urinary incontinence on female sexual function.Adv Ther. 2006; 23: 999-1008
- Sexual function in women with urinary incontinence and pelvic organ prolapse.Obstet Gynecol. 2002; 99: 281-289
- Assessment of sexual function in women with pelvic floor dysfunction.Int Urogynecol J Pelvic Floor Dysfunct. 2009; 20 ([Review]): S45-S50
- Urinary incontinence in women.Lancet. 2006; 7: 57-67
- Effect of parity on sexual function: an identical twin study.Obstet Gynecol. 2006; 107: 765-770
Article info
Publication history
Published online: June 27, 2011
Accepted:
June 9,
2011
Received in revised form:
May 7,
2011
Received:
January 5,
2011
Identification
Copyright
© 2011 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
