Prevalence of Sexual Dysfunction in Women with Urinary Incontinence
DOI:
https://doi.org/10.25759/spmfr.459Keywords:
Anxiety, Depression, Sexual Dysfunctions, Psychological, Urinary IncontinenceAbstract
Introduction: Our objective was to demonstrate the prevalence of sexual disfunction (SD) in a population of Portuguese women with urinary incontinence (UI), trying to verify and search which factors can be related with this condition.
Methods: Cross-sectional study including women between 18 and 65 years old, referred to the consultation of Physical Medicine and Rehabilitation - Pelvic Floor Rehabilitation of a tertiary hospital by stress or mixed UI, between January/2018 and June/2019. Women with SD were identified by the Female Sexual Function Index (FSFI) and the presence of depression/anxiety symptoms was addressed using the Hospital Anxiety & Depression Scale (HADS) questionnaire. The severity of UI was estimated based on the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). A database and a statistical analysis were performed using the SPSS Software version 25 and the values of p<0.05 were considered significant.
Results: Our sample was 59 women, with age ranged between 31 to 64 years-old (average: 45 years-old). The duration of UI ranged from 6 months to 20 years (median: 5 years). Most of them (59.6%) presented SD. There was no statistically significant difference between the mean age of the groups with and without SD. Depression criteria were present in 39% of the women and anxiety in 20.3%. The presence of these pathologies was associated with the presence of SD (p=0.001 for depression and p=0.011 for anxiety). The severity of UI was not different between groups with and without SD.
Conclusion: UI affects several aspects of quality of life, including sexual function, as this study points out, given the high prevalence of SD in the sample, regardless of the woman’s age, duration of UI or its severity. This reinforces the importance of correctly identify and address SD. In this population there was also an important prevalence of depressive/anxious pathology, which was significantly related to the presence of SD, which may be a preponderant factor for the development or a consequence of these psychopathological disorders, so they should not be overlooked.
References
Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29:4-20. doi: 10.1002/nau.20798.
Fatton B, de Tayrac R, Costa P. Stress urinary incontinence and LUTS in women-effects on sexual function. Nat Rev Urol. 2014;11:565-78. doi: 10.1038/nrurol.2014.205.
Duralde ER, Rowen TS. Urinary Incontinence and Associated Female Sexual Dysfunction. Sex Med Rev. 2017;5:470-85. doi: 10.1016/j.sxmr.2017.07.001.
Botlero R, Urquhart DM, Davis SR, Bell RJ. Prevalence and incidence of urinary incontinence in women: review of the literature and investigation of methodological issues. Int J Urol. 2008;15:230-4.
Kwon BE, Kim GY, Son YJ, Roh YS, You MA. Quality of life of women with urinary incontinence: a systematic literature review. Int Neurourol J. 2010;14:133-8.
Radoja I, Degmecic D. Quality of Life and Female Sexual Dysfunction in Croatian Women with Stress-, Urgency- and Mixed Urinary Incontinence: Results of a Cross-Sectional Study. Medicina. 2019;55:240. doi: 10.3390/medicina55060240.
Coyne KS, Sexton CC, Thompson C, Kopp ZS, Milsom I, Kaplan SA. The impact of OAB on sexual health in men and women: results from EpiLUTS. J Sex Med. 2011;8:1603-15. doi: 10.1111/j.1743-6109.2011.02250.x.
Vitale SG, La Rosa VL, Rapisarda AM, Lagana AS. Sexual Life in Women with Stress Urinary Incontinence. Oman Med J. 2017;32:174-5. doi: 10.5001/omj.2017.33.
Pechorro P, Diniz A, Almeida S, Vieira R. Validação portuguesa do índice de Funcionamento Sexual Feminino (FSFI). Lab Psicol. 2009;7:33-44.
Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31:1-20.
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191-208. doi: 10.1080/009262300278597.
Pais-Ribeiro J, Silva I, Ferreira T, Martins A, Meneses R, Baltar M. Validation study of a Portuguese version of the Hospital Anxiety and Depression Scale. Psychol Health Med. 2007;12:225-35; quiz 235-227.
Tamanini JT, Dambros M, D'Ancona CA, Palma PC, Rodrigues Netto N, Jr. [Validation of the "International Consultation on Incontinence Questionnaire - Short Form" (ICIQ-SF) for Portuguese]. Rev Saude Publica. 2004;38:438- 44.
Salonia A, Munarriz RM, Naspro R, et al. Women's sexual dysfunction: a pathophysiological review. BJU Int. 2004;93:1156-64.
Rosen RC, Taylor JF, Leiblum SR, Bachmann GA. Prevalence of sexual dysfunction in women: results of a survey study of 329 women in an outpatient gynecological clinic. J Sex Marital Ther. 1993;19:171-88.
Stadnicka G, Lepecka-Klusek C, Pilewska-Kozak A, Jakiel G. Psychosocial problems of women with stress urinary incontinence. Ann Agric Environ Med. 2015;22:499-503. doi: 10.5604/12321966.1167723.
Jha S, Strelley K, Radley S. Incontinence during intercourse: myths unravelled. Int Urogynecol J. 2012;23:633-7. doi: 10.1007/s00192-011-1583-
Urwitz-Lane R, Ozel B. Sexual function in women with urodynamic stress incontinence, detrusor overactivity, and mixed urinary incontinence. Am J Obstet Gynecol. 2006;195:1758-61.
Direção Geral da Saúde. Portugal, Saúde mental em números – 2014. Lisboa: DGS; 2014.
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