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Original Research

Effects of urinary incontinence and/or lower urinary tract symptoms on female sexual health


İzmir Atatürk Eğitim ve Araştırma Hastanesi, 2. Üroloji Kliniği, İzmir


DOI :
2012; 7 (1): 33-41

Abstract

Objectives: In tis study, we evaulated the relationship betwe-en female sexual dysfunction (FSD) and urinary dysfunction. Wo-men suffers from urinary incontinence and/or lower urinary tract symptoms ( LUTS ) were compared with healthy women.

Materials and Methods: Thirtynine women (age:21-48) with urinary incontinence and/or LUTS and 32 healty women (age:18-49) who has without any urinary symptoms were enrolled in this study. Standart filling cystometry was applied to all patients af-ter evaulating with history, physical examination and questioning forms (I-PSS, ICIQ-SF, FSFI). Healty women were only questio-ned with FSFI due to having no urinary incontinence and/or LUTS. FSFI scores were compared betweeen two groups. Additionally, re-lationship between FSFI domains and ICIQ-SF, I-PSS and urodyna-mic findings were investigated.

Results: Sexual dysfunction was observed in 31 of 39 pati-ents and 5 of 32 healty women respectively. All FSFI domain sco-res of the patient group were significantly lower than  control group (p<0,000). In symptomatic women group, correlation between se-xual dysfunction and symptom severity was not observed. The se-verity of sexual dysfunction was only related with the quality of life score which was assesed by ICIQ-SF, I-PSS (p= 0.004, p= 0.001). FSFI domain scores or severity of LUTS were not affected by detrus-sor over activity or any other urodynamic parameter.

Conclusion: Women with urinary incontinence or/and LUTS is likely to have sexual dysfunction. Although FSD is not related with LUTS severity or urodynamic findings, most important factor that influences FSD severity is quality of life which can be estima-ted with ICIQ-SF and I-PSS. Sexual functions should be investiga-ted in this patient groups. 

Key Words: Female; Urinary Tract; Urodynamics; Sexuality 


Abstract

Objectives: In tis study, we evaulated the relationship betwe-en female sexual dysfunction (FSD) and urinary dysfunction. Wo-men suffers from urinary incontinence and/or lower urinary tract symptoms ( LUTS ) were compared with healthy women.

Materials and Methods: Thirtynine women (age:21-48) with urinary incontinence and/or LUTS and 32 healty women (age:18-49) who has without any urinary symptoms were enrolled in this study. Standart filling cystometry was applied to all patients af-ter evaulating with history, physical examination and questioning forms (I-PSS, ICIQ-SF, FSFI). Healty women were only questio-ned with FSFI due to having no urinary incontinence and/or LUTS. FSFI scores were compared betweeen two groups. Additionally, re-lationship between FSFI domains and ICIQ-SF, I-PSS and urodyna-mic findings were investigated.

Results: Sexual dysfunction was observed in 31 of 39 pati-ents and 5 of 32 healty women respectively. All FSFI domain sco-res of the patient group were significantly lower than  control group (p<0,000). In symptomatic women group, correlation between se-xual dysfunction and symptom severity was not observed. The se-verity of sexual dysfunction was only related with the quality of life score which was assesed by ICIQ-SF, I-PSS (p= 0.004, p= 0.001). FSFI domain scores or severity of LUTS were not affected by detrus-sor over activity or any other urodynamic parameter.

Conclusion: Women with urinary incontinence or/and LUTS is likely to have sexual dysfunction. Although FSD is not related with LUTS severity or urodynamic findings, most important factor that influences FSD severity is quality of life which can be estima-ted with ICIQ-SF and I-PSS. Sexual functions should be investiga-ted in this patient groups. 

Key Words: Female; Urinary Tract; Urodynamics; Sexuality 

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