Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction

Suellen Viana Lucena

doi:10.11648/j.jgo.20180605.11

Abstract

Aim The study aimed to analyze the correlation between the intensity of urinary incontinence (UI) in women by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and sexual function by the Female Sexual Function Index (FSFI). Methods: Cross-sectional, correlational and quantitative study. It was developed in the urogynecology clinic with 110 women with stress or mixed UI. Exclusion criteria: overactive bladder syndrome, stage of pelvic organ prolapsed >3, neurological disease or dementia. The FSFI consists of 19 questions assessing female sexual function in the last 4 weeks in the areas of sexual desire, arousal, vaginal lubrication, orgasm, sexual satisfaction and pain. It was considered final score ≤ 26.5 indicative of sexual dysfunction. The UI was evaluated using the (ICIQ-SF) consists of 4 items such as frequency of UI, volume, impact of UI on daily life and urinary symptoms. Results: There was a statistically significant relationship between the final ICIQ-SF result (mean = 13) and the final FSFI score (mean = 23.4), (p = 0.004). The higher the ICIQ-SF final score, the lower the final FSFI score. The FSFI domains most affected by UI severity as evidenced by ICIQ-SF were: sexual desire (p =0.000), sexual arousal (p =0.036) and satisfaction (p =0.010). Conclusions: There was a strong correlation between the severity of stress and mixed UI and sexual function in the studied population. The UI negatively interferes with the woman's desire, arousal, and sexual satisfaction.

Highlights

Pelvic floor dysfunction (PFD) is the inability of the pelvic floor to perform its supportive action to the urinary, genital and anorectal organs and/or their functional incapacity of such organs. [1] PFD including urinary incontinence (UI), pelvic organ prolapse (POP), anorectal dysfunctions and sexual dysfunction. [2, 3]According to a study developed in the United States of America, PFD diseases will increase significantly, and Suellen Viana Lucena et al.: Analysis of Correlation Between the Severity of Urinary Incontinence and SexualFunction in Women with Pelvic Floor Dysfunction around 43.8 million americans will suffer from at least one type of PFD in 2050. [4]The International Continence Society (ICS) defines UI as involuntary loss of urine
Classified as: stress UI (SUI) is involuntary loss of urine associated with stress, urgency UI (UUI) is involuntary loss of urine associated with urgency and mixed UI (MUI) is involuntary loss of urine associated with urgency and stress. [1]
The severity of UI can be assessed by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) investigating situations of involuntary loss of urine and the impact of UI on quality of life, consisting of 4 items such as frequency of UI, volume, impact of UI on daily life and urinary symptoms. [8]

Summary

Introduction

Pelvic floor dysfunction (PFD) is the inability of the pelvic floor to perform its supportive action to the urinary, genital and anorectal organs and/or their functional incapacity of such organs. [1] PFD including urinary incontinence (UI), pelvic organ prolapse (POP), anorectal dysfunctions and sexual dysfunction. [2, 3]According to a study developed in the United States of America, PFD diseases will increase significantly, and Suellen Viana Lucena et al.: Analysis of Correlation Between the Severity of Urinary Incontinence and SexualFunction in Women with Pelvic Floor Dysfunction around 43.8 million americans will suffer from at least one type of PFD in 2050. [4]The International Continence Society (ICS) defines UI as involuntary loss of urine. According to a study developed in the United States of America, PFD diseases will increase significantly, and Suellen Viana Lucena et al.: Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual. Function in Women with Pelvic Floor Dysfunction around 43.8 million americans will suffer from at least one type of PFD in 2050. The severity of UI can be assessed by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) investigating situations of involuntary loss of urine and the impact of UI on quality of life, consisting of 4 items such as frequency of UI, volume, impact of UI on daily life and urinary symptoms.

Methods

Results

Conclusion