You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Female Urology (I)1 Apr 20131571 FEMALE SEXUAL DYSFUNCTION AFTER SPINAL CORD INJURY Cristiano M Gomes, Carlos H.S. Bellucci, José Bessa, José E. Castro Filho, Marcello S. Pinheiro, Homero Bruschini, and Miguel Srougi Cristiano M GomesCristiano M Gomes São Paulo, Brazil More articles by this author , Carlos H.S. BellucciCarlos H.S. Bellucci São Paulo, Brazil More articles by this author , José BessaJosé Bessa São Paulo, Brazil More articles by this author , José E. Castro FilhoJosé E. Castro Filho São Paulo, Brazil More articles by this author , Marcello S. PinheiroMarcello S. Pinheiro São Paulo, Brazil More articles by this author , Homero BruschiniHomero Bruschini São Paulo, Brazil More articles by this author , and Miguel SrougiMiguel Srougi São Paulo, Brazil More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.3121AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Female sexuality may be tremendously affected by spinal cord injury due to physiological, psychological and emotional consequences. Undoubtedly, the impaired ability to maintain continence after SCI puts individual at risk of presenting urinary leakage during typical daily activities, such as sexual intercourse, impairing the willingness to engage sexual activity. So, we sought to investigate sexual function in women with SCI and its correlation with the urinary continence status. METHODS We prospectively evaluated 81 women with SCI (>12 months) with a mean age of 42.3 ± 16.5. Median time from SCI was 6.4 years [3.5−14.3]. The American Spinal Injury Association (ASIA) impairment scale was A in 54 (66.7%), B in 5 (6.2%), C in 7 (8.6%), D in 14 (17.2%) and E in 1 (1.2%). Urinary incontinence was defined as any compliant of involuntary leakage of urine. Two groups were formed, comprising 43 (53%) continent and 38 (47%) incontinent patients. A structured questionnaire was applied to all subjects including a detailed sexual anamnesis regarding orgasmic function, frequency of sexual intercourses, as well as the subjective satisfaction with sexual life. Moreover, the Female Sexual Quotient (FSQ) was applied. RESULTS The mean satisfaction with sexual life varied from 6.8 ± 3.5 to 2.6 ± 3.3 (0 = dissatisfied and 10 = satisfied; p<0.001). Before SCI, 41 (50.5%) patients had a frequency of > 4 monthly sexual intercourses, 15 (18.6%) had 1 to 4/month, 2 (2.5%) and 23 (28.4%) were sexually inactive. After SCI, only 7 (8.6%) patients had a frequency of > 4 monthly sexual intercourses, 5 (6.2%) had 1 to 4/month, 11 (13.6%) and 58 (71.6%) were sexually inactive. Both groups demonstrated similar prevalence of sexually inactive patients (32.5% and 23.6% in continent and incontinent patients, respectively, p=0.462). Median FSQ was similar among continent patients and incontinent patients. (12 [10−26] and 16 [10−60] in continent and incontinent patients, respectively, p=0.2002). CONCLUSIONS Sexual function is tremendously affected by SCI in most women, leading to a significant decrease in satisfaction with sexual life. Urinary incontinence was not associated to worse sexual outcomes. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e645 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Cristiano M Gomes São Paulo, Brazil More articles by this author Carlos H.S. Bellucci São Paulo, Brazil More articles by this author José Bessa São Paulo, Brazil More articles by this author José E. Castro Filho São Paulo, Brazil More articles by this author Marcello S. Pinheiro São Paulo, Brazil More articles by this author Homero Bruschini São Paulo, Brazil More articles by this author Miguel Srougi São Paulo, Brazil More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...