A survey of commonalities relevant to function and dysfunction in pelvic and sexual organs

Brading, Alison F.; Heaton, Jeremy P.W.; Hashitani, Hikaru

doi:10.1038/sj.ijir.3901568

Cited by 10 publications

(7 citation statements)

References 104 publications

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“…The commonalities in pelvic and sexual organs with shared anatomy, embryology, functionality, pathways, endocrinology and so on might be relevant to the association between FSD and UI . Psychological impact of UI, such as embarrassment, fear of UI during sexual activity, anxiety related to intercourse and loss of self‐confidence and self‐image, might also be the reasons for the connection of UI and FSD.…”

Section: Discussionmentioning

confidence: 99%

Association of urinary incontinence and sexual function in women

Sun²,

Jiann

2014

Int J of Urology

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Abbreviations & AcronymsObjectives: To investigate the association between urinary incontinence and female sexual function in a non-clinical population. Methods: A self-administered questionnaire was distributed to 2159 female employees of two hospitals. Results: Of the 883 sexually active participants, pure stress urinary incontinence was reported in 18.3%, pure urge urinary incontinence in 6.8%, mixed urinary incontinence in 15.1% and no urinary incontinence in 59.8%. The prevalence of female sexual difficulty, defined by the Female Sexual Function Index total score ≤26.55, was 52.0%, 56.1%, 54.3% and 42.2%, respectively (P < 0.05). After adjustment of age, menstrual status, length of marriage, having children and relationship with the partner, all types of urinary incontinence showed a significant association with female sexual difficulty with an odds ratio of 1.6-1.8. Taking into consideration the individual domains, pure urge urinary incontinence was a risk factor for decreased sexual lubrication and more sexual pain, and mixed urinary incontinence was a risk factor for less sexual satisfaction, whereas pure stress urinary incontinence was not related to a difficulty in individual domains. Conclusions: Stress urinary incontinence and urge urinary incontinence are associated with general impairment of female sexual function to a mild degree. Only urge urinary incontinence is related to sexual difficulty in specific domains including sexual lubrication and sexual pain.

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Section: Discussionmentioning

confidence: 99%

Association of urinary incontinence and sexual function in women

Sun²,

Jiann

2014

Int J of Urology

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“…However, well‐designed population studies with validated questionnaires to look at this association are needed given the complexity of FSD and the wide spectrum of LUTS (Grade C). The pathophysiology of LUTS‐associated FSD is poorly understood; however, both the anatomical proximity of the bladder and urethra to the vaginal canal and the shared spinal reflexes that are under descending control from higher centers may be relevant [106] and research is greatly needed (Grade C). Limited publications suggest that nonsurgical treatment for LUTS appears to benefit sexual function (Grade C) [107–111].…”

Section: Sexual Dysfunction Associated With Luts In Womenmentioning

confidence: 99%

Sexual Function in Chronic Illness

Basson

Rees

Wang

et al. 2010

The Journal of Sexual Medicine

199

135

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Introduction Direct and indirect effects of chronic disease on sexual health are frequent and complex, but guidelines for their optimal management are lacking. With improved surgical and medical treatment of the underlying disease, the numbers of men and women needing assessment and management of associated sexual dysfunction are increasing. Aim To provide recommendations/guidelines for the clinical management of sexual dysfunction within the context of chronic illness. Methods An international consultation in collaboration with the major sexual medicine associations assembled 186 multidisciplinary experts from 33 countries into 25 committees. Nine experts from four countries compiled the recommendations of sexual dysfunction in chronic illness and cancer with four focusing on neurological, renal, and psychiatric disease and lower urinary tract symptoms (LUTS). Searches were conducted using Medline, Embase, Lilacs, and Pubmed databases. Main Outcome Measures Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation, and debate. Results Some conclusions concerning prevalence and pathophysiology of sexual dysfunction in the context of neurological disorders, end-stage renal failure, LUTS, and psychiatric disease were made. Optimal assessment of the multiple factors affecting sexuality when one or both partners are chronically ill is outlined. Evidence-based recommendations for management are presented. Comorbid depression is frequent and independently determines prevalence of sexual dysfunction in many conditions. Conclusions There is need for more research and scientific reporting on prevalence, pathophysiology, and optimal treatment of sexual dysfunction associated with chronic illness. Screening for and managing comorbid depression is strongly recommended.

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“…[1][2][3][4][5] However, the role of the pelvic floor in sexual function has not been fully elucidated. 6 Despite the fact that the anus is a part of the pelvic floor structure, the clinical attention given to sexual problems in hemorrhoidectomy patients has been negligible.…”

Section: Introductionmentioning

confidence: 99%

The impact of hemorrhoidectomy on sexual function in women: a preliminary study

et al. 2009

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The purpose of this study was to explore the prevalence of sexual problems in posthemorrhoidectomy females. The study consisted of a surgical group and a control group of women between the ages of 22 and 74 years, 39 with and 39 without hemorrhoidectomy. Female sexual function was evaluated using the Female Sexual Function Index (FSFI). The level of sexual function was calculated for each domain and compared across domains and demographic variables for each group. The prevalence of sexual dysfunction among the post-hemorrhoidectomy participants was 48.7% (19/39) and among the healthy women 7.7% (3/39). The average FSFI score was significantly lower in the surgical group (46.38 ± 28.13) than in the control group (65.69 ± 18.48) (P ¼ 0.001). All the FSFI domain scores, with the exception of the desire domain, were significantly lower for the surgical group relative to the healthy group (Po0.05). Logistic regression analysis revealed that group (P ¼ 0.001) and age (P ¼ 0.013) were predictors of problems in female sexual functioning. This preliminary study shows that women who have had a hemorrhoidectomy are at higher risk of sexual function problems. The sexual function of women with hemorrhoidectomy should be evaluated to provide them with a better quality of life.

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A survey of commonalities relevant to function and dysfunction in pelvic and sexual organs

Cited by 10 publications

References 104 publications

Association of urinary incontinence and sexual function in women

Association of urinary incontinence and sexual function in women

Sexual Function in Chronic Illness

The impact of hemorrhoidectomy on sexual function in women: a preliminary study

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