How Urinary Incontinence Affects Sexual Activity in Polish Women: Results from a Cross-Sectional Study

Burzyński, Bartłomiej; Gibala, P; Sołtysiak-Gibała, Z; Jurys, Tomasz; Przymuszała, Piotr; Rzymski, Paweł; Stojko, Rafał

doi:10.3390/ijerph192113818

Cited by 4 publications

(5 citation statements)

References 33 publications

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“…The severity of distress on UDI-6 can predict poor sexual health in the current study. This is in accordance with a Polish study that reported that more incontinence symptoms are associated with worse sexual satisfaction [ 37 ]. Around 30% of women complained about at least one sexual problem.…”

Section: Discussionsupporting

confidence: 93%

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Urinary Incontinence Affects the Quality of Life and Increases Psychological Distress and Low Self-Esteem

AlQuaiz,

Kazi,

AlYousefi

et al. 2023

Healthcare

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Urinary incontinence is a common problem among women of reproductive age. The objectives of this study were to measure the prevalence of urinary incontinence and the association with quality of life, psychological distress and self-esteem in Saudi women in the city of Riyadh. A questionnaire-based cross-sectional study was conducted in primary healthcare centers with Saudi women aged between 30 and 75 years. The questionnaire consisted of Urinary Distress Inventory, Incontinence Impact Questionnaire, Kessler Psychological Distress Scale, Rosenberg Self-esteem Scale, and the Female Sexual Function Index. Around 47.5% of women were suffering from urinary incontinence. The most common type of incontinence was stress (79%), followed by urge (72%) and mixed type (51%). Multivariate logistic regression analysis found that stress (5.83 (3.1, 11.1)), urge (3.41 (2.0, 5.8)), mixed (8.71 (3.4, 22.4)) incontinence and severe urinary distress (8.11 (5.2, 12.7)) were associated with impaired quality of life. Women suffering from stress and urge incontinence were twice (2.0 (1.3, 2.2)) as likely of reporting moderate/severe mental distress. Women suffering from urge incontinence (1.92 (1.4, 2.7)) and severe urinary distress (1.74 (1.1, 2.8)) were at a higher prevalence of reporting low self-esteem. Urinary incontinence affects the physical, psychological, social, and sexual health of women. Healthcare providers should be knowledgeable about the adverse consequences of UI on women’s personal and social life, and provide counseling and treatment accordingly.

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Section: Discussionsupporting

confidence: 93%

“…A lack of desire for intercourse was reported by 25% of participants. One explanation is that urinary incontinence during intercourse may cause adverse effects on the desire and arousal stage as it can be embarrassing for both partners, especially the female, leading to the avoidance of sexual activity [ 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

Urinary Incontinence Affects the Quality of Life and Increases Psychological Distress and Low Self-Esteem

AlQuaiz,

Kazi,

AlYousefi

et al. 2023

Healthcare

View full text Add to dashboard Cite

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“…From the logistic regression, the upper limit of the 95% CI of the probability of malignancy was 3.7% for the MIAB study and 6.4% for the PRW study at a threshold value of 5.0. Importantly, such personalized approach in interpreting OvaWatch result supporting physicians' decision-making process, including the importance of fertility-sparing approach and reproductive outcomes as one of the clinical consequences of patient management (32)(33)(34).…”

Section: Discussionmentioning

confidence: 95%

Validation of a deep neural network-based algorithm supporting clinical management of adnexal mass

Reilly

Dunton²,

Bullock³

et al. 2023

Front. Med.

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BackgroundConservative management of adnexal mass is warranted when there is imaging-based and clinical evidence of benign characteristics. Malignancy risk is, however, a concern due to the mortality rate of ovarian cancer. Malignancy occurs in 10–15% of adnexal masses that go to surgery, whereas the rate of malignancy is much lower in masses clinically characterized as benign or indeterminate. Additional diagnostic tests could assist conservative management of these patients. Here we report the clinical validation of OvaWatch, a multivariate index assay, with real-world evidence of performance that supports conservative management of adnexal masses.MethodsOvaWatch utilizes a previously characterized neural network-based algorithm combining serum biomarkers and clinical covariates and was used to examine malignancy risk in prospective and retrospective samples of patients with an adnexal mass. Retrospective data sets were assembled from previous studies using patients who had adnexal mass and were scheduled for surgery. The prospective study was a multi-center trial of women with adnexal mass as identified on clinical examination and indeterminate or asymptomatic by imaging. The performance to detect ovarian malignancy was evaluated at a previously validated score threshold.ResultsIn retrospective, low prevalence (N = 1,453, 1.5% malignancy rate) data from patients that received an independent physician assessment of benign, OvaWatch has a sensitivity of 81.8% [95% confidence interval (CI) 65.1–92.7] for identifying a histologically confirmed malignancy, and a negative predictive value (NPV) of 99.7%. OvaWatch identified 18/22 malignancies missed by physician assessment. A prospective data set had 501 patients where 106 patients with adnexal mass went for surgery. The prevalence was 2% (10 malignancies). The sensitivity of OvaWatch for malignancy was 40% (95% CI: 16.8–68.7%), and the specificity was 87% (95% CI: 83.7–89.7) when patients were included in the analysis who did not go to surgery and were evaluated as benign. The NPV remained 98.6% (95% CI: 97.0–99.4%). An independent analysis set with a high prevalence (45.8%) the NPV value was 87.8% (95% CI: 95% CI: 75.8–94.3%).ConclusionOvaWatch demonstrated high NPV across diverse data sets and promises utility as an effective diagnostic test supporting management of suspected benign or indeterminate mass to safely decrease or delay unnecessary surgeries.

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“…Women with urinary incontinence have been reported to feel ashamed and believe that they have lost their attractiveness [ 36 ]. UI intensifies fear of sexual contact and increases dissatisfaction with sexual life in women with urinary incontinence [ 37 ]. Urgency UI is significantly associated with lower self-esteem [ 38 ], which significantly influences sexual dysfunction [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of cognitive–behavioral therapy on sexual self-esteem and sexual function of reproductive-aged women suffering from urinary incontinence

et al. 2023

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Introduction Patients with urinary incontinence may fear sexual activity due to the unpredictability of urine leakage during intercourse. Given the effective role of cognitive–behavioral therapy in correcting negative thoughts and attitudes, this study was aimed to investigate the effect of cognitive–behavioral therapy on sexual self-esteem and sexual function of reproductive-aged women suffering from urinary incontinence. Methods This study was a randomized controlled clinical trial conducted on 84 reproductive-aged women (18 to 45 years old) with urinary incontinence who referred to Health Centers of Dezful, Iran. After random allocation, the participants were divided into two groups of intervention and control ( n = 42). The intervention group attended eight 45-min sessions of cognitive–behavioral therapy, while the control group received only routine interventions. The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), the Scale of Self-Esteem Index for Women-Short-form (SSEL-W-SF), and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12) were completed before, immediately after, and 4 weeks after the end of the intervention by patients in both groups. Results The overall scores of sexual self-esteem and sexual function immediately and 4 weeks after the end of the intervention showed a statistically significant difference in the intervention group compared to the control group ( p < 0.001). Also, the results showed that in women with urinary incontinence, an increase in the sexual self-esteem score is associated with an increase in the sexual function score (r = 0.9), p < 0.001). Conclusion Cognitive–behavioral therapy was found to increase sexual self-esteem and improve sexual function in reproductive-aged women suffering from urinary incontinence.

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How Urinary Incontinence Affects Sexual Activity in Polish Women: Results from a Cross-Sectional Study

Cited by 4 publications

References 33 publications

Urinary Incontinence Affects the Quality of Life and Increases Psychological Distress and Low Self-Esteem

Urinary Incontinence Affects the Quality of Life and Increases Psychological Distress and Low Self-Esteem

Validation of a deep neural network-based algorithm supporting clinical management of adnexal mass

Effect of cognitive–behavioral therapy on sexual self-esteem and sexual function of reproductive-aged women suffering from urinary incontinence

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