Influence of pelvic floor disorders on sexuality in women

Martínez‐Galiano, Juan Miguel; Peinado‐Molina, Rocío Adriana; Martínez‐Vazquez, Sergio; Hita‐Contreras, Fidel; Delgado‐Rodríguez, Miguel; Hernández‐Martínez, Antonio

doi:10.1002/ijgo.15189

Cited by 1 publication

(2 citation statements)

References 24 publications

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“…In our sample, the sexual dysfunction was found to be remarkably higher among patients, with every domain of sexual function being impaired compared to the control group ( Table 5 ). Martínez-Galiano et al (2023) [ 40 ] found a prevalence of 28.6% for sexual dysfunction in a sample of 1008 women. Furthermore, their study showed that women with sexual dysfunction had significantly higher mean scores in the UDI-6, POPDI-6, and CRADI-8 sub-scales of the PFDI-20 than those without sexual dysfunction [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

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Health-Related Quality of Life and Psychosocial Variables in Women with Colorectal Pelvic Floor Dysfunction: A Cross-Sectional Study

Molina-Barea,

Slim,

Calandre

2024

Healthcare

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Pelvic floor dysfunction comprises various disorders, including urinary incontinence, fecal incontinence, pelvic organ prolapse, and chronic pelvic pain. This study aimed to evaluate health-related quality of life (HRQoL), anxiety, depression, sleep disturbance, and sexual functioning in women with pelvic floor dysfunction of colorectal etiology compared with control women. Patients were recruited from a specialized colorectal unit and controls were selected from among the patients’ friends and relatives. Sociodemographic and clinical data were collected. Pelvic floor dysfunction distress and impact, HRQoL, depression, anxiety, insomnia, and sexual functioning were assessed using the following validated questionnaires: Short-Form Pelvic Floor Distress Inventory (PFDI-20), Short Form Pelvic Floor Impact Questionnaire (PFIQ-7), 36-Item Short-Form Health Survey (SF-36), Beck Depression Inventory II (BDI-II), Beck Anxiety Inventory (BAI), Insomnia Severity Index (ISI), and Changes in Sexual Functioning Scale (CSFQ). Statistical analyses included Welch’s t-test, Fisher’s exact test, and Spearman’s correlation coefficients. Eighty-four patients and 57 controls were included. Compared with controls, patients were more likely to be obese or overweight, have had higher numbers of deliveries, more vaginal deliveries, more frequent use of forceps, and have had more associated comorbidities, mainly in the urinary, neurological, and psychiatric domains. As expected, patients scored significantly higher than controls on both the PFDI-20 and PFIQ-7 and their respective sub-scales, with the highest mean values in the patient group on the sub-scales related to the colorectal–anal domain. QoL, depression, anxiety, insomnia, and sexual functioning were significantly worse in patients than in controls (p < 0.0001 in every case). In patients, PFIQ-7 scores correlated significantly with HRQoL (p < 0.001 for the physical component and p < 0.01 for the mental component), depression (p < 0.001), anxiety (p < 0.001), insomnia (p < 0.05), and sexual functioning scores (p < 0.05). Colorectal pelvic floor dysfunction had a markedly deleterious impact on the HRQoL, depression, anxiety, sleep disturbance, and sexual functioning of patients. It is concluded that colorectal pelvic floor dysfunction exerts a considerable burden on patients’ lives. Addressing these issues in clinical settings could significantly improve patients’ well-being.

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Section: Discussionmentioning

confidence: 99%

“…Martínez-Galiano et al (2023) [ 40 ] found a prevalence of 28.6% for sexual dysfunction in a sample of 1008 women. Furthermore, their study showed that women with sexual dysfunction had significantly higher mean scores in the UDI-6, POPDI-6, and CRADI-8 sub-scales of the PFDI-20 than those without sexual dysfunction [ 40 ].…”

Section: Discussionmentioning

confidence: 99%