Sexual Function and Quality of Life for Women with Mild‐to‐Moderate Stress Urinary Incontinence

Liebergall-Wischnitzer, Michal; Paltiel, Ora; Hochner‐Celnikier, D.; Lavy, Yuval; Manor, Orly; Wruble, Anna C. Woloski

doi:10.1111/j.1542-2011.2011.00076.x

Cited by 28 publications

(23 citation statements)

References 33 publications

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“…This agrees well with research showing that women with pelvic floor disorders were as likely to be sexually active as women without pelvic floor disorders [51]. It is also in line with a study demonstrating that women with stress urinary incontinence, with or without POP, had good sexual function [52].…”

Section: Discussionsupporting

confidence: 91%

Can Pelvic Floor Muscle Training Improve Sexual Function in Women with Pelvic Organ Prolapse? A Randomized Controlled Trial

Brækken

Majida

Engh

et al. 2015

The Journal of Sexual Medicine

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Introduction Pelvic floor muscle training (PFMT) has level 1 evidence of reducing the size and symptoms associated with pelvic organ prolapse (POP). There is scant knowledge, however, regarding whether PFMT has an effect on sexual function. Aim The aim of the trial was to evaluate the effect of PFMT on sexual function in women with POP. Methods In this randomized controlled trial, 50 women were randomized to an intervention group (6 months of PFMT and lifestyle advice) and 59 women were randomized to a control group (lifestyle advice only). Main Outcome Measures Participants completed a validated POP-specific questionnaire to describe frequency and bother of prolapse, bladder, bowel, and sexual symptoms and answered a semi-structured interview. Results No significant change in number of women being sexually active was reported. There were no significant differences between groups regarding change in satisfaction with frequency of intercourse. Interview data revealed that 19 (39%) of women in the PFMT group experienced improved sexual function vs. two (5%) in the control group (P < 0.01). Specific improvements reported by some of the women were increased control, strength and awareness of the pelvic floor, improved self-confidence, sensation of a “tighter” vagina, improved libido and orgasms, resolution of pain with intercourse, and heightened sexual gratification for partners. Women who described improved sexual function demonstrated the greatest increases in pelvic floor muscle (PFM) strength (mean 16 ± 10 cmH20) and endurance (mean 150 ± 140 cmH20s) (P < 0.01). Conclusion PFMT can improve sexual function in some women. Women reporting improvement in sexual function demonstrated the greatest increase in PFM strength and endurance.

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Section: Discussionsupporting

confidence: 91%

Can Pelvic Floor Muscle Training Improve Sexual Function in Women with Pelvic Organ Prolapse? A Randomized Controlled Trial

Brækken

Majida

Engh

et al. 2015

The Journal of Sexual Medicine

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“…UI has an adverse effect on the quality of life and sexual functions. However, the duration and severity of UI may not be correlated with the adverse effects on sexual functions 20,21 . Coital incontinence is directly associated with sexual dysfunction 22 .…”

Section: Discussionmentioning

confidence: 99%

“…However, the duration and severity of UI may not be correlated with the adverse effects on sexual functions. 20,21 Coital incontinence is directly associated with sexual dysfunction. 22 In this study, improvement in sexual functions has been observed in women after treatment of UI, which is in agreement with the literature.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Turkish version of the ICIQ‐FLUTS, ICIQ‐FLUTS long‐form, ICIQ‐LUTS quality‐of‐life, and ICIQ‐FLUTS sexual functions

Uğurlucan

Yaşa

Özgör

et al. 2020

Neurourology and Urodynamics

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Aims To enable the use of ICIQ‐FLUTS, ICIQ‐FLUTS‐long‐form (ICIQ‐FLUTS‐LF), ICIQ‐LUTS‐quality‐of‐life (ICIQ‐LUTSqol), and ICIQ‐FLUTS sexual functions (ICIQ‐FLUTSsex) in Turkish speaking women, questionnaires were translated into Turkish and validity, reliability, and sensitivity to change were evaluated in women suffering from urinary incontinence (UI). Materials and Methods Permissions were obtained from ICIQ Advisory Board, English versions of the questionnaires were initially translated into Turkish, then back‐translated into English and translations were modified according to recommendations of ICIQ Advisory Board. Pilot testing was performed in 10 women. Validity (content/face validity and discriminant validity), reliability (test‐retest reliability and internal consistency), and sensitivity to change were evaluated. Results A total of 58 women with UI completed ICIQ‐FLUTS, ICIQ‐LUTSqol, and the ICIQ‐FLUTS‐LF, and 37 who were sexually active completed ICIQ‐FLUTSsex. All women completed same questionnaires 15 days later. More than 90% of women thought that the questions were clear, unequivocal, and comprehensive. Missing data were less than 1% indicating adequate content/face validity. Cronbach's α coefficients were .933 (ICIQ‐FLUTS), .979 (ICIQ‐LUTSqol), .865 (ICIQ‐FLUTS‐LF), and .863 (ICIQ‐FLUTSsex), representing adequate internal consistency. Kappa values and intraclass correlation coefficient for individual items were over 0.70, indicating adequate test‐retest reliability. A total of 52 healthy volunteers completed ICIQ‐FLUTS and ICIQ‐FLUTS‐LF, 30 completed ICIQ‐LUTSqol, and 30 sexually active healthy volunteers completed ICIQ‐FLUTSsex. All four questionnaires had good discriminant validity. Twenty‐eight women with UI were analyzed 3 months after treatment. There was significant improvement in four questionnaires in correlation with pre‐ and posttreatment bladder diary results showing good sensitivity to change. Conclusion Turkish versions of four ICIQ modules were shown valid and reliable and can be used in Turkish speaking women in the evaluation of UI.

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“…, Liebergall‐Wischnitzer et al . ). Women felt less feminine, less sexually attractive and also suffered poor body image (Coyne et al .…”

Section: Introductionmentioning

confidence: 97%

“…Sexuality is a fundamental aspect of well-being and can have a significant impact on women's health. UI has been demonstrated to have a negative impact on a woman's sexuality due to leakage which can lead to a decrease in quality of life, sexual activity and enjoyment while negatively affecting relationships (Achtari & Dwyer 2005, Lukacz et al 2007, Liebergall-Wischnitzer et al 2011. Women felt less feminine, less sexually attractive and also suffered poor body image (Coyne et al 2007, Zielinski et al 2009, Ratner et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Experience of pelvic floor muscle exercises among women in Taiwan: a qualitative study of improvement in urinary incontinence and sexuality

Kao

Hayter

Hinchliff

et al. 2015

Journal of Clinical Nursing

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Aims and objectives To gain an in‐depth understanding of women's experiences of performing pelvic floor muscle exercises for urinary incontinence and the impact on their sexuality. Background Urinary incontinence is not a life‐threatening disorder; however, it has been shown to have detrimental effects on quality of life in terms of psychological, social and sexual dysfunction. Pelvic floor muscle exercises is the first recommended strategy for managing mild to moderate urinary incontinence as it is noninvasive and cost effective. Pelvic floor muscle exercises reduce incontinence and strengthen the pelvic floor muscles, which positively affects sexual function in women. Currently, the data are scarce for qualitative literature regarding the subjective experiences of Taiwanese women undergoing pelvic floor muscle exercises and the impact on their urinary incontinence and sexuality. Design Qualitative exploratory study. Methods Semi‐structured in depth interviews were undertaken with twelve women who had completed a pelvic floor muscle exercises program in Taiwan. Data were analysed using thematic analysis. Results Themes were related to Taiwanese women's initial feelings that urinary incontinence was inevitable and the effects on their sexuality. Three core themes were identified: perceptions of inevitability, developing awareness and gaining control and sexual taboo. Through developing awareness and control of their pelvic floor muscles women expressed improvement in urinary incontinence. Sexual enjoyment, body image, self confidence and sexuality were also enhanced. Conclusion Pelvic floor muscle exercises had a positive effect on urinary incontinence and sexuality. The findings demonstrated that sex is a taboo topic for many Taiwanese women. With the sensitive management of pelvic floor muscle exercises programs this issue can be addressed. Relevance to clinical practice This study raises awareness of healthcare professionals by identifying how Taiwanese women perceive pelvic floor muscles. The positive impact of pelvic floor muscle exercises upon both urinary incontinence and sexuality within the Taiwanese context are addressed. Nurses may also, with greater confidence initiate discussion of women's sexual concerns as part of managing urinary incontinence.

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Sexual Function and Quality of Life for Women with Mild‐to‐Moderate Stress Urinary Incontinence

Cited by 28 publications

References 33 publications

Can Pelvic Floor Muscle Training Improve Sexual Function in Women with Pelvic Organ Prolapse? A Randomized Controlled Trial

Can Pelvic Floor Muscle Training Improve Sexual Function in Women with Pelvic Organ Prolapse? A Randomized Controlled Trial

Validation of the Turkish version of the ICIQ‐FLUTS, ICIQ‐FLUTS long‐form, ICIQ‐LUTS quality‐of‐life, and ICIQ‐FLUTS sexual functions

Experience of pelvic floor muscle exercises among women in Taiwan: a qualitative study of improvement in urinary incontinence and sexuality

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