Sexual function in women with uterovaginal prolapse and urinary incontinence

Weber, Anne M.; Walters, Mark D.; Schover, Leslie R.; Mitchinson, Allison R.

doi:10.1016/0029-7844(94)00434-f

Cited by 150 publications

(105 citation statements)

References 10 publications

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“…These are consistent with prior research (14)(15)(16). However, in contrast to other studies (16), these characteristics did not confound the association between pelvic floor symptoms and sexual function.…”

Section: Discussionsupporting

confidence: 91%

“…This provided an opportunity to assess the impact of pelvic floor disorders across a spectrum of symptoms and severity. Prior research has been limited either to community samples (4) or women seeking gynecologic care (2,3,16,17). In community samples, the women who report pelvic floor disorders are likely to have relatively mild symptoms and therefore the impact on sexual function might therefore be minimal in this setting.…”

Section: Discussionmentioning

confidence: 99%

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Female Sexual Function and Pelvic Floor Disorders

Handa

Cundiff

Chang

et al. 2008

Obstetrics &Amp; Gynecology

191

113

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Objectives-Sexual function is an important dimension of adult life and yet very little is known about the relationships between female sexuality and chronic health conditions, including pelvic floor disorders. Our goal was to investigate the hypothesis that pelvic floor disorders are associated with female sexual problems, independent of other related factors.Methods-The study population included 301 adult women seeking outpatient gynecologic and urogynecologic care. Pelvic floor disorders were assessed with the Pelvic Floor Disorders Inventory-20 (PFDI) and the Pelvic Organ Prolapse Quantification examination. Sexual function was assessed with the Personal Experiences Questionnaire. Using ordinal regression analysis, we identified characteristics and conditions associated with decreased libido, infrequent orgasm, decreased arousal, and dyspareunia.Results-Sexual function was poorer among 78 women (26%) without a current sexual partner than among 223 with a partner (p<0.01). Among the 223 with a current partner, women with a high PFDI score were significantly more likely to report decreased arousal (p<0.01), infrequent orgasm (p<0.01) and increased dyspareunia (p<0.01). A similar pattern was observed for the urinary, colorectal-anal, and prolapse scales of the PFDI, although some associations were marginally significant. Stage III-IV prolapse was significantly associated with infrequent orgasm (p=0.02), but other sexual complaints were not more common with increasing prolapse stage.Conclusion-Pelvic floor symptoms are significantly associated with reduced sexual arousal, infrequent orgasm, and dyspareunia. Clinicians who care for women with pelvic floor disorders should be aware of this association and should specifically address sexual concerns with women seeking treatment of incontinence and prolapse.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Female Sexual Function and Pelvic Floor Disorders

Handa

Cundiff

Chang

et al. 2008

Obstetrics &Amp; Gynecology

191

113

View full text Add to dashboard Cite

show abstract

“…Urinary incontinence has also been implicated to have an adverse effect on female sexuality. [3][4][5][6][7][8] Temml et al 4 reported that 25.1% of women with urinary incontinence had sexual impairment to some degree. Psychological distress, fear of incontinence during intercourse, embarrassment due to odor been suggested in the etiology sexual dysfunction.…”

Section: 2mentioning

confidence: 99%

Sexual function in women with urinary incontinence

et al. 2004

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To date limited data exists that addresses the impact of urinary incontinence on sexual function. In the present study, we assessed sexual functions in patients with urinary incontinence and compared with healthy continent subjects by means of Female Sexual Function Index (FSFI) questionnaire. A total of 21 premenopausal incontinent women (three stress incontinence, nine overactive bladder and nine mixed incontinence) were enrolled in the study, and 18 healthy continent subjects served as controls. All subjects were asked to complete FSFI questionnaire and each FSFI domain scores including desire, arousal, lubrication, orgasm, satisfaction and pain were calculated. The mean scores in each domain were compared between the groups. Mean age of subjects with urinary incontinence and controls were 39.576.6 and 32.679.1 y, respectively. All domain scores were significantly lower in incontinent women except for pain. Among the incontinence types, no significant difference was determined in all domains of FSFI. Urinary incontinence significantly reduces sexual functions in premenopausal sexually active women.

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“…Some suggest that sexual function is adversely affected by pelvic floor dysfunction, [16][17][18] whereas others advocate the opposite. 19,20 The aim of this case-control study was to assess the risk of sexual dysfunction in obese women in relation to lower urinary tract symptoms in an obese population sample with a body mass index (BMI) X30 kg/m 2 compared to nonobese women with BMI o30 kg/m 2 .…”

Section: Introductionmentioning

confidence: 99%

Sexual function in obese women: impact of lower urinary tract dysfunction

et al. 2008

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Objective: To assess the impact on sexual function attributed to lower urinary tract dysfunction in a female obese population. Design: We performed a case-control study based on the registry of a university hospital obesity unit. A consecutive sample of women with body mass index(BMI) X30 (obese) was randomly matched by age, gender and residential county to control subjects using the computerized Register of the Total Population. Data were collected by a self-reported postal survey including the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results: The questionnaire was completed and returned by 279/446 patients (62%) and 430/892 control subjects (48%). Obese women reported significantly lesser satisfaction with their sexual life, more frequent symptoms of urinary incontinence at intercourse, more often fear of urine leakage at intercourse, a higher tendency toward avoiding intercourse and more frequent feelings of guilt and disgust during intercourse (Po0.001). While considering sexual function in a subset of women with urge or stress urinary incontinence, the overall PISQ-12 scores were significantly lower in obese women compared to their age-matched nonobese controls for both the conditions (Po0.001). In an adjusted multivariate analysis, a BMI 430 was independently associated with a significantly increased risk for sexual dysfunction (odds ratio (OR) 1.8; 95% confidence interval (CI) 1.1-2.9), as were symptoms of urge or stress urinary incontinence (OR, 2.0; 95% CI, 1.3-3.1 and OR, 2.6; 95% CI, 1.7-4.0), respectively. Conclusion: Urge and stress urinary incontinences are more common and have greater impact on sexual function in obese women.

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Sexual function in women with uterovaginal prolapse and urinary incontinence

Abstract: Women with prolapse and urinary incontinence do not differ from continent women without prolapse in measures of sexual function; age is the most important predictor of sexual function.

Cited by 150 publications

References 10 publications

Female Sexual Function and Pelvic Floor Disorders

Female Sexual Function and Pelvic Floor Disorders

Sexual function in women with urinary incontinence

Sexual function in obese women: impact of lower urinary tract dysfunction

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