The impact of urodynamic stress incontinence and detrusor overactivity on marital relationship and sexual function

Yip, Shing‐Kai; Chan, Alice; Pang, Selina M. W.; Leung, P.; Tang, Catherine So‐kum; Shek, Daniel T. L.; Chung, Tony K.H.

doi:10.1067/mob.2003.273

Cited by 116 publications

(93 citation statements)

References 17 publications

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“…More recent reports reconfirm the negative way in which OAB may affect sexual function in female patients. 2,14 For other forms of LUTD, especially nonurinary retention, as well as for male patients with urinary symptoms, data on sexual impairment are very scarce. In a Danish survey in over 7000 people Hansen showed recently that lower urinary tract symptoms are an independent risk factor for sexual dysfunction in both women and men.…”

Section: Discussionmentioning

confidence: 99%

Sexual functioning in patients with lower urinary tract dysfunction improves after percutaneous tibial nerve stimulation

2006

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In this study, we evaluated the effect of lower urinary tract dysfunction and its neuromodulative therapy on sexual functioning. We studied 121 patients with an overactive bladder (OAB) (N ¼ 83), chronic pelvic pain (N ¼ 23) and nonobstructive retention (N ¼ 15), which were treated with neuromodulation (i.e. percutaneous tibial nerve stimulation, PTNS). To obtain information on their sexual function, a self-administered standardized questionnaire was filled out before therapy as well as after 12 weeks of treatment. Before therapy, different aspects of sexual life were considered not normal in 25.3-45.6% of the cases. This improved significantly after treatment. Patients most likely to benefit were women, patients with an OAB and subjective responders. The aspects of sexual life which mostly improved were overall satisfaction, libido and the frequency of sexual activities. Sexual dysfunction is observed in a lot of patients with lower urinary tract disorders and may improve on successful therapy for the latter.

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Section: Discussionmentioning

confidence: 99%

Sexual functioning in patients with lower urinary tract dysfunction improves after percutaneous tibial nerve stimulation

2006

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“…4,10 Published studies that address sexual function in women with urinary However, there are few studies addressing quantitative measurement of female sexuality. 13,14 Selfreported questionnaires on sexual status, like Dyadic Adjustment Scale, Sexual satisfaction and Drive subscales of Derogatis Sexual Functioning Inventory scale, Pelvic organ prolapse/urinary incontince sexual questionnaire (PISQ), Incontinence Impact Questionnaire-7 and sexual history form-12 were used in some studies to quantify the functions of female sexuality. 7,13,14 In our study, we used FSFI, which is a validated and reliable measure for female sexual function and has domains including the phases of female sex response cycle and pain.…”

Section: Discussionmentioning

confidence: 99%

“…13,14 Selfreported questionnaires on sexual status, like Dyadic Adjustment Scale, Sexual satisfaction and Drive subscales of Derogatis Sexual Functioning Inventory scale, Pelvic organ prolapse/urinary incontince sexual questionnaire (PISQ), Incontinence Impact Questionnaire-7 and sexual history form-12 were used in some studies to quantify the functions of female sexuality. 7,13,14 In our study, we used FSFI, which is a validated and reliable measure for female sexual function and has domains including the phases of female sex response cycle and pain. Using FSFI, to our knowledge, our study is the first to show the effects of incontinence on sexual function in premenopausal women.…”

Section: Discussionmentioning

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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“…Reasons include impairment in body image, social isolation, loss of spontaneity and fear of leakage with coitus. 56,8 Several authors have therefore assessed the impact of stress urinary incontinence repair on subsequent sexual function using prospective (Table 1) and retrospective designs. [57][58][59][60][61][62] The results of most studies suggest that sexual symptoms, sexual activity and sexual function either improve or are unchanged following surgery for stress incontinence.…”

Section: Gynecological Surgery and Female Sexual Function Rn Paulsmentioning

confidence: 99%

Impact of gynecological surgery on female sexual function

Pauls

2010

Int J Impot Res

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Sexual function is complex and involves interaction of many factors, including emotional connection, body image, intact physical response and partner sexual function. Disease processes such as abnormal uterine bleeding, endometriosis, urinary incontinence and pelvic organ prolapse may have a negative impact on various parameters of sexual health. Gynecological surgery to address these common complaints may correct the pathological process. However, despite improvements in symptoms related to the disease, improvements in sexuality are not guaranteed and occasionally there may be deteriorations. This review will summarize the current literature assessing sexual symptoms following benign gynecological surgery, including hysterectomy, and bilateral salpingo-oophorectomy, tubal ligation, anti-incontinence surgery and pelvic organ prolapse reconstruction with and without mesh. In the majority of cases, sexual function and quality of life benefit from these surgical interventions. However, it is critical that physicians remain aware of the potential for negative outcomes. Subjects who experience worsening should undergo thorough evaluation early in the postoperative period in order to mitigate symptoms. Treatment modalities for sexual dysfunction following surgery should be the focus of future research.

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The impact of urodynamic stress incontinence and detrusor overactivity on marital relationship and sexual function

Cited by 116 publications

References 17 publications

Sexual functioning in patients with lower urinary tract dysfunction improves after percutaneous tibial nerve stimulation

Sexual functioning in patients with lower urinary tract dysfunction improves after percutaneous tibial nerve stimulation

Sexual function in women with urinary incontinence

Impact of gynecological surgery on female sexual function

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