Volume 6, Issue 5, September 2018, Page: 108-112
Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction
Suellen Viana Lucena, Department of Surgery, Federal University of Ceará, Fortaleza, Brazil
Daniele Matos de Moura Brasil, Department of Surgery, Federal University of Ceará, Fortaleza, Brazil
Débora Fernandes Britto, Department of Surgery, Federal University of Ceará, Fortaleza, Brazil
Tamires Ferreira do Carmo, Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil
Glaucia Nunes Diniz de Oliveira Esmeraldo, Department of Physical Therapy, Federal University of Ceará, Fortaleza, Brazil
Simony Lira do Nascimento, Department of Physical Therapy, Federal University of Ceará, Fortaleza, Brazil
Ana Izabel Oliveira Nicolau, Walter Cantídio University Hospital, Federal University of Ceará, Fortaleza, Brazil
Andreisa Paiva Monteiro Bilhar, Maternity School Assis Chateubriand, Federal University of Ceará, Fortaleza, Brazil
Aline Veras Morais Brilhante, Faculty of Medicine, University of Fortaleza, Fortaleza, Brazil
Leonardo Robson Pinheiro Sobreira Bezerra, Department of Surgery, Federal University of Ceará, Fortaleza, Brazil
Received: Aug. 10, 2018;       Accepted: Sep. 1, 2018;       Published: Sep. 25, 2018
DOI: 10.11648/j.jgo.20180605.11      View  694      Downloads  96
Aim The study aimed to analyze the correlation between the intensity of urinary incontinence (UI) in women by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and sexual function by the Female Sexual Function Index (FSFI). Methods: Cross-sectional, correlational and quantitative study. It was developed in the urogynecology clinic with 110 women with stress or mixed UI. Exclusion criteria: overactive bladder syndrome, stage of pelvic organ prolapsed >3, neurological disease or dementia. The FSFI consists of 19 questions assessing female sexual function in the last 4 weeks in the areas of sexual desire, arousal, vaginal lubrication, orgasm, sexual satisfaction and pain. It was considered final score ≤ 26.5 indicative of sexual dysfunction. The UI was evaluated using the (ICIQ-SF) consists of 4 items such as frequency of UI, volume, impact of UI on daily life and urinary symptoms. Results: There was a statistically significant relationship between the final ICIQ-SF result (mean = 13) and the final FSFI score (mean = 23.4), (p = 0.004). The higher the ICIQ-SF final score, the lower the final FSFI score. The FSFI domains most affected by UI severity as evidenced by ICIQ-SF were: sexual desire (p =0.000), sexual arousal (p =0.036) and satisfaction (p =0.010). Conclusions: There was a strong correlation between the severity of stress and mixed UI and sexual function in the studied population. The UI negatively interferes with the woman's desire, arousal, and sexual satisfaction.
Pelvic Floor Disorders, Urinary Incontinence, Sexual Health, Sexuality, Women’s Health
To cite this article
Suellen Viana Lucena, Daniele Matos de Moura Brasil, Débora Fernandes Britto, Tamires Ferreira do Carmo, Glaucia Nunes Diniz de Oliveira Esmeraldo, Simony Lira do Nascimento, Ana Izabel Oliveira Nicolau, Andreisa Paiva Monteiro Bilhar, Aline Veras Morais Brilhante, Leonardo Robson Pinheiro Sobreira Bezerra, Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction, Journal of Gynecology and Obstetrics. Vol. 6, No. 5, 2018, pp. 108-112. doi: 10.11648/j.jgo.20180605.11
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Haylen BT, Ridder D, Freeman RM, et al. An International Urogynecology Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. International Urogynecology Journal. Vol.21, No.1, 2010, pp.5-26. doi: 10.1007/s00192-009-0976-9.
Bump RC, Norton PA. Epidemiology and natural history of pelvic floor dysfunction. Obstetrics Gynecology Clinics of North America. Vol.25, No.4, 1998, pp.723-746.
Almeida MBA, Barra AA, Figueiredo EM, et al. Disfunções de assoalho pélvico em atletas. Femina. Vol.39, No.8, 2011, pp. 395-402.
Wu JM, Hundley AF, Fulton RG, Myers ER. Forecasting the Prevalence of Pelvic Floor Disorders in U.S. Women 2010 to 2050. American College of Obstetricians and Gynecologists. Vol. 114, No. 6, 2009, pp. 1278-1283.
Hayder D. The effects of urinary incontinence on sexuality: seeking an intimate partnership. Journal of Wound Ostomy & Continence Nursing. Vol.39, No.5, 2012, pp. 539-544.
Frank JE, Mistretta P, Will J. Diagnosis and treatment of female sexual dysfunction. American Family Physician. Vol.77, No. 5, 2008, pp.635-642.
Cardoso J. Sexualidade na doença crónica e na deficiência física. Revista Portuguesa de Medicina Geral e Familiar. Vol. 20, No. 3, 2004, pp. 385-94.
Tamanini JTN, Dambros M, D´ancona CAL, Palma PCR, Netto Jr. NR. Validation of the "International Consultation on Incontinence Questionnaire - Short Form" (ICIQ-SF) for Portuguese. Revista de Saúde Pública. Vol.38, No. 3, 2004, pp.438-444. doi: 10.1590/S0034-89102004000300015.
Thiel RRC, Dambros M, Palma PCR, Thiel M, Riccetto CLZ, Ramos MF. Tradução para português, adaptação cultural e validação do Female Sexual Function Index. Revista Brasileira de Ginecologia e Obstetrícia. Vol.30, No.10, 2008, pp.504-510. doi: 10.1590/S0100-72032008001000005.
Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the international continence society. Neurourology and Urodynamics. Vol.21, No.2, 2002, pp.167-178.
Faul F et al. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. Vol. 39, No. 2, 2007, pp. 175-191.
Brazilian Association of Research Companies (ABEP). Economic Classification Criteria Brazil. http://www.abep.org/criterio-brasil. Available 2014. Access April 17, 2016.
Pacagnella RC, Martinez EZ, Vieira EM. Validade de construto de uma versão em português do Female Sexual Function Index. Caderno de Saúde Pública. Vol. 25, No. 11, 2009, pp. 2333-2344.
Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. Journal of Sex &Marital Therapy. Vol. 31, No. 1, 2005, pp. 1-20.
Ministry of Health (BR). National Health Council. National Commission on Health Ethics. CNS Resolution 466/12. Norms for research involving human beings. Official Journal of the Union, Executive Branch, Brasília, DF, 2012.
Horng SS, Huang N, Wu SI, Fang YT, Chou YJ, Chou P. The Epidemiology of Urinary Incontinence and it’s Influence on Quality of Life in Taiwanese Middle-Aged Women. Neurourology and Urodynamics. Vol. 32, No. 4, 2013, pp. 371–376.
Mourão LF, Luz MHBA, Marques ADB, Benício CDAV, Nunes BMVT, Pereira AFM. Caracterização e fatores de risco de incontinência urinária em mulheres atendidas em uma clínica ginecológica. Estima. Vol. 15, No. 2, 2017, pp. 82-91.
Felippe MR, Zambon JP, Girotti ME, et al. What Is the Real Impact of Urinary Incontinence on Female Sexual Dysfunction? A Case Control Study. The Journal of Sexual Medicine. Vol. 5, No. 1, 2017, pp. 54-60. doi: 10.1016/j.esxm.2016.09.001.
de Menezes Franco M, Driusso P, BøK et al. Relationship between pelvic floor muscle strength and sexual dysfunction in postmenopausal women: a cross-sectional study. Internacional Urogynecology Journal. Vol. 28, No. 6, 2017, pp. 931-936.
Lim R, Liong ML, Leong WS, Khan NAK, Yuen KH. Effect of stress urinary incontinence on the sexual function of couples and the quality of life of patients. Journal of Urology. Vol. 196, No. 1, 2016, pp. 153-158. doi: 10.1016/j.juro.2016.01.090.
Çayan S, Yaman O, Orhan I, et al. Prevalence of sexual dysfunction and urinary incontinence and associated risk factors in Turkish women. European Journal of Obstetrics & Gynecology Reproductive Biology. Vol.203, 2016, pp.303-308. doi:10.1016/j.ejogrb.2016.06.030.
Fashokun, TBO, Harvie HS, Schimpf MO, Et al. Sexual activity and function in women with and without pelvic floor disorders. Internacional Urogynecology Journal, Vol.24, No.1, 2013, pp. 91-97.
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