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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Int+Urogynecol+J
2017 ; 28
(5
): 697-704
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Coital incontinence: a factor for deteriorated health-related quality of life and
sexual function in women with urodynamic stress urinary incontinence
#MMPMID27822887
Grzybowska ME
; Wydra DG
Int Urogynecol J
2017[May]; 28
(5
): 697-704
PMID27822887
show ga
INTRODUCTION AND HYPOTHESIS: To assess the impact of coital incontinence (CI) on
health-related quality of life (HRQoL) and quality of sexual function (QSF) in
women with urodynamic stress urinary incontinence (SUI). METHODS: Women were
recruited for this cross-sectional study from among 289 patients with lower
urinary tract symptoms, underwent clinical and urodynamic evaluation. Of these
289 women, 127 sexually active women with SUI completed the King's Health
Questionnaire (KHQ) and the Pelvic Organ Prolapse/Urinary Incontinence Sexual
Questionnaire (PISQ), of whom 97 were enrolled for the study. The study group
comprised 53 women with CI occurring 'sometimes', 'usually' or 'always', and the
control group comprised 44 women without CI. Total and individual domain scores
were evaluated. RESULTS: CI was reported by 65.35 % of the women. The frequency
of CI was correlated with lower educational level and higher body mass index
(r?=?0.22 and r?=?0.23, respectively; p?=?0.01). The KHQ results showed
significantly lower HRQoL in women with CI in all domains (p?0.05) apart from
Sleep/energy' (p?=?0.054). PISQ revealed no significant differences in QSF in the
Behavioral/emotive and Partner-related domains (34.3?±?10.0 vs. 33.0?±?12.2 and
18.0?±?2.9 vs. 18.2?±?3.6, respectively). Women with CI reported a significantly
lower QSF in the Physical domain (29.1?±?6.6 vs. 35.0?±?4.6, p?=?0.001), and the
total PISQ score was lower but the difference was not significant (81.4?±?14.3
vs. 86.2?±?16.5). Total PISQ score was correlated with age (r?=?-0.28,
p?=?0.001). Women with CI were significantly more likely to admit that fear of
incontinence or fear of embarrassment restricted their sexual activity
(p?0.001). CONCLUSIONS: A large percentage (65.35 %) of women with SUI reported
CI, which had a negative impact on HRQoL and QSF in the Physical domain, but no
significant impact on overall QSF.