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Related Experiment Videos

Bladder dysfunction in sexual abuse survivors.

G Willy Davila1, Francie Bernier, Jonathan Franco

  • 1Cleveland Clinic Foundation, Fort Lauderdale, Florida, USA.

The Journal of Urology
|July 11, 2003
PubMed
Summary

Sexual abuse survivors experience significantly higher rates of genitourinary dysfunction and urinary incontinence. Early screening and intervention are crucial for these symptoms in survivors.

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Area of Science:

  • Urology
  • Psychology
  • Women's Health

Background:

  • Genitourinary dysfunction and urinary incontinence are common issues.
  • The impact of sexual abuse on long-term physical health, particularly genitourinary function, requires further investigation.

Purpose of the Study:

  • To determine the incidence of genitourinary dysfunction and urinary incontinence in self-identified sexual abuse survivors.
  • To compare these incidences with a control group.

Main Methods:

  • A preliminary study utilized a 52-item questionnaire assessing general health, genitourinary symptoms, and sexual abuse history.
  • The questionnaire was distributed to female sexual abuse survivors and a control group from a general gynecology clinic.
  • Fischer's exact test was employed for statistical comparison between the groups.

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Main Results:

  • Data from 58 sexual abuse survivors and 51 controls were analyzed.
  • 72% of abuse survivors reported urinary incontinence symptoms compared to 22% of controls (p <0.001).
  • Survivors reported higher incidences of stress incontinence, urge incontinence, and voiding dysfunction symptoms.

Conclusions:

  • Sexual abuse survivors exhibit a significantly higher incidence of genitourinary dysfunction, including stress and urge incontinence.
  • Clinical questioning regarding these symptoms, followed by evaluation and therapy, is recommended for abuse survivors.
  • Further research is warranted to explore the efficacy of psychological counseling combined with medical therapy for urinary dysfunction in this population.