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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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Published on: May 30, 2025

Effect of flatal incontinence on sexual function.

Sarah A Collins1, Melissa Martin, David M O'Sullivan

  • 1From the *Division of Urogynecology, Department of Obstetrics & Gynecology, Hartford Hospital; †Department of Obstetrics and Gynecology, University of Connecticut Health Center; and ‡Department of Research Administration, Hartford Hospital, Hartford, CT.

Female Pelvic Medicine & Reconstructive Surgery
|March 29, 2012
PubMed
Summary

Flatal incontinence (FI) is linked to reduced sexual activity and function. However, FI without stool leakage may not negatively impact sexual function.

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Area of Science:

  • Urogynecology
  • Sexual Health
  • Pelvic Floor Disorders

Background:

  • Flatal incontinence (FI) is a common yet often underreported symptom.
  • The impact of FI on sexual function remains poorly understood.
  • Existing research often fails to differentiate FI from other forms of fecal incontinence.

Purpose of the Study:

  • To investigate the association between flatal incontinence (FI) and sexual function.
  • To determine if FI, independent of stool incontinence, affects sexual activity and satisfaction.
  • To analyze the impact of FI on validated measures of sexual function.

Main Methods:

  • A retrospective analysis of 1076 women from a urogynecology practice was conducted.
  • The Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Function (PISQ-12) questionnaires were used.
  • Statistical analyses compared sexual function scores between women with and without FI, controlling for stool incontinence.

Main Results:

  • Women with FI reported significantly lower rates of sexual activity (47.8% vs. 60.2%).
  • Among sexually active women, those with FI had higher PISQ-12 scores, indicating worse sexual function.
  • When incontinence to stool was excluded, the difference in PISQ-12 scores between FI and non-FI groups was not significant.

Conclusions:

  • Flatal incontinence is associated with decreased sexual activity and impaired sexual function.
  • FI may negatively impact sexual function, particularly when co-occurring with other pelvic floor symptoms.
  • Flatal incontinence in isolation, without concurrent stool incontinence, may not significantly worsen sexual function.