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Female sexual dysfunction in urinary and double incontinence
Murat Yavuz Koparal1, Serhat Çetin1, Ender Cem Bulut1
1From the Department of Urology (Çetin, Bulut, Onaran, Şen), School of Medicine, Gazi University, Ankara; from the Urology Clinic (Ceylan), Parkhayat Afyon Hospital, Afyon; and from the Department of Urology (Ak), Mersin City Hospital, Mersin, Turkey.
Saudi Medical Journal
|March 4, 2024
Summary
Urinary incontinence (UI) and double incontinence (DI) in women are linked to sexual dysfunction, primarily due to increased pain and lower satisfaction in affected individuals.
Area of Science:
- Urology
- Sexual Medicine
- Women's Health
Background:
- Urinary incontinence (UI) and double incontinence (DI) significantly impact women's quality of life.
- Sexual dysfunction is a common concern for women experiencing incontinence.
- The Female Sexual Function Index (FSFI) is a validated tool for assessing female sexual function.
Purpose of the Study:
- To compare the sexual function of women with UI and DI to a healthy control group.
- To identify specific domains of sexual function affected by UI and DI.
- To evaluate the role of pain and satisfaction in sexual dysfunction among incontinent women.
Main Methods:
- A retrospective study design was employed.
- Three age-matched groups of 40 patients each were included: UI, DI, and a control group.
- The Female Sexual Function Index (FSFI) was administered to all participants, with statistical comparisons of total and domain scores.
Main Results:
- No statistically significant difference was observed in the overall FSFI scores among the control, UI, and DI groups.
- Significant differences were found in satisfaction and pain domains.
- Women with UI and DI reported significantly higher levels of pain compared to controls.
- Women with DI reported significantly lower satisfaction than controls.
Conclusions:
- Pain is a significant factor contributing to sexual dysfunction in women with UI.
- Both pain and low satisfaction appear to be key contributors to sexual dysfunction in women with DI.
- Targeting pain and satisfaction may improve sexual function in women with incontinence.
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