Introduction: Urinary incontinence is a common problem that can affect the quality of
life of women of all ages and can negatively influence the exercise of
sexuality.Aim: The aim of this study was to compare sexual function
of women before and after surgical treatment for urinary incontinence.Method: The sample consisted of 38 women with urinary
incontinence and surgical treatment (Burch or Sling procedure). The Female
Sexual Function Index (FSFI) was used to evaluate sexual dysfunction before and
after surgical treatment. Results: The mean age of the women in the
study was 48±8.8 years, and 58% were 50 years old or younger. By analyzing FSFI, it
was observed that the majority of subjects had an overall index of sexual
dysfunction (score < 26 points) before surgery. The desire and arousal
domains improved significantly after surgery for all women included in the
study. It was also observed that women with higher levels of education had more
positive results related to desire.Conclusions:
References
[1]
Krause, C., Wells, T., Hughes, S., et al. (2003) Incontinence in Women: Effect of Expectancy to Regain Control and Severity of Symptoms on Treatment Outcomes. Urologic Nursing, 23, 54-61.
[2]
Bellote, G.M.H. and Agostinho, A.D. (2005) Prevalência de incontinênciaurinária, sintomas do tratourinário inferior e qualidade de vidaemmulheres da comunidade [dissertacao]. UNESP, Botucatu.
[3]
Cavalheiro, J.A., Bittelbrunn, A., Menke, C.H., et al. (2012) Sexual Function and Chemotherapy in Postmenopausal Women with Breast Cancer. BMC Womens Health, 12, 28. https://doi.org/10.1186/1472-6874-12-28
[4]
Milson, I., Altman, D., Lapitan, M., et al. (2009) Epidemiology of Urinary (UI) and Faecal (FI) Incontinence and Pelvic Organ Prolapse (POP). In: Abrams, P., Cardozo, L., Khoury, S. and Wein, A., Eds., Incontinence: 4th International Consultation on Incontinence, Paris, 5-8 July 2008, Health Publication, Plymout, 35-112.
[5]
Melville, J.L., Katon, W., Delaney, K., et al. (2005) Urinary Incontinence in US Women: A Population-Based Study. Archives of Internal Medicine, 165, 537-542.
https://doi.org/10.1001/archinte.165.5.537
[6]
Simeonova, Z., Milsom, I., Kullendorff, A.M., et al. (1999) The Prevalence of Urinary Incontinence and Its Influence on the Quality of Life in Women from an Urban Swedish Population. Acta Obstetricia et Gynecologica Scandinavica, 78, 546-551. https://doi.org/10.1080/j.1600-0412.1999.780613.x
[7]
Coyne, K.S., Sexton, C.C., Irwin, D.E., et al. (2008) The Impact of Overactive Bladder, Incontinence and Other Lower Urinary Tract Symptoms on Quality of Life, Work Productivity, Sexuality and Emotional Well-Being in Men and Women: Results from the EPIC Study. BJU International, 101, 1388-1395.
https://doi.org/10.1111/j.1464-410X.2008.07601.x
[8]
Oh, S.J., Ku, J.H., Choo, M.S., et al. (2008) Health-Related Quality of Life and Sexual Function in Women with Stress Urinary Incontinence and Overactive Bladder. International Journal of Urology, 15, 62-67; Discussion 67.
https://doi.org/10.1111/j.1442-2042.2007.01905.x
[9]
Salonia, A., Zanni, G., Nappi, R.E., et al. (2004) Sexual Dysfunction Is Common in Women with Lower Urinary Tract Symptoms and Urinary Incontinence: Results of a Cross-Sectional Study. European Urology, 45, 642-648; Discussion 648.
https://doi.org/10.1016/j.eururo.2003.11.023
[10]
Hentschel, H., Alberton, D.L., Capp, E., et al. (2007) Validacao do female sexual function index (fsfi) para usoemlínguaportuguesa. Revista HCPA, 27, 10-14.
[11]
Bidmead, J. and Cardozo, L. (2000) Genuine Stress Incontinence: Colpocystourethropexy versus Sling Procedures. Current Opinion in Obstetrics and Gynecology, 12, 421-426. https://doi.org/10.1097/00001703-200010000-00013
[12]
Vieira, T.C., de Souza, E., Abdo, C.H., et al. (2012) Brazilian Residents’ Attitude and Practice toward Sexual Health Issues in Pregnant Patients. Sexual Medicine, 9, 2516-2524. https://doi.org/10.1111/j.1743-6109.2012.02809.x
[13]
Shifren, J.L., Monz, B.U., Russo, P.A., et al. (2008) Sexual Problems and Distress in United States Women: Prevalence and Correlates. Obstetrics & Gynecology, 112, 970-978. https://doi.org/10.1097/AOG.0b013e3181898cdb
[14]
National Institute for Health and Clinical Excellence (NICE) (2015) Urinary Incontinence in Women: Management. NICE, London. http://www.nice.org.uk/CG171.
[15]
Aslan, G., Koseoglu, H., Sadik, O., et al. (2005) Sexual Function in Women with Urinary Incontinence. International Journal of Impotence Research, 17, 248-251.
https://doi.org/10.1038/sj.ijir.3901296
[16]
Sen, I., Onaran, M., Aksakal, N., et al. (2006) The Impact of Urinary Incontinence on Female Sexual Function. Advances in Therapy, 23, 999-1008.
https://doi.org/10.1007/BF02850220
[17]
Roovers, J.P., van der Bom, A., van Leeuwen, J.S., et al. (2006) Effects of Genital Prolapse Surgery on Sexuality. Journal of Psychosomatic Obstetrics & Gynecology, 27, 43-48. https://doi.org/10.1080/01674820500245638
[18]
Fashokun, T.B., Harvie, H.S., Schimpf, M.O., et al. (2013) Sexual Activity and Function in Women with and without Pelvic Floor Disorders. International Urogynecology Journal, 24, 91-97. https://doi.org/10.1007/s00192-012-1848-2
[19]
Rogers, R.G., Kammerer-Doak, D., Darrow, A., et al. (2006) Does Sexual Function Change after Surgery for Stress Urinary Incontinence and/or Pelvic Organ Prolapse? A Multicenter Prospective Study. American Journal of Obstetrics & Gynecology, 195, e1-e4. https://doi.org/10.1016/j.ajog.2006.09.021
[20]
Helstrom, L. and Nilsson, B. (2005) Impact of Vaginal Surgery on Sexuality and Quality of Life in Women with Urinary Incontinence or Genital Descensus. Acta Obstetricia et Gynecologica Scandinavica, 84, 79-84.
https://doi.org/10.1111/j.0001-6349.2005.00668.x
[21]
Maaita, M., Bhaumik, J. and Davies, A.E. (2002) Sexual Function after Using Tension-Free Vaginal Tape for the Surgical Treatment of Genuine Stress Incontinence. BJU International, 90, 540-543. https://doi.org/10.1046/j.1464-410X.2002.02976.x
[22]
Shah, S.M., Bukkapatnam, R. and Rodriguez, L.V. (2005) Impact of Vaginal Surgery for Stress Urinary Incontinence on Female Sexual Function: Is the Use of Polypropylene Mesh Detrimental? Urology, 65, 270-274.
https://doi.org/10.1016/j.urology.2004.08.058
[23]
Lowenstein, L., Mustafa, S., Gartman, I. and Gruenwald, I. (2016) Effect of Midurethral Sling Surgery on Vaginal Sensation. The Journal of Sexual Medicine, 13, 389-392. https://doi.org/10.1016/j.jsxm.2016.01.006
[24]
Tuncer, M., et al. (2016) The Effects of Stress Incontinence Surgery on Sexual Function and Life Quality of Women. Archivio Italiano di Urologia e Andrologia, 88, 106-110. https://doi.org/10.4081/aiua.2016.2.106