Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction

Suellen Viana Lucena; Daniele Matos de Moura Brasil; Débora Fernandes Britto; Tamires Ferreira do Carmo; Glaucia Nunes Diniz de Oliveira Esmeraldo; Simony Lira do Nascimento; Ana Izabel Oliveira Nicolau; Andreisa Paiva Monteiro Bilhar; Aline Veras Morais Brilhante; Leonardo Robson Pinheiro Sobreira Bezerra

doi:doi:10.11648/j.jgo.20180605.11

Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction

Suellen Viana Lucena, Daniele Matos de Moura Brasil, Débora Fernandes Britto, Tamires Ferreira do Carmo, Glaucia Nunes Diniz de Oliveira Esmeraldo, Simony Lira do Nascimento, Ana Izabel Oliveira Nicolau, Andreisa Paiva Monteiro Bilhar, Aline Veras Morais Brilhante, Leonardo Robson Pinheiro Sobreira Bezerra

Published in Journal of Gynecology and Obstetrics (Volume 6, Issue 5)

Received: 10 August 2018 Accepted: 1 September 2018 Published: 25 September 2018

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Aim The study aimed to analyze the correlation between the intensity of urinary incontinence (UI) in women by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and sexual function by the Female Sexual Function Index (FSFI). Methods: Cross-sectional, correlational and quantitative study. It was developed in the urogynecology clinic with 110 women with stress or mixed UI. Exclusion criteria: overactive bladder syndrome, stage of pelvic organ prolapsed >3, neurological disease or dementia. The FSFI consists of 19 questions assessing female sexual function in the last 4 weeks in the areas of sexual desire, arousal, vaginal lubrication, orgasm, sexual satisfaction and pain. It was considered final score ≤ 26.5 indicative of sexual dysfunction. The UI was evaluated using the (ICIQ-SF) consists of 4 items such as frequency of UI, volume, impact of UI on daily life and urinary symptoms. Results: There was a statistically significant relationship between the final ICIQ-SF result (mean = 13) and the final FSFI score (mean = 23.4), (p = 0.004). The higher the ICIQ-SF final score, the lower the final FSFI score. The FSFI domains most affected by UI severity as evidenced by ICIQ-SF were: sexual desire (p =0.000), sexual arousal (p =0.036) and satisfaction (p =0.010). Conclusions: There was a strong correlation between the severity of stress and mixed UI and sexual function in the studied population. The UI negatively interferes with the woman's desire, arousal, and sexual satisfaction.

Published in	Journal of Gynecology and Obstetrics (Volume 6, Issue 5)
DOI	10.11648/j.jgo.20180605.11
Page(s)	108-112
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Pelvic Floor Disorders, Urinary Incontinence, Sexual Health, Sexuality, Women’s Health

References

[1]	Haylen BT, Ridder D, Freeman RM, et al. An International Urogynecology Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. International Urogynecology Journal. Vol.21, No.1, 2010, pp.5-26. doi: 10.1007/s00192-009-0976-9.
[2]	Bump RC, Norton PA. Epidemiology and natural history of pelvic floor dysfunction. Obstetrics Gynecology Clinics of North America. Vol.25, No.4, 1998, pp.723-746.
[3]	Almeida MBA, Barra AA, Figueiredo EM, et al. Disfunções de assoalho pélvico em atletas. Femina. Vol.39, No.8, 2011, pp. 395-402.
[4]	Wu JM, Hundley AF, Fulton RG, Myers ER. Forecasting the Prevalence of Pelvic Floor Disorders in U.S. Women 2010 to 2050. American College of Obstetricians and Gynecologists. Vol. 114, No. 6, 2009, pp. 1278-1283.
[5]	Hayder D. The effects of urinary incontinence on sexuality: seeking an intimate partnership. Journal of Wound Ostomy & Continence Nursing. Vol.39, No.5, 2012, pp. 539-544.
[6]	Frank JE, Mistretta P, Will J. Diagnosis and treatment of female sexual dysfunction. American Family Physician. Vol.77, No. 5, 2008, pp.635-642.
[7]	Cardoso J. Sexualidade na doença crónica e na deficiência física. Revista Portuguesa de Medicina Geral e Familiar. Vol. 20, No. 3, 2004, pp. 385-94.
[8]	Tamanini JTN, Dambros M, D´ancona CAL, Palma PCR, Netto Jr. NR. Validation of the "International Consultation on Incontinence Questionnaire - Short Form" (ICIQ-SF) for Portuguese. Revista de Saúde Pública. Vol.38, No. 3, 2004, pp.438-444. doi: 10.1590/S0034-89102004000300015.
[9]	Thiel RRC, Dambros M, Palma PCR, Thiel M, Riccetto CLZ, Ramos MF. Tradução para português, adaptação cultural e validação do Female Sexual Function Index. Revista Brasileira de Ginecologia e Obstetrícia. Vol.30, No.10, 2008, pp.504-510. doi: 10.1590/S0100-72032008001000005.
[10]	Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the international continence society. Neurourology and Urodynamics. Vol.21, No.2, 2002, pp.167-178.
[11]	Faul F et al. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. Vol. 39, No. 2, 2007, pp. 175-191.
[12]	Brazilian Association of Research Companies (ABEP). Economic Classification Criteria Brazil. http://www.abep.org/criterio-brasil. Available 2014. Access April 17, 2016.
[13]	Pacagnella RC, Martinez EZ, Vieira EM. Validade de construto de uma versão em português do Female Sexual Function Index. Caderno de Saúde Pública. Vol. 25, No. 11, 2009, pp. 2333-2344.
[14]	Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. Journal of Sex &Marital Therapy. Vol. 31, No. 1, 2005, pp. 1-20.
[15]	Ministry of Health (BR). National Health Council. National Commission on Health Ethics. CNS Resolution 466/12. Norms for research involving human beings. Official Journal of the Union, Executive Branch, Brasília, DF, 2012.
[16]	Horng SS, Huang N, Wu SI, Fang YT, Chou YJ, Chou P. The Epidemiology of Urinary Incontinence and it’s Influence on Quality of Life in Taiwanese Middle-Aged Women. Neurourology and Urodynamics. Vol. 32, No. 4, 2013, pp. 371–376.
[17]	Mourão LF, Luz MHBA, Marques ADB, Benício CDAV, Nunes BMVT, Pereira AFM. Caracterização e fatores de risco de incontinência urinária em mulheres atendidas em uma clínica ginecológica. Estima. Vol. 15, No. 2, 2017, pp. 82-91.
[18]	Felippe MR, Zambon JP, Girotti ME, et al. What Is the Real Impact of Urinary Incontinence on Female Sexual Dysfunction? A Case Control Study. The Journal of Sexual Medicine. Vol. 5, No. 1, 2017, pp. 54-60. doi: 10.1016/j.esxm.2016.09.001.
[19]	de Menezes Franco M, Driusso P, BøK et al. Relationship between pelvic floor muscle strength and sexual dysfunction in postmenopausal women: a cross-sectional study. Internacional Urogynecology Journal. Vol. 28, No. 6, 2017, pp. 931-936.
[20]	Lim R, Liong ML, Leong WS, Khan NAK, Yuen KH. Effect of stress urinary incontinence on the sexual function of couples and the quality of life of patients. Journal of Urology. Vol. 196, No. 1, 2016, pp. 153-158. doi: 10.1016/j.juro.2016.01.090.
[21]	Çayan S, Yaman O, Orhan I, et al. Prevalence of sexual dysfunction and urinary incontinence and associated risk factors in Turkish women. European Journal of Obstetrics & Gynecology Reproductive Biology. Vol.203, 2016, pp.303-308. doi:10.1016/j.ejogrb.2016.06.030.
[22]	Fashokun, TBO, Harvie HS, Schimpf MO, Et al. Sexual activity and function in women with and without pelvic floor disorders. Internacional Urogynecology Journal, Vol.24, No.1, 2013, pp. 91-97.

Cite This Article

Plain Text BibTeX RIS

APA Style

Suellen Viana Lucena, Daniele Matos de Moura Brasil, Débora Fernandes Britto, Tamires Ferreira do Carmo, Glaucia Nunes Diniz de Oliveira Esmeraldo, et al. (2018). Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction. Journal of Gynecology and Obstetrics, 6(5), 108-112. https://doi.org/10.11648/j.jgo.20180605.11

Copy | Download

ACS Style

Suellen Viana Lucena; Daniele Matos de Moura Brasil; Débora Fernandes Britto; Tamires Ferreira do Carmo; Glaucia Nunes Diniz de Oliveira Esmeraldo, et al. Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction. J. Gynecol. Obstet. 2018, 6(5), 108-112. doi: 10.11648/j.jgo.20180605.11

Copy | Download

AMA Style

Suellen Viana Lucena, Daniele Matos de Moura Brasil, Débora Fernandes Britto, Tamires Ferreira do Carmo, Glaucia Nunes Diniz de Oliveira Esmeraldo, et al. Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction. J Gynecol Obstet. 2018;6(5):108-112. doi: 10.11648/j.jgo.20180605.11

Copy | Download

@article{10.11648/j.jgo.20180605.11,
  author = {Suellen Viana Lucena and Daniele Matos de Moura Brasil and Débora Fernandes Britto and Tamires Ferreira do Carmo and Glaucia Nunes Diniz de Oliveira Esmeraldo and Simony Lira do Nascimento and Ana Izabel Oliveira Nicolau and Andreisa Paiva Monteiro Bilhar and Aline Veras Morais Brilhante and Leonardo Robson Pinheiro Sobreira Bezerra},
  title = {Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {6},
  number = {5},
  pages = {108-112},
  doi = {10.11648/j.jgo.20180605.11},
  url = {https://doi.org/10.11648/j.jgo.20180605.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20180605.11},
  abstract = {Aim The study aimed to analyze the correlation between the intensity of urinary incontinence (UI) in women by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and sexual function by the Female Sexual Function Index (FSFI). Methods: Cross-sectional, correlational and quantitative study. It was developed in the urogynecology clinic with 110 women with stress or mixed UI. Exclusion criteria: overactive bladder syndrome, stage of pelvic organ prolapsed >3, neurological disease or dementia. The FSFI consists of 19 questions assessing female sexual function in the last 4 weeks in the areas of sexual desire, arousal, vaginal lubrication, orgasm, sexual satisfaction and pain. It was considered final score ≤ 26.5 indicative of sexual dysfunction. The UI was evaluated using the (ICIQ-SF) consists of 4 items such as frequency of UI, volume, impact of UI on daily life and urinary symptoms. Results: There was a statistically significant relationship between the final ICIQ-SF result (mean = 13) and the final FSFI score (mean = 23.4), (p = 0.004). The higher the ICIQ-SF final score, the lower the final FSFI score. The FSFI domains most affected by UI severity as evidenced by ICIQ-SF were: sexual desire (p =0.000), sexual arousal (p =0.036) and satisfaction (p =0.010). Conclusions: There was a strong correlation between the severity of stress and mixed UI and sexual function in the studied population. The UI negatively interferes with the woman's desire, arousal, and sexual satisfaction.},
 year = {2018}
}

Copy | Download

TY  - JOUR
T1  - Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction
AU  - Suellen Viana Lucena
AU  - Daniele Matos de Moura Brasil
AU  - Débora Fernandes Britto
AU  - Tamires Ferreira do Carmo
AU  - Glaucia Nunes Diniz de Oliveira Esmeraldo
AU  - Simony Lira do Nascimento
AU  - Ana Izabel Oliveira Nicolau
AU  - Andreisa Paiva Monteiro Bilhar
AU  - Aline Veras Morais Brilhante
AU  - Leonardo Robson Pinheiro Sobreira Bezerra
Y1  - 2018/09/25
PY  - 2018
N1  - https://doi.org/10.11648/j.jgo.20180605.11
DO  - 10.11648/j.jgo.20180605.11
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 108
EP  - 112
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20180605.11
AB  - Aim The study aimed to analyze the correlation between the intensity of urinary incontinence (UI) in women by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and sexual function by the Female Sexual Function Index (FSFI). Methods: Cross-sectional, correlational and quantitative study. It was developed in the urogynecology clinic with 110 women with stress or mixed UI. Exclusion criteria: overactive bladder syndrome, stage of pelvic organ prolapsed >3, neurological disease or dementia. The FSFI consists of 19 questions assessing female sexual function in the last 4 weeks in the areas of sexual desire, arousal, vaginal lubrication, orgasm, sexual satisfaction and pain. It was considered final score ≤ 26.5 indicative of sexual dysfunction. The UI was evaluated using the (ICIQ-SF) consists of 4 items such as frequency of UI, volume, impact of UI on daily life and urinary symptoms. Results: There was a statistically significant relationship between the final ICIQ-SF result (mean = 13) and the final FSFI score (mean = 23.4), (p = 0.004). The higher the ICIQ-SF final score, the lower the final FSFI score. The FSFI domains most affected by UI severity as evidenced by ICIQ-SF were: sexual desire (p =0.000), sexual arousal (p =0.036) and satisfaction (p =0.010). Conclusions: There was a strong correlation between the severity of stress and mixed UI and sexual function in the studied population. The UI negatively interferes with the woman's desire, arousal, and sexual satisfaction.
VL  - 6
IS  - 5
ER  -

Copy | Download

Author Information

Suellen Viana Lucena

Department of Surgery, Federal University of Ceará, Fortaleza, Brazil
Daniele Matos de Moura Brasil

Department of Surgery, Federal University of Ceará, Fortaleza, Brazil
Débora Fernandes Britto

Department of Surgery, Federal University of Ceará, Fortaleza, Brazil
Tamires Ferreira do Carmo

Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil
Glaucia Nunes Diniz de Oliveira Esmeraldo

Department of Physical Therapy, Federal University of Ceará, Fortaleza, Brazil
Simony Lira do Nascimento

Department of Physical Therapy, Federal University of Ceará, Fortaleza, Brazil
Ana Izabel Oliveira Nicolau

Walter Cantídio University Hospital, Federal University of Ceará, Fortaleza, Brazil
Andreisa Paiva Monteiro Bilhar

Maternity School Assis Chateubriand, Federal University of Ceará, Fortaleza, Brazil
Aline Veras Morais Brilhante

Faculty of Medicine, University of Fortaleza, Fortaleza, Brazil
Leonardo Robson Pinheiro Sobreira Bezerra

Department of Surgery, Federal University of Ceará, Fortaleza, Brazil

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Suellen Viana Lucena, Daniele Matos de Moura Brasil, Débora Fernandes Britto, Tamires Ferreira do Carmo, Glaucia Nunes Diniz de Oliveira Esmeraldo, et al. (2018). Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction. Journal of Gynecology and Obstetrics, 6(5), 108-112. https://doi.org/10.11648/j.jgo.20180605.11

Copy | Download

ACS Style

Suellen Viana Lucena; Daniele Matos de Moura Brasil; Débora Fernandes Britto; Tamires Ferreira do Carmo; Glaucia Nunes Diniz de Oliveira Esmeraldo, et al. Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction. J. Gynecol. Obstet. 2018, 6(5), 108-112. doi: 10.11648/j.jgo.20180605.11

Copy | Download

AMA Style

Suellen Viana Lucena, Daniele Matos de Moura Brasil, Débora Fernandes Britto, Tamires Ferreira do Carmo, Glaucia Nunes Diniz de Oliveira Esmeraldo, et al. Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction. J Gynecol Obstet. 2018;6(5):108-112. doi: 10.11648/j.jgo.20180605.11

Copy | Download

@article{10.11648/j.jgo.20180605.11,
  author = {Suellen Viana Lucena and Daniele Matos de Moura Brasil and Débora Fernandes Britto and Tamires Ferreira do Carmo and Glaucia Nunes Diniz de Oliveira Esmeraldo and Simony Lira do Nascimento and Ana Izabel Oliveira Nicolau and Andreisa Paiva Monteiro Bilhar and Aline Veras Morais Brilhante and Leonardo Robson Pinheiro Sobreira Bezerra},
  title = {Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {6},
  number = {5},
  pages = {108-112},
  doi = {10.11648/j.jgo.20180605.11},
  url = {https://doi.org/10.11648/j.jgo.20180605.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20180605.11},
  abstract = {Aim The study aimed to analyze the correlation between the intensity of urinary incontinence (UI) in women by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and sexual function by the Female Sexual Function Index (FSFI). Methods: Cross-sectional, correlational and quantitative study. It was developed in the urogynecology clinic with 110 women with stress or mixed UI. Exclusion criteria: overactive bladder syndrome, stage of pelvic organ prolapsed >3, neurological disease or dementia. The FSFI consists of 19 questions assessing female sexual function in the last 4 weeks in the areas of sexual desire, arousal, vaginal lubrication, orgasm, sexual satisfaction and pain. It was considered final score ≤ 26.5 indicative of sexual dysfunction. The UI was evaluated using the (ICIQ-SF) consists of 4 items such as frequency of UI, volume, impact of UI on daily life and urinary symptoms. Results: There was a statistically significant relationship between the final ICIQ-SF result (mean = 13) and the final FSFI score (mean = 23.4), (p = 0.004). The higher the ICIQ-SF final score, the lower the final FSFI score. The FSFI domains most affected by UI severity as evidenced by ICIQ-SF were: sexual desire (p =0.000), sexual arousal (p =0.036) and satisfaction (p =0.010). Conclusions: There was a strong correlation between the severity of stress and mixed UI and sexual function in the studied population. The UI negatively interferes with the woman's desire, arousal, and sexual satisfaction.},
 year = {2018}
}

Copy | Download

TY  - JOUR
T1  - Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction
AU  - Suellen Viana Lucena
AU  - Daniele Matos de Moura Brasil
AU  - Débora Fernandes Britto
AU  - Tamires Ferreira do Carmo
AU  - Glaucia Nunes Diniz de Oliveira Esmeraldo
AU  - Simony Lira do Nascimento
AU  - Ana Izabel Oliveira Nicolau
AU  - Andreisa Paiva Monteiro Bilhar
AU  - Aline Veras Morais Brilhante
AU  - Leonardo Robson Pinheiro Sobreira Bezerra
Y1  - 2018/09/25
PY  - 2018
N1  - https://doi.org/10.11648/j.jgo.20180605.11
DO  - 10.11648/j.jgo.20180605.11
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 108
EP  - 112
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20180605.11
AB  - Aim The study aimed to analyze the correlation between the intensity of urinary incontinence (UI) in women by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and sexual function by the Female Sexual Function Index (FSFI). Methods: Cross-sectional, correlational and quantitative study. It was developed in the urogynecology clinic with 110 women with stress or mixed UI. Exclusion criteria: overactive bladder syndrome, stage of pelvic organ prolapsed >3, neurological disease or dementia. The FSFI consists of 19 questions assessing female sexual function in the last 4 weeks in the areas of sexual desire, arousal, vaginal lubrication, orgasm, sexual satisfaction and pain. It was considered final score ≤ 26.5 indicative of sexual dysfunction. The UI was evaluated using the (ICIQ-SF) consists of 4 items such as frequency of UI, volume, impact of UI on daily life and urinary symptoms. Results: There was a statistically significant relationship between the final ICIQ-SF result (mean = 13) and the final FSFI score (mean = 23.4), (p = 0.004). The higher the ICIQ-SF final score, the lower the final FSFI score. The FSFI domains most affected by UI severity as evidenced by ICIQ-SF were: sexual desire (p =0.000), sexual arousal (p =0.036) and satisfaction (p =0.010). Conclusions: There was a strong correlation between the severity of stress and mixed UI and sexual function in the studied population. The UI negatively interferes with the woman's desire, arousal, and sexual satisfaction.
VL  - 6
IS  - 5
ER  -

Copy | Download