RELATIONSHIP BETWEEN STRESS URINARYINCONTINENCY SEVERITY AND SEXUAL DISFUNCTION IN WOMEN
L. S. BEZERRA1, S. V.LUCENA 2, D. BRITTO 3, A. V. BRILHANTE 4,K. L. AUGUSTO 5, S. A. KARBAGE 6, A. P. BILHAR7, D. M. SABOIA 8;
1SaúdeMaterno Infantil, Federal Univ. of Ceara, Fortaleza, Brazil,2SURGERY, FEDERAL Univ. OF CEARA, Fortaleza, Brazil,3SURGERY, Federal Univ. of Ceara, Fortaleza, Brazil,4Collective Health, UNIVERSIDADE DE FORTALEZA - UNIFOR,Fortaleza, Brazil, 5Laparoscopy and Minimally invasivesurgery, Maternidade Escola Assis Chateaubriand, Fortaleza, Brazil,6Univ.e Federal do Cearÿ, Fortaleza - Ceara, Brazil,7UNIFESP, Fortaleza, Brazil, 8NURSE DEPARTMENT,Federal Univ. of Ceara, Fortaleza, Brazil.
Introduction: Urinaryincontinence (UI) is a common problem among women and it is a symptomwith several effects on quality of life (QOL) of women mainly intheir social, familiar and sexual domains. UI has been speculated tohave a negative impact on a woman’s sexual function. However, somestudies have found weak correlation between urinary incontinenceseverity and sexual function, using validated sexual functionquestionnaires1.
Objective: To analyze theassociation between the intensity of stress UI in women as measuredby the International Consultation on Incontinence Questionnaire -Short Form (ICIQ-SF) and the sexual function measured by the FemaleSexual Function Index (FSFI).
Methods: This is across-sectional, correlational and quantitative study. Developed in aurogynecology outpatient clinic. The study population is women withstress or mixed UI. Exclusion criteria: women diagnosed withoveractive bladder syndrome, prolapse of the pelvic organ >3, neurological disease or dementia. The sample consisted of 53 womenwith stress and mixed IU, whose sexual function were evaluated 2.FSFI proposes to evaluate the female sexual response in the domains(phases or components of the sexual response): sexual desire, sexualarousal, vaginal lubrication, orgasm, sexual satisfaction and pain.For this, nineteen questions are presented that evaluate the sexualfunction in the last four weeks and present scores in each component.A score of ≤26.5 was considered to indicate sexual dysfunction. UIreports were evaluated using the International Consultation onIncontinence Questionnaire-Urinary Incontinence (ICIQ-UI) Short Form.Although the questionnaires were developed to be self-administered,it was considered necessary to apply face-to-face by trainedinterviewers because of the possible schooling characteristics of thewomen in the sample. Data collection was performed from September2016 to January 2017. Data were stored and compiled in theStatistical Package for the Social Sciences Program (SPSS Inc.,Chicago, USA) version 20.0. Ethics Committee under opinion No.1,739,920 approved the study.
Results: Spearman's R wasused to perform non-parametric correlations, showing a statisticallysignificant relationship between the final ICIQ-SF score (mean = 13)and the FSFI final score (mean = 23.48); (R = -0.47) (p = 0.004)indicating that the higher the ICIQ-SF final score, the lower theFSFI final score. The FSFI domains most affected with the severity ofUI evidenced in ICIQ-SF were: sexual desire (p = 0.000), sexualarousal (0.036) and satisfaction (p = 0.010). No statisticalsignificance was found for the domains of vaginal lubrication, orgasmand pain.
Conclusions: There was a strong correlationbetween UI severity and sexual function in our population. UInegatively interferes with women's sexual function in particular, indesire, arousal and sexual satisfaction.
References: 1- deMenezes Franco M, Driusso P, Bø K, Carvalho de Abreu DC, da SilvaLara LA, de Sá Rosa E Silva AC, Ferreira CH Relationshipbetween pelvic floor muscle strength and sexual dysfunction inpostmenopausal women: a cross-sectional study. Int UrogynecolJ. 2016 Dec 6. [Epub ahead of print] 2- Pacagnella RC, Vieira EM,Rodrigues Jr. OM, Souza C. Cross-cultural adaptation of the FemaleSexual Function Index Cad Saúde Pública 2008; 24:416-26.