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Influence of self‐perceived incontinence severity on quality of life and sexual function in women with urinary incontinence
Author(s) -
Paick JaeSeung,
Cho Min Chul,
Oh SeungJune,
Kim Soo Woong,
Ku Ja Hyeon
Publication year - 2007
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.20408
Subject(s) - medicine , orgasm , quality of life (healthcare) , sexual function , urinary incontinence , sexual desire , arousal , sexual life , sexual dysfunction , physical therapy , gynecology , urology , human sexuality , gender studies , nursing , neuroscience , sociology , biology
Abstract Aims We examined the impact of patient‐perceived incontinence severity (PPIS) on health‐related quality of life (QoL) and sexual function in women with urinary incontinence (UI). Methods Patients were recruited from clinic practices at one hospital. Between May 2004 and June 2006, 353 women 27–79 years old (mean 55.7) underwent detailed evaluations. To obtain health‐related QoL and sexual function assessments, the patients were asked to fill the questionnaires including the incontinence quality of life (I‐QoL) and female sexual function index (FSFI). Patients were categorized into the three groups according to the PPIS; ‘mild,’ ‘moderate,’ and ‘severe.’ Results Among groups, the duration of symptoms, rate of mixed UI, mean number of treatment visits over the past year, rate of UI associated without any activity, and Valsalva leak point pressure (VLPP) was significantly different ( P < 0.05). The I‐QoL total score and subscale scores deteriorated significantly as the PPIS increased ( P < 0.001). Of the six domains in the FSFI questionnaire, four domains, namely, ‘arousal’ ( P = 0.026), ‘lubrication’ ( P = 0.012), ‘orgasm’ ( P = 0.017), and ‘pain’ ( P = 0.037) as well as the FSFI total score ( P = 0.004) were significantly different among the groups. Conclusions Our findings suggest that PPIS significantly influences health‐related QoL and sexual function, and that strategies for assessing PPIS should be incorporated for assessing patients with UI. Neurourol. Urodynam. 26:828–835, 2007. © 2007 Wiley‐Liss, Inc.