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What is the impact of coital incontinence on women sexuality and sexual function?

Login to Access Video or Poster Abstract: MP40-03
Sources of Funding: none

Introduction

To determine the impact of coital incontinence on women sexual activity.

Methods

Between May 2013 and July 2014, we performed a cross-sectional study to evaluated sexual active women with and without coital incontinence. All patients were evaluated by means of anamnesis, physical examination, self-answered questionnaires, including World Health Organization for Quality of Life (WHOQOL-BREF), International Consultation on Incontinence Questionnaire-short form (ICIQ-SF; score ranges from 0 to 21; the greater the values the greater the incontinence severity), Overactive Bladder Questionnaire (OAB Short-Form; patients with overactive bladder are those with cumulative scores greater than 8) and 1-hour pad test. We evaluated the sexuality by means of Sexuality Quotient – Female Version (SQ-F). The SQ-F consists of 10 questions, the overall score ranges from 0 to 100. Women with scores under 62 were considered as sexual dysfunctional.

Results

It was evaluated 108 women (mean age: 52.6±9.35 and range: 30-70 years-old). Out of them, 52 women (48.1%) self-reported coital incontinence. Patients with and without coital incontinence had similar age (p=0.405), BMI (p=0.104), marital status (p=0.518), deliveries (p=0.805), educational level (p=0.392), 1 hour pad test weight (p=0.287), intercourse frequency (p=0.675) and similar scores in all WHOQoL-Brief domains. Women with coital UI had higher scores (more symptomatic) on ICIQ-SF and OAB-q (Table 1). There was not any difference in SQ-F questionnaire between the two groups. The prevalence of sexual dysfunction was similar in both groups. Questionnaire’s data are shown in Table 2.

Conclusions

Women with more severe urinary incontinence symptoms seems to be more predisposed to present coital incontinence. The presence of coital incontinence did not have significant impact on sexuality or sexual function.

Funding

none

Authors
Mariana Felippe
Marcia Eli Girotti
Maira dos Santos
Monique Rodrigues
Tatiana Rodarte
Fernando Almeida
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