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Urinary Incontinence And Associated Female Sexual Dysfunction.

E. Duralde, T. Rowen
Published 2017 · Medicine

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INTRODUCTION Urinary incontinence (UI) and sexual dysfunction are common conditions often undiagnosed and untreated in women and are associated with decreased quality of life. AIM To evaluate the relation between UI and female sexual dysfunction (FSD), considering incontinence type and the psychosocial and physiologic aspects of sexual function. METHODS PubMed search of terms related to UI and FSD from 1979 to 2016 generated 603 published references, of which 26 were included. Nine additional studies came from bibliographic review. MAIN OUTCOME MEASURE Rates and types of sexual dysfunction. RESULTS In cross-sectional and case-control studies, UI was associated with increased rates and severity of FSD. Coital UI occurred in 24% to 66% of women with UI. Impaired body image, fear of coital UI, avoidance of sex, and complete abstinence were more common in women with UI. Deficits in desire, lubrication, satisfaction, and increased pain were found across numerous studies. Mixed UI was associated with more FSD than urgency UI and stress UI. Multiple studies suggest urgent UI is more bothersome than stress UI. Coital UI was associated with a urodynamic diagnosis other than genuine stress incontinence in 25% to 50%. Leakage at penetration was associated with stress UI; leakage at orgasm was associated more often with detrusor overactivity. CONCLUSION Women's UI is associated with increased rates of sexual dysfunction, suggesting concurrent screening is warranted. Clarifying timing of coital leakage would facilitate targeted treatment. Standardization of FSD measurements could better elucidate the relation between UI and FSD. Duralde ER, Rowen TS. Urinary Incontinence and Associated Female Sexual Dysfunction. Sex Med Rev 2017;5:470-485.
This paper references
10.1159/000107978
Generic and Disease-Specific Health-Related Quality of Life in Women with Coital Incontinence: A Prospective, Multicenter Study
S. Oh (2007)
10.1097/01.AOG.0000173985.39533.37
Incontinence Severity and Major Depression in Incontinent Women
J. Melville (2005)
10.1093/FAMPRA/CMH509
"Opening a can of worms": GP and practice nurse barriers to talking about sexual health in primary care.
M. Gott (2004)
10.1007/BF02850220
The impact of urinary incontinence on female sexual function
I. Şen (2006)
10.1080/01443619965084
Urinary leakage during coitus in women.
P. Morán (1999)
10.1016/j.juro.2010.05.095
Incidence of and risk factors for change in urinary incontinence status in a prospective cohort of middle-aged and older women: the reproductive risk of incontinence study in Kaiser.
David H. Thom (2010)
10.1111/j.1442-2042.2007.01905.x
Health-related quality of life and sexual function in women with stress urinary incontinence and overactive bladder.
S. Oh (2008)
10.1111/j.1464-410X.2009.08427.x
The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the Epidemiology of LUTS (EpiLUTS) study
K. Coyne (2009)
10.1159/000280359
Sexual dysfunction associated with urinary incontinence.
J. Sutherst (1980)
10.1016/S0029-7844(01)01727-6
Sexual Function in Women With Urinary Incontinence and Pelvic Organ Prolapse
M. Barber (2002)
10.1016/j.mayocp.2016.09.018
Hypoactive Sexual Desire Disorder: International Society for the Study of Women's Sexual Health (ISSWSH) Expert Consensus Panel Review
I. Goldstein (2017)
10.5604/12321966.1167723
Psychosocial problems of women with stress urinary incontinence.
Grazyna Stadnicka (2015)
10.1186/s40695-015-0007-6
Impact of urinary incontinence on female sexual health in women during midlife
C. Chu (2015)
10.1016/j.ejogrb.2013.08.002
Sexuality in German urogynecological patients and healthy controls: is there a difference with respect to the diagnosis?
M. Schoenfeld (2013)
10.1007/s00192-009-0976-9
An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction
B. Haylen (2009)
10.1016/S0302-2838(02)00401-3
A systematic review of the literature on the prevalence of sexual impairment in women with urinary incontinence and the prevalence of urinary leakage during sexual activity.
C. Shaw (2002)
10.1007/s00192-015-2888-1
Epidemiology of mixed, stress, and urgency urinary incontinence in middle-aged/older women: the importance of incontinence history
Y. Komesu (2015)
10.1093/geront/37.1.6
Sexual activity and satisfaction among very old adults: results from a community-dwelling Medicare population survey.
R. Matthias (1997)
10.1007/s001920050038
The Prevalence and Determinants of Health Care-Seeking Behavior for Urinary Incontinence in United Arab Emirates Women
D. Rizk (1999)
10.1016/J.EURURO.2007.11.008
Urinary incontinence at orgasm: relation to detrusor overactivity and treatment efficacy.
M. Serati (2008)
10.1111/j.1743-6109.2008.00818.x
The impact of lower urinary tract symptoms and urinary incontinence on female sexual dysfunction using a validated instrument.
B. Cohen (2008)
10.5455/msm.2016.28.178-182
FEMALE SEXUAL DYSFUNCTION (FSD) IN WOMEN HEALTH CARE WORKERS
K. Stamatiou (2016)
10.1002/nau.21041
Coital incontinence: relation to detrusor overactivity and stress incontinence.
A. El-Azab (2011)
10.1007/s001920070021
Epidemiology and Natural History of Urinary Incontinence
S. Hunskaar (2000)
10.1038/sj.bjc.6600799
Lack of communication between healthcare professionals and women with ovarian cancer about sexual issues
M. Stead (2003)
10.1111/j.1532-5415.1995.tb05806.x
Difficulty with holding urine among older persons in a geographically defined community: prevalence and correlates.
T. Wetle (1995)
10.1111/j.1464-410X.2008.07601.x
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
K. Coyne (2008)
10.1016/j.ejogrb.2014.02.008
Effects of urinary incontinence subtypes on women's quality of life (including sexual life) and psychosocial state.
Mehmet Reşit Aşoglu (2014)
10.1111/j.1471-0528.1979.tb10616.x
SEXUAL DYSFUNCTION AND URINARY INCONTINENCE
J. Sutherst (1979)
10.1111/j.1743-6109.2008.00838.x
Risk factors for female sexual dysfunction in the general population: exploring factors associated with low sexual function and sexual distress.
R. Hayes (2008)
10.7860/JCDR/2013/6813.3822
Female sexual dysfunction: prevalence and risk factors.
M. Jaafarpour (2013)
10.1111/J.1532-5415.2000.TB04744.X
Urinary incontinence: does it increase risk for falls and fractures? Study of Osteoporotic Fractures Research Group.
J. Brown (2000)
10.1016/j.urology.2015.02.007
Coital incontinence: what can we learn from urodynamic assessment?
Chendrimada Madhu (2015)
Androgens and female sexuality.
S. Davis (2000)
10.1016/j.juro.2016.01.090
Effect of Stress Urinary Incontinence on the Sexual Function of Couples and the Quality of Life of Patients.
Renly Lim (2016)
10.1111/jsm.12544
Impact of urinary incontinence on sexual functioning in community-dwelling older women.
E. Visser (2014)
10.1186/1477-7827-8-106
Incidence of sexual dysfunction: a prospective survey in Ghanaian females
Nafiu Amidu (2010)
10.1001/JAMA.281.6.537
Sexual dysfunction in the United States: prevalence and predictors.
E. Laumann (1999)
10.1097/AOG.0b013e3181898cdb
Sexual Problems and Distress in United States Women: Prevalence and Correlates
J. Shifren (2008)
10.1016/j.ajog.2015.08.072
Bridging the gap: determinants of undiagnosed or untreated urinary incontinence in women.
Erin R Duralde (2016)
10.1136/bmj.297.6657.1187
Distress and delay associated with urinary incontinence, frequency, and urgency in women.
P. Norton (1988)
10.1093/FAMPRA/20.1.11
Discussing STIs: doctors are from Mars, patients from Venus.
V. Verhoeven (2003)
10.1097/SPV.0b013e3181bf51eb
Sexual Function in Women With Overactive Bladder
Athanasios Zahariou (2010)
10.1016/J.JURO.2007.09.074
Effects of urinary incontinence, comorbidity and race on quality of life outcomes in women.
A. Ragins (2008)
10.1016/j.jsxm.2016.09.014
Toward a More Evidence-Based Nosology and Nomenclature for Female Sexual Dysfunctions-Part I.
L. Derogatis (2016)
10.1016/S0022-5347(05)67828-7
Report of the international consensus development conference on female sexual dysfunction: definitions and classifications.
R. Basson (2000)
10.1007/s11934-013-0344-7
Urinary Disorders and Female Sexual Function
Jaclyn Chen (2013)
10.1111/j.1464-410X.2004.04796.x
Women's sexual dysfunction: a pathophysiological review
A. Salonia (2004)
10.1016/J.AJOG.2005.09.011
Health care discussions and treatment for urinary incontinence in U.S. women.
J. Melville (2006)
10.1001/ARCHINTE.165.5.537
Urinary Incontinence in US Women A Population-Based Study
J. Melville (2005)
10.1007/s10508-007-9290-0
Prevalence and Correlates of Sexual Activity and Function in Women: Results from the Boston Area Community Health (BACH) Survey
Karen E. Lutfey (2009)
Psychosexual Study of Women With Detrusor Instability
M. D. Walters (1990)
10.1080/00926230600666469
Sexual Activity, Sexual Disorders and Associated Help-Seeking Behavior among Mature Adults in Five Anglophone Countries from the Global Servey of Sexual Attitudes and Behaviors (GSSAB)
A. Nicolosi (2006)
10.1007/s00192-011-1583-0
Incontinence during intercourse: myths unravelled
S. Jha (2011)
10.1080/0963828021000031188
Views of health professionals on discussing sexual issues with patients
N. J. Haboubi (2003)
10.1136/bmj.c810
Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing
S. Lindau (2010)
10.1016/S0015-0282(02)04695-2
Seeking help for sexual function complaints: what gynecologists need to know about the female patient's experience.
Laura J Berman (2003)
10.1007/s11934-011-0206-0
Epidemiology of Stress Urinary Incontinence in Women
William Stuart Reynolds (2011)
10.4111/kju.2011.52.12.858
A Study Assessing the Quality of Life Related to Voiding Symptoms and Sexual Functions in Menopausal Women
Ji Youn Chun (2011)
10.1016/J.AJOG.2006.07.028
Sexual function in women with urodynamic stress incontinence, detrusor overactivity, and mixed urinary incontinence.
R. Urwitz-Lane (2006)
10.1111/J.1532-5415.2006.00827.X
The relationship between sexual activity and urinary incontinence in older women.
C. Tannenbaum (2006)
10.1111/j.1743-6109.2010.01718.x
Sexual experiences of men with incontinent partners.
Milou D. Bekker (2010)
10.1080/00016340701214035
Young women's sexual health and their views on dialogue with health professionals
Eva K. Wendt (2007)
10.1016/J.EURURO.2003.11.023
Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study.
A. Salonia (2004)
10.1111/j.1471-0528.1988.tb06609.x
Urinary incontinence during sexual intercourse: a common, but rarely volunteered, symptom
P. Hilton (1988)
10.1093/AGEING/26.5.367
Medically recognized urinary incontinence and risks of hospitalization, nursing home admission and mortality.
D. Thom (1997)
10.1007/s00192-007-0490-x
Coital urinary incontinence: impact on quality of life as measured by the King’s Health Questionnaire
M. Pons (2007)
10.1016/S0029-7844(02)02519-X
Urinary Incontinence and Depression in Middle‐Aged United States Women
I. Nygaard (2003)
10.1056/NEJMOA067423
A study of sexuality and health among older adults in the United States.
S. T. Lindau (2007)
10.1016/j.ejogrb.2016.03.025
Quality of life of Brazilian women with urinary incontinence and the impact on their sexual function.
S. A. Karbage (2016)
10.1038/sj.ijir.3901270
The effect of overactive bladder syndrome on the sexual quality of life in Korean young and middle aged women
Y. Kim (2005)
10.1016/J.AJOG.2003.11.017
Sexual function among women with urinary incontinence and pelvic organ prolapse.
V. Handa (2004)
10.1016/j.jsxm.2016.02.167
2015 ISSVD, ISSWSH, and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia.
J. Bornstein (2016)
10.1111/j.1743-6109.2008.01055.x
Female urinary incontinence during intercourse: a review on an understudied problem for women's sexuality.
M. Serati (2009)
10.1111/j.1532-5415.2008.01747.x
The epidemiology of urinary incontinence in older women: incidence, progression, and remission.
K. Lifford (2008)
10.1007/s00192-010-1250-x
Impact of overactive bladder and lower urinary tract symptoms on sexual health in Japanese women
T. Sako (2010)
10.1080/00926238008406084
A system of group therapy for the treatment of marital and sexual dysfunction.
J. Reckless (1980)
10.1056/NEJM197807202990302
Frequency of sexual dysfunction in "normal" couples.
E. Frank (1978)
10.1159/000083558
Effect of Urinary Leakage on Sexual Function during Sexual Intercourse
Nezihe Kızılkaya Beji (2005)
10.1080/00926239308404902
Prevalence of sexual dysfunction in women: results of a survey study of 329 women in an outpatient gynecological clinic.
R. Rosen (1993)
10.1016/j.ejogrb.2011.06.024
Does urinary incontinence subtype affect sexual function?
H. Coksuer (2011)
10.1016/j.sxmr.2016.02.002
Surgical Management for Pelvic Organ Prolapse and Its Impact on Sexual Function.
J. Thompson (2016)
10.1111/iju.12610
Association of urinary incontinence and sexual function in women.
Cheng-Chen Su (2015)
10.1002/nau.21039
Impact of female urinary incontinence and urgency on women's and their partners' sexual life.
Margareta Nilsson (2011)
10.1111/jsm.12166
Female ejaculation orgasm vs. coital incontinence: a systematic review.
Z. Pastor (2013)
10.1111/j.1600-0412.2011.01120.x
How do urinary incontinence and urgency affect women's sexual life?
Margareta Nilsson (2011)
10.1002/(SICI)1520-6777(2000)19:3<259::AID-NAU7>3.0.CO;2-U
Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life.
C. Temml (2000)
10.1001/ARCHINTE.166.18.2000
Quality-of-life impact and treatment of urinary incontinence in ethnically diverse older women.
A. Huang (2006)
10.1111/j.1542-2011.2011.00076.x
Sexual function and quality of life for women with mild-to-moderate stress urinary incontinence.
M. Liebergall-Wischnitzer (2011)
10.1097/AOG.0b013e3181660c1b
Prevalence and Co-Occurrence of Pelvic Floor Disorders in Community-Dwelling Women
J. Lawrence (2008)
10.1016/S0090-4295(99)00230-7
Female sexual dysfunction: incidence, pathophysiology, evaluation, and treatment options.
J. Berman (1999)
10.1016/j.juro.2009.01.046
Sexual function among overweight and obese women with urinary incontinence in a randomized controlled trial of an intensive behavioral weight loss intervention.
Alison J. Huang (2009)
Social context, social abstention, and problem recognition correlated with adult female urinary incontinence.
G. W. Lam (1992)



This paper is referenced by
10.1016/j.jsxm.2018.02.004
Cycling and Female Sexual and Urinary Function: Results From a Large, Multinational, Cross-Sectional Study.
Thomas W Gaither (2018)
10.1080/14681994.2019.1701187
Exploration of sexual experience among women with pelvic organ prolapse: a qualitative study
Zahra Hadizadeh-Talasaz (2019)
10.1016/j.sxmr.2019.06.009
The Impact of Urinary Incontinence on Sexual Function: A Systematic Review.
Leonardo Robson Pinheiro Sobreira Bezerra (2020)
10.1016/j.eurox.2019.100004
Fractional CO2 laser for treatment of stress urinary incontinence
Fariba Behnia-Willison (2019)
10.1590/S1677-5538.IBJU.2018.0518
Efficacy and tolerability of mirabegron in female patients with overactive bladder symptoms after surgical treatment for stress urinary incontinence
Mete Özkıdık (2019)
10.3390/jcm9051538
Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence
Edyta Horosz (2020)
10.1080/14681994.2019.1683154
Do female urinary incontinence subtypes have different effects on the sexual life of couples
S. H. Abdel Rahman (2019)
10.1016/j.jsxm.2019.12.013
Methodological Challenges in Studying Testosterone Therapies for Hypoactive Sexual Desire Disorder in Women.
Tami Serene Rowen (2020)
10.1007/s00192-019-04092-8
Severity of urinary incontinence is associated with prevalence of sexual dysfunction
Tiago Augusto Gomes (2019)
10.1016/j.jogn.2017.11.003
Current Resources for Evidence-Based Practice, January 2018.
Kate Woeber (2018)
10.1016/J.PUROL.2018.05.001
L’incontinence coïtale
M. Moutounaïck (2018)
10.1016/j.ijnurstu.2020.103527
Effect of app-based audio guidance pelvic floor muscle training on treatment of stress urinary incontinence in primiparas: A randomized controlled trial.
Xiaojuan Wang (2020)
10.1002/nau.23934
Urethral regions with differential tissular composition may underlie urinary continence and voiding function in female rats.
Nancy Mirto-Aguilar (2019)
10.1016/j.androl.2018.08.003
Urinary incontinence as a cause of depression and sexual dysfunction: Questionnaire-based study.
S. Sarıkaya (2018)
10.1038/s41443-019-0219-7
Sexual functions and quality of life of women over 50 years with urinary incontinence, lower urinary tract symptoms and/or pelvic organ prolapse
F. G. Ugurlucan (2019)
10.1101/2020.07.16.20155564
A cross-sectional case-control study of sexual dysfunction and associated depression in postmenopausal incontinent women.
Tejinder Kaur (2020)
Effi cacy and tolerability of mirabegron in female patients with overactive bladder symptoms after surgical treatment for stress urinary incontinence
Mete Özkıdık (2019)
10.20344/AMP.12012
Incontinência Urinária de Esforço e Disfunção Sexual Feminina: o papel da Reabilitação do Pavimento Pélvico
A. Preda (2019)
10.1016/j.sxmr.2017.10.005
Female Sexual Function Following Surgical Treatment of Stress Urinary Incontinence: Systematic Review and Meta-Analysis.
Maria Cláudia Bicudo-Fürst (2018)
10.3390/ijerph16193781
Living with Urinary Incontinence: Potential Risks of Women’s Health? A Qualitative Study on the Perspectives of Female Patients Seeking Care for the First Time in a Specialized Center
María Zahara Pintos-Díaz (2019)
10.5114/pm.2019.89496
Multidisciplinary management of women with pelvic organ prolapse, urinary incontinence and lower urinary tract symptoms.A clinical and psychological overview
Valentina Lucia La Rosa (2019)
10.1016/j.sxmr.2019.05.002
Impact of Overactive Bladder-Wet Syndrome on Female Sexual Function: A Systematic Review and Meta-Analysis.
M. Balzarro (2019)
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