Are persistent or recurrent symptoms of urinary incontinence after surgery associated with adverse effects on sexual activity or function? |
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Authors: | Daniel M Morgan Rodney L Dunn John T Stoffel Dee E Fenner John O L DeLancey Edward J McGuire John T Wei |
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Institution: | (1) Department of Obstetrics and Gynecology, Women’s Hospital L4000, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA;(2) Department of Urology, University of Michigan, Ann Arbor, MI, USA;(3) Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA;(4) Lahey Clinic, Department of Urology, Burlington, MA, USA |
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Abstract: | We sought to determine if postoperative urinary incontinence (UI) symptoms are associated with (1) sexual activity status
and (2) sexual function using validated health-related quality of life instruments. In this mailed cross-sectional survey
of 687 women who underwent stress incontinence surgery, 437 (63.6%) completed a questionnaire protocol. Clinical and sociodemographic
factors independently associated with sexual activity status were identified with logistic regression. Sexually active respondents completed the Pelvic Organ Prolapse and Urinary Incontinence
Sexual Function Questionnaire (PISQ-12) as a measure of sexual function. Factors independently associated with sexual function were identified with linear regression. Sexual activity was reported
by 57.6% (252/437). The likelihood that a respondent was sexually active was moderated by an interaction between age and UI
symptom severity (p = 0.059). Among the sexually active women, increasing UI symptom severity was associated with poorer sexual function (r = −0.42, p < 0.001). The severity of postoperative recurrent or persistent UI is associated with a lower probability of being sexually
active and an adverse effect on sexual function. |
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Keywords: | Sexual activity Sexual function Urinary incontinence Surgery Treatment outcome |
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