Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
International Urogynecology Journal
Published in: International Urogynecology Journal 5/2017

Open Access 01-05-2017 | Original Article

Coital incontinence: a factor for deteriorated health-related quality of life and sexual function in women with urodynamic stress urinary incontinence

Authors: Magdalena Emilia Grzybowska, Dariusz Grzegorz Wydra

Published in: International Urogynecology Journal | Issue 5/2017

Login to get access

Abstract

Introduction and hypothesis

To assess the impact of coital incontinence (CI) on health-related quality of life (HRQoL) and quality of sexual function (QSF) in women with urodynamic stress urinary incontinence (SUI).

Methods

Women were recruited for this cross-sectional study from among 289 patients with lower urinary tract symptoms, underwent clinical and urodynamic evaluation. Of these 289 women, 127 sexually active women with SUI completed the King’s Health Questionnaire (KHQ) and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ), of whom 97 were enrolled for the study. The study group comprised 53 women with CI occurring ‘sometimes’, ‘usually’ or ‘always’, and the control group comprised 44 women without CI. Total and individual domain scores were evaluated.

Results

CI was reported by 65.35 % of the women. The frequency of CI was correlated with lower educational level and higher body mass index (r = 0.22 and r = 0.23, respectively; p = 0.01). The KHQ results showed significantly lower HRQoL in women with CI in all domains (p < 0.05) apart from Sleep/energy’ (p = 0.054). PISQ revealed no significant differences in QSF in the Behavioral/emotive and Partner–related domains (34.3 ± 10.0 vs. 33.0 ± 12.2 and 18.0 ± 2.9 vs. 18.2 ± 3.6, respectively). Women with CI reported a significantly lower QSF in the Physical domain (29.1 ± 6.6 vs. 35.0 ± 4.6, p = 0.001), and the total PISQ score was lower but the difference was not significant (81.4 ± 14.3 vs. 86.2 ± 16.5). Total PISQ score was correlated with age (r = −0.28, p = 0.001). Women with CI were significantly more likely to admit that fear of incontinence or fear of embarrassment restricted their sexual activity (p < 0.001).

Conclusions

A large percentage (65.35 %) of women with SUI reported CI, which had a negative impact on HRQoL and QSF in the Physical domain, but no significant impact on overall QSF.
Literature
1.
Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in four European countries. BJU Int. 2004;93(3):324–330.CrossRefPubMed
2.
Salonia A, Zanni G, Nappi RE, Briganti A, Dehò F, Fabbri F, et al. Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study. Eur Urol. 2004;45(5):642–648. discussion 648.CrossRefPubMed
3.
Barber MD, Visco AG, Wyman JF, Fantl JA, Bump RC; Continence Program for Women Research Group. Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstet Gynecol. 2002;99(2):281–289.PubMed
4.
Lonnée-Hoffmann RA, Salvesen Ø, Mørkved S, Schei B. What predicts improvement of sexual function after pelvic floor surgery? A follow-up study. Acta Obstet Gynecol Scand. 2013;92(11):1304–12.CrossRefPubMed
5.
Bachmann GA, Leiblum SR, Grill J. Brief sexual inquiry in gynecologic practice. Obstet Gynecol. 1989;73(3 Pt 1):425–427.PubMed
6.
Bekker M, Beck J, Putter H, Venema P, Lycklama A, Nijeholt A, et al. Sexual function improvement following surgery for stress incontinence: the relevance of coital incontinence. J Sex Med. 2009;6:3208–3213.CrossRefPubMed
7.
Espuña Pons M, Puig CM. Coital urinary incontinence: impact on quality of life as measured by King’s Heath Questionnaire. Int Urogynecol J. 2008;19(5):621–625.CrossRef
8.
Stamey TA. Endoscopic suspension of the vesical neck for urinary incontinence. Surg Gynecol Obstet. 1973;136(4):547–554.PubMed
9.
Kelleher CJ, Cardozo LD, Khullar V, Salvatore S. A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol. 1997;104(12):1374–1379.CrossRefPubMed
10.
Grzybowska ME, Wydra DG, Smutek J. Validation of the Polish version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire. Int Urogynecol J. 2016;27(5):781–786.CrossRefPubMed
11.
Rogers RG, Kammerer-Doak D, Villarreal A, Coates K, Qualls C. A new instrument to measure sexual function in women with urinary incontinence or pelvic organ prolapse. Am J Obstet Gynecol. 2001;184(4):552–558.CrossRefPubMed
12.
Kelleher CJ, Pleil AM, Reese PR, Burgess SM, Brodish PH. How much is enough and who says so? BJOG. 2004;111(6):605–612.CrossRefPubMed
13.
Mamik MM, Rogers RG, Qualls CR, Morrow JD. The minimum important difference for the Pelvic Organ Prolapse-Urinary Incontinence Sexual Function Questionnaire. Int Urogynecol J. 2014;25(10):1321–1326.CrossRefPubMed
14.
Rogers GR, Villarreal A, Kammerer-Doak D, Qualls C. Sexual function in women with and without urinary incontinence and/or pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(6):361–365.CrossRefPubMed
15.
Moran PA, Dwyer PL, Ziccone SP. Urinary leakage during coitus in women. J Obstet Gynaecol. 1999;19(3):286–288.CrossRefPubMed
16.
Hilton P. Urinary incontinence during sexual intercourse: a common, but rarely volunteered, symptom. Br J Obstet Gynaecol. 1988;95(4):377–381.CrossRefPubMed
17.
Vierhout ME, Gianotten WL. Mechanisms of urine loss during sexual activity. Eur J Obstet Gynecol Reprod Biol. 1993;52(1):45–47.CrossRefPubMed
18.
Weber AM, Walters MD, Schover LR, Mitchinson A. Sexual function in women with uterovaginal prolapse and urinary incontinence. Obstet Gynecol. 1995;85(4):483–487.CrossRefPubMed
19.
Serati M, Salvatore S, Uccella S, Cromi A, Khullar V, Cardozo L, et al. Urinary incontinence at orgasm: relation to detrusor overactivity and treatment efficacy. Eur Urol. 2008;54(4):911–915.CrossRefPubMed
20.
21.
Kizilkaya Beji N, Yalcin O, Ayyildiz EH, Kayir A. Effect of urinary leakage on sexual function during sexual intercourse. Urol Int. 2005;74(3):250–255.CrossRefPubMed
22.
Ozel B, White T, Urwitz-Lane R, Minaglia S. The impact of pelvic organ prolapse on sexual function in women with urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17(1):14–7.CrossRefPubMed
23.
Fashokun TB, Harvie HS, Schimpf MO, Olivera CK, Epstein LB, Jean-Michel M, et al.; Society of Gynecologic Surgeons’ Fellows’ Pelvic Research Network. Sexual activity and function in women with and without pelvic floor disorders. Int Urogynecol J. 2013;24(1):91–7.CrossRefPubMed
24.
Roos AM, Thakar R, Sultan AH, Burger CW, Paulus AT. Pelvic floor dysfunction: women’s sexual concerns unraveled. J Sex Med. 2014;11(3):743–752.CrossRefPubMed
25.
Parazzini F, Chiaffarino F, Lavezzari M, Giambanco V, VIVA Study Group. Risk factors for stress, urge or mixed urinary incontinence in Italy. BJOG. 2003;110(10):927–33.CrossRefPubMed
26.
Yang SH, Yang JM, Wang KH, Huang WC. Biologic correlates of sexual function in women with stress urinary incontinence. J Sex Med. 2008;5(12):2871–2879.CrossRefPubMed
27.
Morgan DM, Dunn RL, Stoffel JT, Fenner DE, DeLancey JO, McGuire EJ, et al. Are persistent or recurrent symptoms of urinary incontinence after surgery associated with adverse effects on sexual activity or function? Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(4):509–515.CrossRefPubMed
28.
Madhu C, Hashim H, Enki D, Yaasin M, Drake M. Coital incontinence: what can we learn from urodynamic assessment? Urology. 2015;85(5):1034–8.CrossRefPubMed
29.
Huang AJ, Brown JS, Kanaya AM, Creasman JM, Ragins AI, Van Den Eeden SK, et al. Quality-of-life impact and treatment of urinary incontinence in ethnically diverse older women. Arch Intern Med. 2006;166(18):2000–6.CrossRefPubMed
Metadata
Title
Coital incontinence: a factor for deteriorated health-related quality of life and sexual function in women with urodynamic stress urinary incontinence
Authors
Magdalena Emilia Grzybowska
Dariusz Grzegorz Wydra
Publication date
01-05-2017
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 5/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-016-3185-3

Other articles of this Issue 5/2017

International Urogynecology Journal 5/2017 Go to the issue

Original Article

Incidence of pelvic organ prolapse repair subsequent to hysterectomy: a comparison between radical hysterectomy and total abdominal hysterectomy

Urogynecology Digest

Urogynecology digest

Special Contribution

Clinical epidemiological insights into urinary incontinence

Letter to the Editor

Origin of the midurethral sling operation

Images in Urogynecology

Transvaginal excision of complete vaginal septum with hysterectomy in a nulliparous woman with uterus didelphys

Review Article

Carcinogenic potential of polypropylene mid-urethral slings: what do we know so far?