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Obstet Gynecol Sci > Volume 54(12); 2011 > Article
Korean Journal of Obstetrics & Gynecology 2011;54(12):778-783.
DOI: https://doi.org/10.5468/KJOG.2011.54.12.778    Published online December 1, 2011.
The impact of symptomatic urinary incontinence on female sexual function in middle- to old-aged Korean women.
Jee Hyun Kim, Yun Hwan Kim, Jin Ju Kim, Sun Mie Kim, Myung Jae Jeon
1Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. jeonmj@snu.ac.kr
2Department of Obstetrics and Gynecology, Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea.
3Health Care System Gangnam Center, Seoul National University Hospital, Seoul, Korea.
To evaluate the impact of symptomatic urinary incontinence (UI) on sexual function in middle- to old-aged Korean women. METHODS: From May 2009 to January 2010, a cross-sectional study was performed including middle- to old-aged, sexually active women who visited comprehensive screening clinic. We performed history taking, biometry, pelvic examination, laboratory test, Pelvic Floor Distress Inventory (PFDI)-20, and Female Sexual Function Index (FSFI). Symptomatic UI was said to be present when the score for the problem-specific PFDI-16/17 questions were > or =2. Participants obtaining a total FSFI score of 26.55 or less were defined as having female sexual dysfunction (FSD). RESULTS: Among 773 enrolled women, 318 (41.14%) had symptomatic UI. FSD was significantly frequent in symptomatic UI group than normal group (62.26% vs. 49.45%, P < 0.05). Symptomatic UI was associated significantly with a total FSFI score in multiple linear regression model (standardized beta = -0.108, P < 0.05). After adjustment of clinical risk factors for FSD by analysis of covariance analyses, symptomatic UI group had significantly lower scores than those of normal groups (24.59 vs. 25.74, P < 0.05), and this was observed in all sub-domains (desire 2.88 vs. 3.05; arousal 3.75 vs. 3.96; orgasm 4.11 vs. 4.36; satisfaction 4.15 vs. 4.33; pain 4.99 vs. 5.20, P < 0.05) except lubrication domain (4.70 vs. 4.84, P = 0.056). CONCLUSION: Symptomatic UI is a risk factor for sexual dysfunction of middle- to old-aged women. Further studies should be followed to evaluate whether the treatment of symptomatic UI could restore the impaired sexual function.
Key Words: Urinary incontinence, Female sexual dysfunction, Female Sexual Function Index, Pelvic Floor Distress Inventory

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