Rebecca Urwitz-Lane

The impact of pelvic organ prolapse on sexual function in women with urinary incontinence

The aim of the study is to evaluate the impact of pelvic organ prolapse (POP) on sexual function in women with urinary incontinence (UI). In this retrospective, case-cohort study, we reviewed the medical records of all women evaluated for UI between March and November 2003. All patients completed the short forms of the Urogenital Distress Inventory, Incontinence Impact Questionnaire, and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire. Women with stage two or greater POP, as determined by the pelvic organ prolapse quantification (POPQ) system, were compared to women with stage 0 or 1 POP. Sixty-nine women with POP and 47 women without POP were included. Patient demographics did not differ between the two groups. Women with POP were significantly more likely to report absence of libido (53% versus 30%, P=0.02), lack of sexual excitement during intercourse (46% versus 27%, P=0.05), and that they rarely experienced orgasm during intercourse (49% versus 30%, P=0.05). In conclusion, women with POP in addition to UI are more likely to report decreased libido, decreased sexual excitement, and difficulty achieving orgasm during intercourse when compared to women with UI alone.

NON-ORAL POSTER 39: Sexual Function in Women With Urodynamic Stress Incontinence, Detrusor Overactivity, and Mixed Urinary Incontinence

OBJECTIVE This study was undertaken to compare sexual function in sexually active women with urodynamic stress incontinence (USI), detrusor overactivity (DO), and mixed urinary incontinence (MUI). STUDY DESIGN We reviewed the medical records of all women evaluated for urinary incontinence (UI) at our institution between March 2003 and August 2004. At the time of initial evaluation, all women completed the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12). PISQ-12 scores of age-matched women with urodynamic diagnoses of USI, DO, and MUI were compared. Statistical analysis was performed with 1-way analysis of variance and chi2 contingency table analysis. RESULTS Fifty women with USI, 50 with DO, and 48 with MUI were included in this study. Subject demographics were similar among the 3 groups. Mean PISQ-12 scores did not differ significantly among the 3 groups. CONCLUSION Among sexually active women with urinary incontinence, sexual function as assessed by the PISQ-12 does not differ according to type of incontinence.