The prevalence of sexual problems in women attending for urodynamic investigation

✍ Scribed by S. M. Field; P. Hilton

• Book ID: 104745916
• Publisher: Springer
• Year: 1993
• Tongue: English
• Weight: 398 KB
• Volume: 4
• Category: Article
• ISSN: 0937-3462
• DOI: 10.1007/bf00372342

✦ Synopsis

One hundred consecutive new patients attending for urodynamic investigation were assessed using a questionnaire to investigate the prevalence and nature of sexual dysfunction. Of the 59 who were sexually active, 29 (49%) had a sexual dysfunction as defined by the study: 9 of these considered themselves to have a sexual problem and 6 would have liked therapy. Forty-one patients were not sexually active, 7 because of dyspareunia (ascribed to previous incontinence surgery in 3 cases), and 3 avoided intercourse because of their bladder problems. Sexual dysfunction was identified in 29% of those with genuine stress incontinence, 71% of those with detrusor instability and 54% of those in whom no urodynamic abnormality was detected. Bladder symptoms during intercourse were reported by 22 women (38%), particularly those with detrusor instability, and 11 (19%) were incontinent during intercourse. A significant proportion of women with bladder symptoms also suffer sexual difficulties, more so those with detrusor instability than those with genuine stress incontinence. Discussion of sexual matters should be a routine part of the assessment of women with urinary complaints.