Female sexual dysfunction in patients with urinary incontinence and LUTS
IUGA Academy. rizvi r. Jun 30, 2018; 212873; 388 Topic: Sexual Dysfunction
Dr. raheela rizvi
Dr. raheela rizvi

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Female sexual dysfunction in patients with urinary incontinence and LUTS

Rizvi, R1; Aziz, W1; Khoso, R1

1: Aga Khan University

Introduction: Female sexual dysfunction (FSD) is rarely talked about. There is sparse data on prevalence of this condition specially from our part of world. Barriers to research on the subject include social taboos, lack of trained physicians, and absence of validated questionnaires in local languages. Many such barriers are now overcome; there is increasing awareness among patients and Female Sexual Function Index Questionnaire (FSFI) is now translated and validated in Urdu. This is a 19 question, self-administer questionnaire consisting of 6 domains which have validated for use for diagnosis as well as categorizing FSD. Female sexual dysfunction is common among patients with urinary incontinence and lower urinary tract symptoms (UI/LUTS). Relationship between FSD and UI/LUTS is multifaceted. Firstly, several conditions associated with UI/LUTS e.g., endometriosis, cystocele and atrophic vaginitis are also implicated in FSD. Secondly, UI/LUTS specially Incontinence leads to low self-esteem in women which may be a causative factor in FSD. Finally, if FSD is attributable to UI/LUTS, then treatment of these conditions should, at least partially, improve FSD. Considering scarce information on the subject, we aimed to determine the frequency of FSD in patients presenting with LUTS/UI in our setting. We also wanted to determine the impact of UI/LUTS on female sexual function.

Objective: To determine the frequency of Female sexual dysfunction (FSD) in patients with urinary incontinence and lower urinary tract symptoms (UI/LUTS) and to determine the impact of UI/LUTS on Female Sexual Function

Methods: Sexually active females 18-60 years of age presented with urinary incontinence at urogynaecology clinic of Aga Khan University Hospital with UI/LUTS of more than 6-month duration were included. Patients with language barrier, not willing to participate and with neurological deficit or psychiatric condition were excluded. Data was collected for demographics including Age, Parity, duration of stable relationship, occupation, primary language, education level and socioeconomic status. Duration and type of UI/LUTS was recorded. Patients were asked “How much your urinary symptoms affect your sexual life?” Response of the patient was recorded as mild, moderate, and severe. All patients were asked to fill FSFI questionnaire to quantify their sexual function.

Results: Ninety-seven patients were included in the study with mean age of 48 +/-2 years. Most 75 (77%) were housewives and36 (37%) were postmenopausal. Up to 73% patients reported either moderate or severe impact of urinary symptoms on their sexual life with median FSFI Score of 46 (IQR34-58). When patients with sexual dysfunction (FSFI<27) were compared with those without sexual dysfunction (FSFI>27) there was no difference in age, parity, menopausal status or severity of LUTS between two groups.

Conclusion: Sexual dysfunction is common among female patients presenting with LUTS irrespective of age, menopausal status or severity of LUTS. FSFI correlates well with patient reported impact of LUTS on their sexual life.


Work supported by industry: no. A consultant, employee (part time or full time) or shareholder is among the authors (Aga Khan University ).

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