Stoykov B.A. 1 , Gincheva D.H. 2 , Genov P.P. 1
1Medical University Hospital, Dept. of Urology, Pleven, Bulgaria, 2Medical Center Clinical Institute for Reproductive Medicine “St. Elissaveta”- Pleven, Bulgaria, Dept. of Gynecology, Pleven, Bulgaria
Introduction & Objectives: A number of up-to-date statistics show that a large number of obese women with reproductive problems have urinary incontinence. The objective of this study was to present the importance of urinary incontinence on sexual activity in obese women with reproductive problems.
Materials & Methods: For the period from 01.07.2015 to 01.07.2017 in Medical Center Clinical Institute for Reproductive Medicine “St. Elissaveta”- Pleven, Bulgaria and Medical University Hospital, Department of Urology Pleven, Bulgaria, a total of 44 incontinent obese women with reproductive problems (group 1) were included in the study. All of them were sexually active with a body mass index of over 25. A total of 28, sexually active continent obese women served as controls (group 2). We used the International Consultation of Incontinence Questionnaire-Short Form-ICIQ-SF to evaluate severity and frequency of incontinence. All patients were asked to complete also the short form of Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) to found various types of urinary incontinence and sexual functions in patients. We compared the mean scores between these two groups.
Results: Mean age of obese women with stress urinary incontinence (SUI) was 37.15±1.2 years old, with urgency urinary incontinence (UUI) - 45.26±0.5 years old, with mixed urinary incontinence (MUI) - 44.51±1.8 years old and controls were 38,12±1.5 years old. In patients with SUI and control group age was significantly lower (p<0.05). We also established that there is no significant difference among the incontinence types. Total score of PISQ-12 in obese women without and with various type of incontinence were: controls - 11.00±4.51; SUI - 16.26±5.68; UUI - 16.00±4.12; MUI - 17.35±7.11. Total score of PISQ-12 was significantly higher in incontinent obese women (p<0.05).
Conclusions: Urinary incontinence have negative impact on the sexual activity in obese women with reproductive problems. The severity and frequency of incontinence have also a significant importance on sexual function in these patients.
Eur Urol Suppl 2017; 16(11);e2894