International Urogynecology Journal

, Volume 14, Issue 4, pp 234–238 | Cite as

The effect of pelvic floor training on sexual function of treated patients

  • Nezihe Kizilkaya Beji
  • Onay Yalcin
  • Habibe Ayyildiz Erkan
Original Article

Abstract

The aim of this study was to determine the effects of improvements in urinary incontinence resulting from pelvic floor rehabilitation on the sexual function of patients. The study involved 42 clinic patients who received pelvic floor rehabilitation treatment. Their sexual histories were obtained through face-to-face interviews. Pelvic muscle strength was measured with a perineometer. Improvement in incontinence was measured with the pad test. Seventeen women reported decreased sexual desire before the treatment; 5 of these indicated improvement after treatment. Nine of 17 women who experienced dyspareunia prior to treatment reported an improvement afterwards, and four women reported complete relief from pain. Five of 15 women who complained of difficulty in reaching climax before the treatment experienced improvement in this area. In conclusion, an improvement in sexual desire, performance during coitus and achievement of orgasm were observed in women who received pelvic floor muscle rehabilitation. No change was seen in the arousal and resolution stages of sexual activity.

Keywords

Pelvic floor rehabilitation Sexual function Urinary incontinence 

Abbreviation

FES

Functional electrical stimulation

References

  1. 1.
    Dolman M (1997) Continence issues. In: Andrews G, ed. Women's sexual health. London, Baillière Tindall, 365–389Google Scholar
  2. 2.
    Gordon D, Groutz A, Sinai T et al. (1999) Sexual function in women attending a urogynecology clinic. Int Urogynecol J 10:325–328CrossRefGoogle Scholar
  3. 3.
    Moller LA, Lose G (2000) Sexuality and urinary incontinence: Cause or effect? Int Urogynecol J 11:58Google Scholar
  4. 4.
    Mouritsen L (1997) Sex and urogynecological problems − a survey. Nordisk Sexologi 15:89–98Google Scholar
  5. 5.
    Temml C, Haidinger G, Schmidbauer J et al. (2000) Urinary incontinence in both sexes: Prevalence rates and impact on quality of life and sexual life. Neurol Urodyn 19:259–271CrossRefGoogle Scholar
  6. 6.
    Weber AM, Walters MD, Schover LR et al. (1995) Sexual function in women with uterovaginal prolapse and urinary incontinence. Obstet Gynecol 85:483–487CrossRefPubMedGoogle Scholar
  7. 7.
    Winder A (1995) Sexuality and incontinence, professional issues. London, Association for Continence AdviceGoogle Scholar
  8. 8.
    Fantl JA, Newman DK, Colling J et al. (1996) Urinary incontinence in adults: Acute and chronic management. Rockville MD, US Department of Health and Human ServicesGoogle Scholar
  9. 9.
    Hahn I, Milsom I, Fall M et al. (1993) Long-term results of pelvic floor training in female stress urinary incontinence. Br J Urol 72:421–427PubMedGoogle Scholar
  10. 10.
    Meyer S, Dhenin T, Schmidt N et al. (1992) Subjective and objective effects of intravaginal electrical myostimulation and biofeedback in patients with genuine stress urinary incontinence. Br J Urol 69:584–588PubMedGoogle Scholar
  11. 11.
    Sampselle CM, Dougherty MC, Newman DK et al. (1997) Continence for women: evidence-based practice. JOGNN 26:375–385PubMedGoogle Scholar
  12. 12.
    Bo K, Talselth T, Vinsnes J (2000) Randomized controlled trial on the effect of pelvic floor muscle training on quality of life and sexual problems in genuine stress incontinent women. Acta Obstet Gynecol Scand 79:598–603CrossRefPubMedGoogle Scholar
  13. 13.
    Laycock J, Green PJ (1988) Interferential therapy in the treatment of incontinence. Physiotherapy 74:161–168Google Scholar
  14. 14.
    Brink CA, Wells TJ, Sampselle CM et al. (1994) A digital test for pelvic muscle strength in women with urinary incontinence. Nurs Res 43:352PubMedGoogle Scholar
  15. 15.
    Jabs C, Baessler K, Stanton SL (2000) Coital Incontinence among urogynecological patients. International Continence Society Annual Meeting 177Google Scholar
  16. 16.
    Weber AM, Walters MD, Schover LR, Mitchinson A. (1995)Vaginal anatomy and sexual function. Obstet Gynecol 86:946–949PubMedGoogle Scholar

Copyright information

© International Urogynecological Association 2003

Authors and Affiliations

  • Nezihe Kizilkaya Beji
    • 1
  • Onay Yalcin
    • 2
  • Habibe Ayyildiz Erkan
    • 2
  1. 1.Department of Obstetric and Gynecologic Nursing, Florence Nightingale College of NursingIstanbul UniversityIstanbulTurkey
  2. 2.Department of Obstetrics and GynecologyIstanbul University Medical FacultyIstanbulTurkey

Personalised recommendations