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

International Urogynecology Journal volume 17, pages 14–17 (2006)Cite this article

Abstract

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.

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Affiliations

  1. Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Southern California, 1240 N. Mission Rd Room L 1022, Los Angeles, 90033, CA

    Begüm Özel, Terry White, Rebecca Urwitz-Lane & Steven Minaglia

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  1. Begüm Özel
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  2. Terry White
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  3. Rebecca Urwitz-Lane
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  4. Steven Minaglia
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Correspondence to Begüm Özel.

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Özel, B., White, T., Urwitz-Lane, R. et al. The impact of pelvic organ prolapse on sexual function in women with urinary incontinence. Int Urogynecol J 17, 14–17 (2006). https://doi.org/10.1007/s00192-005-1327-0

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  • DOI: https://doi.org/10.1007/s00192-005-1327-0

Keywords

  • Urinary incontinence
  • Pelvic organ prolapse
  • Sexual function