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Coital urinary incontinence: impact on quality of life as measured by the King’s Health Questionnaire

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Abstract

The aim of this present study was to measure the impact of coital urinary incontinence (UI) on sexually active women quality of life (QoL). Epidemiological, observational, cross-sectional, and multicenter study including 633 sexually active women seeking treatment for UI and/or overactive bladder in a gynecological clinic, aged between 24 and 83 years. All women filled out the King’s Health Questionnaire—KHQ. With this questionnaire, we had a complete register of the different urinary symptoms, included coital UI, and the extent of how they affect patient’s life and the measurement of impact on the patient’s QoL by the KHQ score. Prevalence of coital incontinence in sexually active women was 36.2%, classifying this impact as low (59.8%), moderate (32.3%), and high (7.9%). Women reporting coital incontinence had similar mean age and body mass index (BMI) to those women without coital incontinence. Women with coital incontinence had higher scores (worse QoL) in all the dimensions and in the KHQ global score (p < 0.05). Coital incontinence was the only variable showing an independent relation to KHQ global score (B = 10.1; 95% confidence interval = 1.7–18.6) in a multiple regression model adjusted to age, BMI, and the other urinary symptoms under study. One third of the sexually active women with urinary symptoms had coital incontinence. Among sexually active women with urinary symptoms, patients with coital urinary incontinence had a higher impact on their QoL than those without coital incontinence. Coital incontinence is independently related to a KHQ high score, which suggest worse QoL.

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References

  1. Tannenbaum C, Corcos J, Assalian P (2006) The relationship between sexual activity and urinary incontinence in older women. J Am Geriatr Soc 54:1220–1224

    Article  PubMed  Google Scholar 

  2. Urwitz-Lane R, Ozel B (2006) Sexual function in women with urodynamic stress incontinence, detrusor overactivity, and mixed urinary incontinence. Am J Obstet Gynecol 195:1758–1761

    Article  PubMed  Google Scholar 

  3. Temml C, Heidler S, Ponholzer A, Madersbacher S (2005) Prevalence of the overactive bladder syndrome by applying the international continence society definition. Eur Urol 48:622–627

    Article  PubMed  Google Scholar 

  4. Moran PA, Dwyer PL, Ziccone SP (1999) Urinary leakage during coitus in women. J Obstet Gynaecol 19:286–288

    Article  PubMed  CAS  Google Scholar 

  5. Kizilkaya Beji N, Yalcin O, Ayyildiz EH, Kayir A (2005) Effect of urinary leakage on sexual function during sexual intercourse. Urol Int 74:250–255

    Article  PubMed  Google Scholar 

  6. Oh S, Ku JH, Yun JM, Dim DY, Lee JY, Min KS, Don H, Tho J, Lee K, Park W, Choo M (2006) Generic and disease-specific health-related quality of life in women with coital incontinence: a prospective, multi-center study. Neurourol Urod 26:665

    Google Scholar 

  7. Espuña M, Puig M (2006) Lower urinary symptoms in women and impact on quality of life. Results of the application of the King’s Health Questionnaire. Actas Urol Esp 30:684–691

    Google Scholar 

  8. Kelleher CJ, Cardozo LD, Khullar V, Salvatore S (1997) A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol 104:1374–1379

    PubMed  CAS  Google Scholar 

  9. Badía X, Castro D, Conejero J (2000) Validity of the King’s health questionnaire evaluating the health-related quality of life of patients with urinary incontinence. Med Clin (Barc) 114:647–652

    Google Scholar 

  10. Salonia A, Zanni G, Nappi RE, Briganti A, Deho F, Fabbri F, Colombo R, Guazzoni G, Di Girolamo V, Rigatti P, Montorsi F (2004) Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study. Eur Urol 45:642–628

    Article  PubMed  Google Scholar 

  11. Kim YH, Seo JT, Yoon H (2005) The effect of overactive bladder syndrome on the sexual quality of life in Korean young and middle aged women. Int J Impot Res 17:158–163

    Article  PubMed  CAS  Google Scholar 

  12. Paick JS, Cho MC, Oh SJ, Kim SW, Ku JH (2007) Influence of self-perceived incontinence severity on quality of life and sexual function in women with urinary incontinence. Neurourol Urodyn 26(6):828–835

    Google Scholar 

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Acknowledgement

This work was partially supported by a research grant from Almirall SA.

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Correspondence to Montserrat Espuña Pons.

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Espuña Pons, M., Puig Clota, M. Coital urinary incontinence: impact on quality of life as measured by the King’s Health Questionnaire. Int Urogynecol J 19, 621–625 (2008). https://doi.org/10.1007/s00192-007-0490-x

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  • DOI: https://doi.org/10.1007/s00192-007-0490-x

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