The association between fecal incontinence and sexual activity and function in women attending a tertiary referral center
Tóm tắt
To determine whether fecal incontinence (FI) is associated with sexual activity and to compare sexual function in women with and without FI. We conducted a retrospective chart review of all new patients seen in an academic urogynecology clinic. Women who reported fecal incontinence, as defined by loss of fecal material on the Wexner scale, were compared with those without fecal incontinence. We compared sexual activity and Pelvic Organ Prolapse Incontinence Sexual Questionnaire-12 (PISQ-12) scores between groups. In our population of women with pelvic floor disorder, 588 women reported FI compared with 527 who did not. On multivariate analysis, FI was not associated with sexual activity status, but was associated with worsened PISQ-12 scores (p < 0.001). PISQ-12 item analysis found that women with FI reported more dyspareunia, fear, and avoidance of sexual activity with greater partner problems (all p <0.05) than women without FI. Women with FI were as likely to engage in sexual relations as women without FI; however, sexually active women with FI had poorer sexual function than those without FI.
Tài liệu tham khảo
citation_journal_title=Am J Obstet Gynecol; citation_title=Anal incontinence in women presenting for gynecologic care: prevalence, risk factors and impact upon quality of life; citation_author=M Boreham, H Richter, K Kenton, C Nager, WT Gregory, MP Aronson, V Vogt, D Mcintire, J Schaffer; citation_volume=192; citation_issue=5; citation_publication_date=2005; citation_pages=1637-1642; citation_doi=10.1016/j.ajog.2004.11.030; citation_id=CR1
citation_journal_title=Gut; citation_title=Prevalence of faecal incontinence in adults aged 40 years or more living in the community; citation_author=S Perry, C Shaw, C McGrother, RJ Matthew, RP Assassa, H Dallosso; citation_volume=50; citation_publication_date=2002; citation_pages=480-484; citation_doi=10.1136/gut.50.4.480; citation_id=CR2
citation_journal_title=Am J Gastroenterol; citation_title=Epidemiology of fecal incontinence: the silent affliction; citation_author=JF Johanson, J Lafferty; citation_volume=91; citation_publication_date=1996; citation_pages=33-36; citation_id=CR3
citation_journal_title=Eur J Obstet Gynecol Reprod Biol; citation_title=Prevalence of and quality of life related to anal incontinence in women with urinary incontinence and pelvic organ prolapse; citation_author=P Mello Portella, PC Feldner, JC Conceição, RA Castro, MG Sartori, MJ Girão; citation_volume=160; citation_issue=2; citation_publication_date=2012; citation_pages=228-231; citation_doi=10.1016/j.ejogrb.2011.11.009; citation_id=CR4
Norton C, Christiansen I, Butler U, Harari D, Nelson RL, Pemberton J (2001–2002) Anal incontinence. In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence, 2nd edn, International Consultation on Incontinence. Health Publications, Paris
citation_journal_title=Int Urogynecol J Pelvic Floor Dysfunct; citation_title=Prevalence of anal incontinence according to age and gender: a systematic review and meta-regression analysis; citation_author=SJ Pretlove, S Radley, PM Tooz-Hobson, PJ Thompson, A Coomarasamy, KS Khan; citation_volume=17; citation_publication_date=2006; citation_pages=407-417; citation_doi=10.1007/s00192-005-0014-5; citation_id=CR6
citation_journal_title=Dis Colon Rectum; citation_title=Fecal incontinence decreases sexual quality of life, but does not prevent sexual activity in women; citation_author=LR Imhoff, JS Brown, JM Creasman, LL Subak, SK Eeden, DH Thom, MG Varma, AJ Huang; citation_volume=55; citation_issue=10; citation_publication_date=2012; citation_pages=1059-1065; citation_doi=10.1097/DCR.0b013e318265795d; citation_id=CR7
citation_journal_title=Dis Colon Rectum; citation_title=Long-term anorectal and sexual function after overlapping anterior anal sphincter repair: a case-match study; citation_author=S Riss, A Stift, B Teleky, E Rieder, M Mattlbock, A Maier, F Herbst; citation_volume=52; citation_publication_date=2009; citation_pages=1095-1100; citation_doi=10.1007/DCR.0b013e31819f60f6; citation_id=CR8
citation_journal_title=Am J Obstet Gynecol; citation_title=Sexual function, quality of life, and severity of anal incontinence after anal sphincteroplasty; citation_author=E Trowbridge, D Morgan, M Trowbridge, J Delancey, D Fenner; citation_volume=195; citation_publication_date=2006; citation_pages=1753-1757; citation_doi=10.1016/j.ajog.2006.07.030; citation_id=CR9
citation_journal_title=Am J Obstet Gynecol; citation_title=Sexual function following anal sphincteroplasty for fecal incontinence; citation_author=RN Pauls, WA Silva, CM Rooney, S Siddighi, SA Kleeman, V Dryfhout, MM Karram; citation_volume=197; citation_issue=6; citation_publication_date=2007; citation_pages=636; citation_id=CR10
citation_journal_title=Int Urogynecol J Pelvic Floor Dysfunct; citation_title=A short form of the pelvic organ prolapse/urinary incontinence sexual questionnaire (PISQ-12); citation_author=RG Rogers, KW Coates, D Kammerer-Doak, S Khalsa, C Qualls; citation_volume=14; citation_issue=3; citation_publication_date=2003; citation_pages=164-168; citation_doi=10.1007/s00192-003-1063-2; citation_id=CR11
citation_journal_title=Am J Obstet Gynecol; citation_title=Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7); citation_author=MD Barber, MD Walters, RC Bump; citation_volume=193; citation_issue=1; citation_publication_date=2005; citation_pages=103-113; citation_doi=10.1016/j.ajog.2004.12.025; citation_id=CR12
citation_journal_title=J Epidemiol Community Health; citation_title=Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey; citation_author=H Sandvik, S Hunskaar, A Seim, R Hermstad, A Vanvik, H Bratt; citation_volume=47; citation_publication_date=1993; citation_pages=497-499; citation_doi=10.1136/jech.47.6.497; citation_id=CR13
citation_journal_title=Am J Obstet Gynecol; citation_title=The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction; citation_author=RC Bump, A Mattiasson, K Bø, LP Brubaker, JO DeLancey, P Klarskov, BL Shull, AR Smith; citation_volume=175; citation_issue=1; citation_publication_date=1996; citation_pages=10-17; citation_doi=10.1016/S0002-9378(96)70243-0; citation_id=CR14
citation_journal_title=Female Pelvic Med Reconstr Surg; citation_title=A valid form of the PISQ-12, the PISQ-9, for Use in comparative studies of women with and without pelvic organ prolapse and/or urinary incontinence; citation_author=SO Aschkenazi, RG Rogers, J Beaumont, SM Botros, PK Sand, RP Goldberg; citation_volume=16; citation_issue=4; citation_publication_date=2010; citation_pages=218-223; citation_doi=10.1097/SPV.0b013e3181e4f132; citation_id=CR15
citation_journal_title=J Reprod Med; citation_title=Symptoms of anal incontinence and impact on sexual function; citation_author=M Patel, DM O’Sullivan, AC Steinberg; citation_volume=54; citation_issue=8; citation_publication_date=2009; citation_pages=493-498; citation_id=CR16
citation_journal_title=Age Ageing; citation_title=The prevalence of fecal incontinence in older people living at home; citation_author=NI Edwards, D Jones; citation_volume=30; citation_issue=6; citation_publication_date=2001; citation_pages=503-507; citation_doi=10.1093/ageing/30.6.503; citation_id=CR17