Abstract
The aim of this study was to assess the effect of a program of supervised pelvic floor muscle training (PFMT) on sexual function, in a group of women with urodynamically diagnosed stress urinary incontinence (SUI), using a validated questionnaire. Incontinence episodes frequency and continence pads used per week were measured before and after treatment using a 7-day bladder diary. Improvements in sexual function were assessed using the Female Sexual Function Index (FSFI). Seventy women completed the 12-month program of supervised PFMT successfully. At the end of the study, incontinence episode frequency decreased by 38.1%, and patients required 39% less pads per week. All domains of the FSFI were also significantly improved with median total FSFI scores increasing from 20.3 to 26.8. This is one of the few studies to quantify, using a validated questionnaire, the improvement in sexual function of women with SUI, undergoing successfully a 12-month supervised PFMT program.
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References
Salonia A, Briganti A, Deho F, Zanni G, Rigatti P, Montorsi F (2006) Women’s sexual dysfunction: a review of the “surgical landscape”. Eur Urol 50:44–52
Wehrberger C, Temml C, Ponholzer A, Madersbacher S (2006) Incidence and remission of female urinary incontinence over 6.5 years: analysis of a health-screening project. Eur Urol 50:327–332
Salonia A, Zanni G, Nappi RE, Briganti A, Deho F, Fabbri F et al (2004) Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study. Eur Urol 45:642–648
Shaw C (2002) A systematic review of the literature on the prevalence of sexual impairment in women with urinary incontinence and the prevalence of urinary leakage during sexual activity. Eur Urol 42:432–440
Sutherst J, Brown M (1980) Sexual dysfunction associated with urinary incontinence. Urol Int 35:414–416
Hatzimouratidis K, Konstantinidou E Hatzichristou D (2006) Dilemmas in the management of female stress incontinence: the role of pelvic floor muscle training. Int Urol Nephrol 38:513–525
Konstantinidou E, Apostolidis A, Kondelidis N, Tsimtsiou Z, Hatzichristou D, Ioannides E (2007) Short-term efficacy of group pelvic floor training under intensive supervision versus unsupervised home training for female stress urinary incontinence: a randomized pilot study. Neurourol Urodyn 26:486–491, Jan 23
Beji NK, Yalcin O, Erkan HA (2003) The effect of pelvic floor training on sexual function of treated patients. Int Urogynecol J Pelvic Floor Dysfunct 14:234–238
Bo K, Talseth T, Vinsnes A (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 79:598–603
Derogatis LR, Rosen R, Leiblum S, Burnett A, Heiman J (2002) The Female Sexual Distress Scale (FSDS): initial validation of a standardized scale for assessment of sexually related personal distress in women. J Sex Marital Ther 28:317–330
Hatzimouratidis K, Hatzichristou D (2007) Sexual dysfunctions: classifications and definitions. J Sex Med 4(1):241–250
Barber MD, Visco AG, Wyman JF, Fantl JA, Bump RC (2002) Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstet Gynecol 99:281–290
Abrams P, Blaivas JG, Stanton SL, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardization of terminology of lower urinary tract function. Report from the standardization subcommittee of the International Continence Society. Neurourol Urodyn 21:167–178
Basson R, Berman J, Burnett A, Derogatis L, Ferguson D, Fourcroy J et al (2000) Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 163:888–893
Wiegel M, Meston C, Rosen R (2005) The female sexual function index (FSFI): cross-validation and development of clinical cut-off scores. J Sex Marital Ther 31:1–20
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R et al (2000) The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 26:191–208
Theofrastous JP, Wyman JF, Bump RC, McClish DK, Elser DM, Bland DR, Fantl JA (2002) Effects of pelvic floor muscle training on strength and predictors of response in the treatment of urinary incontinence. Neurourol Urodyn 21:486–490
Clark A, Romm J (1993) Effect of urinary incontinence on sexual activity in women. J Reprod Med 38:679–683
Bo K, Sherburn M (2005) Evaluation of female pelvic-floor muscle function and strength. Phys Ther 85(3):269–282
Frawley H (2006) Pelvic floor muscle strength testing. Aust J Physiother 52(4):307
Aslan G, Koseoglu H, Sadik O, Gimen S, Cihan A, Esen A (2005) Sexual function in women with urinary incontinence. Int J Impot Res 17:248–251
Klemm LW, Creason NS (1991) Self-care practices of women with urinary incontinence—a preliminary study. Health Care Women Int 2:199–209
Berglund AL, Fugl-Meyer KS (1996) Some sexological characteristics of stress incontinent women. Scand J Urol Nephrol 30:207–212
Rogers GR, Villarreal A, Kammerer-Doak D, Qualls C (2001) Sexual function in women with and without urinary incontinence and/or pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 12:361–365
Moran PA, Dwyer PL, Ziccone SP (1999) Urinary leakage during coitus in women. J Obstet Gynecol 19:286–288
Khan Z, Bhola A, Starer P (1988) Urinary incontinence during orgasm. Urology 31:279–282
Bo K (2004) Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work? Int Urogynecol J Pelvic Floor Dysfunct 5:76–84
Graber B, Kline-Graber G (1979) Female orgasm: role of pubococcygeus muscle. J Clin Psychiatry 40:348–351
Achtari C, Dwyer P (2005) Sexual function and pelvic floor disorders. Best Pract Res Clin Obstet Gynecol 19:993–1008
Helstrom L, Nilssin B (2005) Impact of vaginal surgery on sexuality and quality of life in women with urinary incontinence or genital descensus. Acta Obstet Gynecol Scand 84:79–84
Ghezzi F, Serati M, Cromi A, Uccella S, Triacca P, Bolis P (2006) Impact of tension-free vaginal tape on sexual function: results of a prospective study. Int Urogynecol J Pelvic Floor Dysfunct 17:54–59
Elzevier HW, Venema PL, Lycklama A, Nijeholt AA (2004) Sexual function after tension-free vaginal tape (TVT) for stress incontinence:results of a mailed questionnaire. Int Urogynecol J Pelvic Floor Dysfunct 15:313–318
Aschkenazi S, Miller J, Beaumont J, Botros S, Sand P, Goldberg R (2006) Sexual function before and after vaginal prolapse surgery with allograft reinforcement. Neurourol Urodyn 25:669–670
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Zahariou, A.G., Karamouti, M.V. & Papaioannou, P.D. Pelvic floor muscle training improves sexual function of women with stress urinary incontinence. Int Urogynecol J 19, 401–406 (2008). https://doi.org/10.1007/s00192-007-0452-3
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DOI: https://doi.org/10.1007/s00192-007-0452-3