eISSN: 2720-5371
ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
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3/2020
vol. 29
 
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abstract:
Original paper

Clinical presentation, sexual function and quality of life as predictors of sexual satisfaction among women with urinary incontinence before a vaginal revitalization procedure

Malwina Soja
1
,
Wojciech Grabczak
2
,
Katarzyna Nowakowska-Domagała
3
,
Rafał Grabczak
4
,
Tadeusz Pietras
5
,
Łukasz Mokros
6

  1. Department of Operative Gynaecology and Gynaecological Oncology, Polish Mother’s Memorial Hospital-Research Institute in Lodz, Poland
  2. Department of Oncological Surgery and Breast Diseases, Institute of Polish Mother’s Memorial Hospital Research Institute in Lodz, Poland
  3. Institute of Psychology University of Lodz, Poland
  4. Non-public health care institution „Profmed”, Krasnystaw, Poland
  5. Institute of Psychiatry and Neurology, Second Department of Psychiatry, Warsaw, Poland
  6. Department of Clinical Pharmacology, Medical University of Lodz, Poland
Adv Psychiatry Neurol 2020; 29 (3): 154-160
DOI: https://doi.org/10.5114/ppn.2020.101203
Online publish date: 2020/11/24
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Introduction
Urinary incontinence (UI) is a common condition among women that affects quality of life, depressive symptoms and sexual function. The aim of the study was to verify whether clinical data, sexual dysfunction and quality of life may be independent predictors of life satisfaction of women with UI.

Material and methods
The study group included 76 patients who reported to a gynaecological clinic for vaginal revitalisation due to symptoms typical of UI. The patients completed: Life Satisfaction Questionnaire (FLZ), Female Sexual Function Index (FSFI), Incontinence Quality of Life Questionnaire (I-QOL) and Beck Depression Inventory (BDI).

Results
The UI patients presented a lower mean score regarding satisfaction with sex than a comparable healthy population. A high score on the FLZ-sex scale was predicted by lack of labour complications, a high score on the FLZ-health and FLZ-relationships scales, and FSFI arousal scale.

Conclusions
UI appears to be linked particularly strongly to low satisfaction with sex as a dimension of life satisfaction. Memory of labour complications was associated to dissatisfaction with sex. On the other hand, no link between satisfaction with sex and episiotomy, caesarean section or natural childbirth was found. High satisfaction with sex was linked to high satisfaction with general health and relationship, as well as high arousal as a sexual function.

keywords:

satisfaction with sex, urinary incontinence, depressive symptoms
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