Sexual function in women with anal incontinence using a new instrument: the PISQ-IR
| Autor: | Rebecca G. Rogers, Dorothy Kammerer-Doak, Mitesh Parekh, Joan Pitkin, Peter K. Sand, Rachel N. Pauls |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Urinary Incontinence Stress Urology Pelvic Floor Disorders Diabetes Complications Sexually active Surveys and Questionnaires Humans Medicine Aged Gynecology Pelvic organ Depression business.industry Obstetrics and Gynecology Urinary Incontinence Urge Middle Aged Cross-Sectional Studies Female business Sexual function Sexuality Fecal Incontinence |
| Zdroj: | International Urogynecology Journal. 26:657-663 |
| ISSN: | 1433-3023 0937-3462 |
| Popis: | Anal incontinence (AI) has been associated with sexual complaints. The Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA Revised (PISQ-IR) has been validated to measure sexual function in sexually active (SA) and non-SA (NSA) women with pelvic floor disorders (PFD) including AI. We describe symptoms in women with PFDs including AI using this instrument.This was a planned secondary analysis of data collected for the validation of the PISQ-IR. SA and NSA women with symptoms of pelvic organ prolapse, urinary incontinence (UI) and/or AI at 12 US and 5 UK sites were recruited. The Female Sexual Function Index (FSFI) and PISQ-IR were completed in addition to the Pelvic Floor Distress Inventory (PFDI), and other measures.Of 872 women enrolled, 90 (10%) reported AI. Compared with women without AI, women with AI were more likely to report stress UI (p = 0.007), urgency UI (p0.001), mixed UI (p0.001), diabetes (p = 0.036) and depression (p0.001), and to show larger genital hiatus measurements (p = 0.005) and more underactive pelvic floor muscles (p = 0.011). Furthermore, scores on the PFDI showed greater bother (p = 0.013), particularly the colorectal subscale (p0.001). While sexual activity was similar between the groups, FSFI desire (p = 0.016), PISQ-IR 'condition-specific' (p = 0.03) and 'global quality' (p = 0.046) domains were worse in women with AI. In logistic regression analysis, only the PISQ-IR 'condition-specific' domain was associated with AI when controlling for other confounders (OR 0.27, 95% CI 0.10 - 0.72, p = 0.009).Women with AI have similar rates of sexual activity but poorer sexual function than women without AI. The PISQ-IR may be most appropriate to characterize these conditions. |
| Databáze: | OpenAIRE |
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