Sexual repercussions, anxiety and depressive symptoms, bowel function, and quality of life in women with stress urinary incontinence: a cross-sectional study
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Abstract
Introduction: The International Continence Society (ICS) classifies urinary incontinence (UI) as any involuntary loss of urine, and it is classified into three subtypes. One of the main factors for the occurrence of SUI is pelvic floor dysfunction (PFD). Objective: To analyze whether there is a difference between women with stress urinary incontinence and continent women in relation to evacuation function, quality of life (QoL), sexual function, and the manifestation of symptoms of anxiety and depression. Methods: Cross-sectional observational study with a quantitative approach and descriptive and inferential analysis. The following instruments were applied: Female Sexual Function Index (FSFI), International Consultation Incontinence Questionnaire - Short Form (ICIQ-SF), a questionnaire based on the ROME III Criteria (CRIII), Beck Anxiety Inventory (BAI), and Beck Depression Inventory II (BDI-II). Results: The sample consisted of 70 participants, divided into two groups, incontinence group (IG=38) and the control group (CG=32). The results of the intergroup comparison analysis: the mean age in the IG was 42.9±12.7 and in the CG 32.2±13.7 years. QoL was impaired in women with SUI (p<0.001). Variables with significant differences related to SUI were submitted to correlation analysis. The higher the age, the greater the relationship with menopause (p<0.001), number of pregnancies (p<0.001), in addition to the worse QoL (p<0.05). Conclusion: The study showed that continent women had a better quality of life. It was noted that both groups had means below the index, suggesting sexual dysfunction. It was also observed that women with SUI had an association with constipation.
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