Espuña Pons Montserrat, Puig Clota Montserrat
Institut Ginecología, Obstetricia i Neonatología, Hospital Clinic, University of Barcelona, 08036 C/ Villarroel 170, Barcelona, Spain.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 May;19(5):621-5. doi: 10.1007/s00192-007-0490-x. Epub 2007 Nov 1.
The aim of this present study was to measure the impact of coital urinary incontinence (UI) on sexually active women quality of life (QoL). Epidemiological, observational, cross-sectional, and multicenter study including 633 sexually active women seeking treatment for UI and/or overactive bladder in a gynecological clinic, aged between 24 and 83 years. All women filled out the King's Health Questionnaire-KHQ. With this questionnaire, we had a complete register of the different urinary symptoms, included coital UI, and the extent of how they affect patient's life and the measurement of impact on the patient's QoL by the KHQ score. Prevalence of coital incontinence in sexually active women was 36.2%, classifying this impact as low (59.8%), moderate (32.3%), and high (7.9%). Women reporting coital incontinence had similar mean age and body mass index (BMI) to those women without coital incontinence. Women with coital incontinence had higher scores (worse QoL) in all the dimensions and in the KHQ global score (p < 0.05). Coital incontinence was the only variable showing an independent relation to KHQ global score (B = 10.1; 95% confidence interval = 1.7-18.6) in a multiple regression model adjusted to age, BMI, and the other urinary symptoms under study. One third of the sexually active women with urinary symptoms had coital incontinence. Among sexually active women with urinary symptoms, patients with coital urinary incontinence had a higher impact on their QoL than those without coital incontinence. Coital incontinence is independently related to a KHQ high score, which suggest worse QoL.
本研究的目的是衡量性交性尿失禁（UI）对性活跃女性生活质量（QoL）的影响。这是一项流行病学、观察性、横断面多中心研究，纳入了633名在妇科诊所寻求治疗UI和/或膀胱过度活动症的性活跃女性，年龄在24至83岁之间。所有女性均填写了国王健康问卷（KHQ）。通过这份问卷，我们完整记录了不同的泌尿系统症状，包括性交性UI，以及它们对患者生活的影响程度，并通过KHQ评分来衡量对患者生活质量的影响。性活跃女性中性交性尿失禁的患病率为36.2%，将这种影响分为低（59.8%）、中度（32.3%）和高度（7.9%）。报告有性交性尿失禁的女性与无性交性尿失禁的女性平均年龄和体重指数（BMI）相似。有性交性尿失禁的女性在所有维度以及KHQ总体评分中得分更高（生活质量更差）（p<0.05）。在调整了年龄、BMI和其他所研究的泌尿系统症状的多元回归模型中，性交性尿失禁是唯一与KHQ总体评分呈独立相关的变量（B = 10.1；95%置信区间 = 1.7 - 18.6）。有泌尿系统症状的性活跃女性中有三分之一患有性交性尿失禁。在有泌尿系统症状的性活跃女性中，性交性尿失禁患者对其生活质量的影响高于无性交性尿失禁的患者。性交性尿失禁与KHQ高分独立相关，这表明生活质量较差。
