Herrera Pérez A, Arriagada Hernández J, González Espinoza C, Leppe Zamora J, Herrera Neira F
Geriatra, Médico Internista, Clínica Las Condes, Facultad de Medicina Universidad de Chile.
Actas Urol Esp. 2008 Jun;32(6):624-8. doi: 10.1016/s0210-4806(08)73898-1.
Aging is a natural unavoidable process that is expressed through physical, psychological, emotional, and social changes, and that can produce undesirable events, such as Urinary Incontinence (UI). This condition increases with age, is more frequent in women, and can produce impairments in the quality of life, such as social isolation, fear, embarrassment, and self-postponement, among others. This research aimed at describing the quality of life and sexual function in postmenopausal women according to the UI classification through the application of specific questionnaires.
This is a descriptive and cross-sectional study carried out between June and September, 2006. This study included 46 postmenopausal women over 50 years old with clinical and urodynamic diagnosis of UI, active sexual life in the last 3 months. All the subjects answered the King's Health Questionnaire (KHQ) and Female Sexual Function Index [FSFI).
According to the UI classification, 43.5% showed Mixed UI, 37% Stress UI, and 19.6% Urge UI. The most affected domains in the total of the subjects in regards to Quality of Life were "UI impact" (65.2%), "activities performed" (56.5%), and the less affected domain was "personal relations" (15.2%). The most affected UI classification in the KHQ domains was Mixed UI (43.5%), which indicates a greater impairment of the quality of life. The most prevalent disorders of the female sexual function were: decrease of "sexual desire" (45.7%) and "excitation" (30.4%), and the less affected domains were "satisfaction" (8.7%) and "pain" (6.5%). The classification of UI that showed the lower punctuations in FSFI was the Mixed UI.
UI affects quality of life and sexual function being the mixed UI the classification that showed the greatest influence compared to the other two types. Due to the UI is a highly-treatable condition, a comprehensive assessment of these patients is needed, under a bio-psycho-social model, having as central paradigm the improvement of the quality of life, considering the perception of the patients themselves.
衰老是一个自然且不可避免的过程，表现为身体、心理、情感和社会层面的变化，并可能引发诸如尿失禁（UI）等不良状况。这种情况会随着年龄增长而增加，在女性中更为常见，并且会对生活质量造成损害，例如社交隔离、恐惧、尴尬以及自我拖延等。本研究旨在通过应用特定问卷，根据尿失禁分类描述绝经后女性的生活质量和性功能。
这是一项于2006年6月至9月开展的描述性横断面研究。该研究纳入了46名年龄超过50岁、经临床和尿动力学诊断为尿失禁且在过去3个月有活跃性生活的绝经后女性。所有受试者均回答了国王健康问卷（KHQ）和女性性功能指数（FSFI）。
根据尿失禁分类，43.5%表现为混合性尿失禁，37%为压力性尿失禁，19.6%为急迫性尿失禁。在生活质量方面，受试者受影响最大的领域是“尿失禁影响”（65.2%）、“活动开展”（56.5%），受影响最小的领域是“人际关系”（15.2%）。在KHQ领域中，受影响最大的尿失禁分类是混合性尿失禁（43.5%），这表明对生活质量的损害更大。女性性功能最普遍的障碍是：“性欲”下降（45.7%）和“兴奋”下降（30.4%），受影响最小的领域是“满意度”（8.7%）和“疼痛”（6.5%）。在FSFI中得分较低的尿失禁分类是混合性尿失禁。
尿失禁会影响生活质量和性功能，与其他两种类型相比，混合性尿失禁是显示出最大影响的分类。由于尿失禁是一种可高度治疗的病症，需要在生物 - 心理 - 社会模型下对这些患者进行全面评估，以提高生活质量为核心范式，同时考虑患者自身的感受。
