Department of General Practice, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
J Sex Med. 2014 Jul;11(7):1757-65. doi: 10.1111/jsm.12544. Epub 2014 Apr 16.
Knowledge on the sexual health of patients with urinary incontinence in primary care is scarce; therefore, the impact of urinary incontinence on sexual functioning was examined in community-dwelling older women.
The aim of this study was to provide primary health care professionals with more information on the sexual health of older women with urinary incontinence, which can be used to discuss this sensitive topic during a consultation.
A cross-sectional survey among the 350 women aged ≥55 years participating in a primary care trial on urinary incontinence was conducted.
Among patients with a partner, sexual problems of the sexually active patients were described as well as reasons for not being sexually active. A multivariate logistic regression model was performed to identify factors that are predictors of sexual activity, and odds ratios (ORs) and 95% confidence intervals (CIs) were estimated.
Of all participants with a partner, 68% (95% CI: 61-74) were sexually active. Of these, 25% (95% CI: 17-35) felt restricted in (or avoided) sexual activity because of their urinary incontinence. Urine leakage during sexual activity was present in 26% (95% CI: 19-34). The most frequent reason for not being sexually active was a physical problem of their partner (28%, 95% CI: 18-40); only 5% (95%-CI: 2-13) reported that urinary incontinence was a reason for not having sex. Increasing age was the only independent (negative) predictor of sexual activity (OR: 0.95, 95%-CI: 0.90-1.00).
Most of these older women with urinary incontinence were sexually active, if they had a partner. The main reason for not being sexually active was a partner-related problem. Although for only 5% was urinary incontinence the main reason for not having sex, about 25% of the sexually active women reported a negative influence of urine loss on their sex life. This implies that assessing sexual function is relevant in older women with urinary incontinence.
初级保健中患者尿失禁相关的性健康知识较为匮乏；因此，本研究旨在调查社区居住的老年女性尿失禁对其性功能的影响。
为初级保健专业人员提供更多关于老年女性尿失禁患者性健康的信息，以便在咨询时讨论这一敏感话题。
对参加初级保健尿失禁试验的 350 名年龄≥55 岁的女性进行横断面调查。
在有伴侣的患者中，描述活跃患者的性问题以及无法进行性行为的原因。采用多变量逻辑回归模型确定与性行为相关的预测因素，并估计比值比（OR）和 95%置信区间（CI）。
在所有有伴侣的参与者中，68%（95%CI：61-74）有性行为。其中，25%（95%CI：17-35）因尿失禁而限制（或避免）性行为。26%（95%CI：19-34）的患者在性行为时出现尿漏。无法进行性行为的最常见原因是伴侣的身体问题（28%，95%CI：18-40）；只有 5%（95%CI：2-13）报告尿失禁是不进行性行为的原因。年龄增加是性行为的唯一独立（负面）预测因素（OR：0.95，95%CI：0.90-1.00）。
如果这些老年女性有伴侣，大多数有尿失禁的女性都有性行为。无法进行性行为的主要原因是伴侣的问题。尽管只有 5%的人认为尿失禁是不进行性行为的主要原因，但约 25%的活跃女性报告说尿失禁会对其性生活产生负面影响。这意味着评估性功能对老年女性尿失禁患者具有重要意义。
