Department of Urology, University Hospital Centre Osijek, Faculty of medicine, The J. J. Strossmayer University of Osijek, 31000 Osijek, Croatia.
Faculty of medicine, The J. J. Strossmayer University of Osijek, Psychiatric Clinic, University Hospital Centre Osijek, 31000 Osijek, Croatia.
Medicina (Kaunas). 2019 Jun 3;55(6):240. doi: 10.3390/medicina55060240.
Urinary incontinence is defined as the involuntary leakage of urine. Studies have reported that the severity of urinary incontinence symptoms can cause decreased quality of life and female sexual dysfunction in women, but the association between the duration of the incontinence and the aforementioned disturbances has not been evaluated. The objective of this study was to evaluate the differences in the occurrence of decreased quality of life and female sexual dysfunction in Croatian women with urinary incontinence, with regard to the duration and subtype of urinary incontinence. We conducted a cross-sectional study from March 2017 to July 2018 at our neurourology and urodynamics outpatient clinic, among 120 women with urinary incontinence symptoms. Based on medical history, physical exam and urodynamic assessment, participants were divided into groups with stress-, urgency- and mixed urinary incontinence. Several quality of life and female sexual dysfunction questionnaires were used for evaluation. The differences between the three UI groups were tested by the Kruskal-Wallis test. All values were two-sided. The level of significance was set to Alpha = 0.05. The mixed urinary incontinence group had a significantly inferior quality of life ( = 0.003) and lower scores on the female sexual dysfunction questionnaires ( = 0.02). The longer the duration of incontinence King's Health Questionnaire total score was worse ( = 0.003) and Female Sexual Function Index total score was worse ( < 0.001). Our results showed that there was a statistically significant difference in the occurrence of decreased quality of life and female sexual dysfunction considering the duration and subtype of incontinence in Croatian women.
尿失禁是指尿液的不自主泄漏。研究报告称，尿失禁症状的严重程度可导致女性生活质量下降和女性性功能障碍，但尚未评估尿失禁持续时间与上述障碍之间的关系。本研究的目的是评估克罗地亚尿失禁女性生活质量下降和女性性功能障碍的发生率与尿失禁的持续时间和亚型之间的差异。
我们于 2017 年 3 月至 2018 年 7 月在我们的神经泌尿学和尿动力学门诊进行了一项横断面研究，纳入了 120 名有尿失禁症状的女性。根据病史、体格检查和尿动力学评估，将参与者分为压力性、急迫性和混合性尿失禁组。使用了几种生活质量和女性性功能障碍问卷进行评估。使用 Kruskal-Wallis 检验比较三组 UI 的差异。所有值均为双侧。显著性水平设为 Alpha = 0.05。混合性尿失禁组的生活质量明显较差（= 0.003），女性性功能障碍问卷的评分也较低（= 0.02）。尿失禁持续时间越长，King's 健康问卷总分越差（= 0.003），女性性功能指数总分越差（<0.001）。
我们的结果表明，考虑到克罗地亚女性尿失禁的持续时间和亚型，生活质量下降和女性性功能障碍的发生存在统计学显著差异。
