I Melin1, C Falconer, S Rössner, D Altman. 1. Department of Medicine, Obesity Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Abstract
OBJECTIVE: To assess the impact on sexual function attributed to lower urinary tract dysfunction in a female obese population. DESIGN: We performed a case-control study based on the registry of a university hospital obesity unit. A consecutive sample of women with body mass index(BMI) >or=30 (obese) was randomly matched by age, gender and residential county to control subjects using the computerized Register of the Total Population. Data were collected by a self-reported postal survey including the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). RESULTS: The questionnaire was completed and returned by 279/446 patients (62%) and 430/892 control subjects (48%). Obese women reported significantly lesser satisfaction with their sexual life, more frequent symptoms of urinary incontinence at intercourse, more often fear of urine leakage at intercourse, a higher tendency toward avoiding intercourse and more frequent feelings of guilt and disgust during intercourse (P<0.001). While considering sexual function in a subset of women with urge or stress urinary incontinence, the overall PISQ-12 scores were significantly lower in obese women compared to their age-matched nonobese controls for both the conditions (P<0.001). In an adjusted multivariate analysis, a BMI >30 was independently associated with a significantly increased risk for sexual dysfunction (odds ratio (OR) 1.8; 95% confidence interval (CI) 1.1-2.9), as were symptoms of urge or stress urinary incontinence (OR, 2.0; 95% CI, 1.3-3.1 and OR, 2.6; 95% CI, 1.7-4.0), respectively. CONCLUSION: Urge and stress urinary incontinences are more common and have greater impact on sexual function in obese women.
OBJECTIVE: To assess the impact on sexual function attributed to lower urinary tract dysfunction in a female obese population. DESIGN: We performed a case-control study based on the registry of a university hospital obesity unit. A consecutive sample of women with body mass index(BMI) >or=30 (obese) was randomly matched by age, gender and residential county to control subjects using the computerized Register of the Total Population. Data were collected by a self-reported postal survey including the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). RESULTS: The questionnaire was completed and returned by 279/446 patients (62%) and 430/892 control subjects (48%). Obesewomen reported significantly lesser satisfaction with their sexual life, more frequent symptoms of urinary incontinence at intercourse, more often fear of urine leakage at intercourse, a higher tendency toward avoiding intercourse and more frequent feelings of guilt and disgust during intercourse (P<0.001). While considering sexual function in a subset of women with urge or stress urinary incontinence, the overall PISQ-12 scores were significantly lower in obesewomen compared to their age-matched nonobese controls for both the conditions (P<0.001). In an adjusted multivariate analysis, a BMI >30 was independently associated with a significantly increased risk for sexual dysfunction (odds ratio (OR) 1.8; 95% confidence interval (CI) 1.1-2.9), as were symptoms of urge or stress urinary incontinence (OR, 2.0; 95% CI, 1.3-3.1 and OR, 2.6; 95% CI, 1.7-4.0), respectively. CONCLUSION: Urge and stress urinary incontinences are more common and have greater impact on sexual function in obesewomen.
Authors: Dale S Bond; Rena R Wing; Sivamainthan Vithiananthan; Harry C Sax; G Dean Roye; Beth A Ryder; Dieter Pohl; Jeannine Giovanni Journal: Surg Obes Relat Dis Date: 2010-06-04 Impact factor: 4.734
Authors: Dale S Bond; Siva Vithiananthan; Tricia M Leahey; J Graham Thomas; Harry C Sax; Dieter Pohl; Beth A Ryder; G Dean Roye; Jeannine Giovanni; Rena R Wing Journal: Surg Obes Relat Dis Date: 2009-07-24 Impact factor: 4.734
Authors: Stephanie S Faubion; Flavia Fairbanks; Carol L Kuhle; Richa Sood; Juliana M Kling; Jennifer A Vencill; Kristin C Mara; Ekta Kapoor Journal: J Sex Med Date: 2020-08-06 Impact factor: 3.802
Authors: Piotr Kocełak; Jerzy Chudek; Beata Naworska; Monika Bąk-Sosnowska; Barbara Kotlarz; Monika Mazurek; Paweł Madej; Violetta Skrzypulec-Plinta; Piotr Skałba; Magdalena Olszanecka-Glinianowicz Journal: Int J Endocrinol Date: 2012-07-16 Impact factor: 3.257
Authors: Rena R Wing; Dale S Bond; Isaias Noel Gendrano; Thomas Wadden; Judy Bahnson; Cora E Lewis; Frederick Brancati; Stephen Schneider; Abbas E Kitabchi; Brent Van Dorsten; Raymond C Rosen Journal: Diabetes Care Date: 2013-06-11 Impact factor: 19.112