Soumaya ELAREM, MD
dr
taher sfar hospital
mahdia, Al Mahdia, Tunisia
nedra elfeni, MD
dr
Ibn El Jazzar Hospital
kairouan, Kairouan, Tunisia
Ikram Haddada, dr
dr
taher sfar hospital
mahdia, Al Mahdia, Tunisia
Aymen haj Salah, MD
dr
taher sfar hospital
mahdia, Al Mahdia, Tunisia
Mouna Sghir, MD
dr
taher sfar hospital
mahdia, Al Mahdia, Tunisia
Wassia Kessomtini, MD
dr
taher sfar hospital
mahdia, Al Mahdia, Tunisia
We conducted a case-control study over a 3-month period in the MPR medicine department. We included in this study female patients followed for UI with sexual activity. For each patient we matched a control with no complaints of UI. The severity of urinary symptoms was assessed by ICIQ-SF and the Urinary Distress Inventory short form (UDI-6). The impact of UI on quality of life was assessed by the IIQ-7. We assessed the impact of UI on sexual quality of life using the Arabic Female Sexual Function Index (ArFSFI).
Results:
The mean age of patients followed for SUI was 53.87 ± 11.04 years. Stress Urinary Incontinence (SUI)) was present in 73.7%, Urinary Urge Incontinence (UUI) in 34 patients (89.5%). The mean Ar FSFI total score for incontinent women was 17.03 ± 9.61. This score was higher in control women (21.60 ± 10.55), with a statistically significant difference between the 2 groups (p = 0.049). Sexual dysfunction was noted in 89.5% of incontinent women and 27.5% of controls, with a statistically significant difference (p< 0.001). Desire and arousal were the most affected components. Factors associated with sexual dysfunction were age (< 10-3), menopause (p=0.001), stress urinary incontinence SUI (p< 10-3) urge urinary incontinence UUI (P< 10-3), as well as different urinary incontinence scores ICIQ (p< 10-3), UDI-6 (p< 10-3).
Conclusions:
UI has a negative impact on the sexual QOL of women in Tunisia. Appropriate treatment with psychotherapy would be necessary for better results.
