Urinary incontinence as a cause of depression and sexual dysfunction: Questionnaire-based study

Rev Int Androl. Apr-Jun 2020;18(2):50-54. doi: 10.1016/j.androl.2018.08.003. Epub 2018 Nov 20.

Abstract

Introduction: Urinary incontinence is a severe and common health problem. In this study, we aimed to assess severity of sexual dysfunction and depression in patients with urinary incontinence.

Materials and methods: The study has been conducted between 2015 and 2017. Age, body mass index, accompanying health problems, Over Active Bladder (OAB) symptom score, Type of urinary incontinence, Beck Depression Scale were assessed for all patients. International Index of Erectile Function-5 (IIEF-5) was used for male patients in order to assess sexual dysfunction. Index of Female Sexual Function (IFSF) and Female Sexual Distress Scale (FSDS) were used in female patients in order to assess sexual dysfunction.

Results: 33 patients have been included in the study (Male-12: Urge-10/Stress-1/Mixed-1/Female-21: Urge-10/Stress-6/Mixed-5). Mean age of all patients was 47.9 (Male-49.3/Female-47.2). Mean Body Mass Index for all patients was 23.2 (Male-25.9/Female-21.8). Mean OAB score was 24.3 for all patients (Male-27.5: Urge-28.6/Stress-17/Mixed-27/Female-22.5: Urge-24.2/Stress:21.3/Mixed-20.6). Mean Beck Depression Result for all patients was 20.9 (Male-18.5: Urge-20.2/Stress-9/Mixt-11/Female-22.4: Urge-19.1/Stress-20.3/Mixed-31.6). Mean IIEF-5 score for male patients was 39.5 (Urge-41.4/Stress-55/Mixed-5). Mean IFSF score for female patients was 19.9 (Urge-17.9/Stress-21.3/Mixed-22.4) and mean FSDS score for female patients was 22.1 (Urge-22.3/Stress-23.1/Mixed-20.8).

Discussion: Most of the patients that have been included in the study were diagnosed as urge incontinence. When assessing the OAB scores, they were higher in urge incontinence group. Beck depression results showed higher scores in female patients and it was higher in urge group of male patients and mixt group of female patients. Sexual dysfunction rates were found to be higher for both genders.

Keywords: Depresión; Depression; Disfunción; Dysfunction; Incontinence; Incontinencia; Sexual; Urinario; Urinary.

MeSH terms

  • Depression / epidemiology*
  • Depression / etiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Sexual Dysfunction, Physiological / epidemiology*
  • Sexual Dysfunction, Physiological / etiology
  • Surveys and Questionnaires
  • Urinary Bladder, Overactive / epidemiology
  • Urinary Bladder, Overactive / etiology
  • Urinary Incontinence, Stress / complications
  • Urinary Incontinence, Stress / epidemiology*
  • Urinary Incontinence, Urge / complications
  • Urinary Incontinence, Urge / epidemiology*