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    O impacto da incontinência urinária na sexualidade feminina
    (Universidade Federal de São Paulo (UNIFESP), 2015-06-30) Felippe, Mariana Rhein [UNIFESP]; Almeida, Fernando Goncalves de Almeida [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To determine the impact of urinary incontinence (UI) on female sexuality. Methods: From August, 2011 to September, 2012 incontinent women were evaluated in the Women's Voiding dysfunction clinic of the Hospital São Paulo Urology sector (HSP) and asymptomatic women in the outpatient hypertension and Ophthalmology of the same institution. Women with UI were evaluated using validated questionnaires ICIQ -SF (International Consultationon Incontinence Questionnaire - Short Form), OAB-q (Overactive Bladder- questionnaire), WHOOQol (World health organization for quality of life), QS-F (Quotient sexuality- Female Version), clinical and physical evaluation, and pad test. The asymptomatic women were applied only questionnaires. Results: 356 women with an average of 56.9±10.9 years were inclued, 243 women with urinary incontinence (UI group) and 113 asymptomatic women (control group - CG). In the UI group, 129 patients (52.2%) reported being sexually inactive. The presence of UI has proven to be an independent risk factor for sexual abstinence in those women. In sexually active women, although both groups had the same sexual frequency (p=0.675), all data on sexuality were significantly worse in the IU group. Urinary Incontinent women have a QS-F significantly lower score (58.02 -73.35 p <0.001) and a higher prevalence of sexual dysfunction (52%, p <0.001). Women with UI showed overall quality of life lower than the asymptomatic women. 46% of women with UI reported losing urine during intercourse and 49% state that the UI interfers negatively in their sexual life. Women with more severe urinary incontinence had significantly worse scores on the QS-F. Despite the higher proportion of patients with mixed symptoms (68%), there wasn?t any relationship between the type of symptom (SUI, BH, IUM) and the presence of sexual dysfunction. (P = 0.251). Conclusion: Women with urinary incontinence have a higher chance of leaving the sex life and the ones who remain sexually active have a global damage on sexual function.