The association between fecal incontinence and sexual activity and function in women attending a tertiary referral center

Sara B. Cichowski, Yuko M. Komesu, Gena C. Dunivan, Rebecca G. Rogers

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Introduction and hypothesis To determine whether fecal incontinence (FI) is associated with sexual activity and to compare sexual function in women with and without FI. Methods We conducted a retrospective chart review of all new patients seen in an academic urogynecology clinic. Women who reported fecal incontinence, as defined by loss of fecal material on the Wexner scale, were compared with those without fecal incontinence. We compared sexual activity and Pelvic Organ Prolapse Incontinence Sexual Questionnaire-12 (PISQ-12) scores between groups. Results In our population of women with pelvic floor disorder, 588 women reported FI compared with 527 who did not. On multivariate analysis, FI was not associated with sexual activity status, but was associated with worsened PISQ-12 scores (p<0.001). PISQ-12 item analysis found that women with FI reported more dyspareunia, fear, and avoidance of sexual activity with greater partner problems (all p <0.05) than women without FI. Conclusions Women with FI were as likely to engage in sexual relations as womenwithout FI; however, sexually activewomen with FI had poorer sexual function than those without FI.

Original languageEnglish (US)
Pages (from-to)1489-1494
Number of pages6
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume24
Issue number9
DOIs
StatePublished - Sep 2013
Externally publishedYes

Keywords

  • Fecal incontinence
  • Sexual activity
  • Sexual function

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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