Generic and disease-specific health-related quality of life in women with coital incontinence: a prospective, multicenter study.
OBJECTIVE
This study was carried out to evaluate the impact of coital incontinence on health-related quality of life (HRQOL) in women with lower urinary tract symptoms.


METHODS
A total of 180 women with sexual activity were evaluated. To obtain HRQOL assessments, patients were asked to fill out the Bristol Female Lower Urinary Tract Symptoms and the Medical Outcomes Study Short Form (SF-36) questionnaires.


RESULTS
The coital incontinence group had more frequently symptoms including urgency, urge incontinence, bladder pain, stress incontinence, unpredictable incontinence, nocturnal incontinence, reduced stream, and stopping flow than the no coital incontinence group. The frequency of incontinence and volume of leakage were also higher in the coital incontinence group than the no coital incontinence group. All symptom questions regarding sexual matters and quality of life except cutting down on fluid were more frequent in patients with coital incontinence than those without coital incontinence. Of the eight domains in the SF-36 questionnaire, five domains, namely, Physical functioning, Role-physical functioning, Social functioning, Role-emotional functioning, and Mental health were significantly different between the two groups. When comparing the Bristol Female Lower Urinary Tract Symptoms scores in the two groups, the scores in all domains except Voiding symptoms in the coital incontinence group were significantly higher than those in the no coital incontinence group. Patients with coital incontinence had more HRQOL impairment than those without coital incontinence.


CONCLUSIONS
Our study reveals that more emphasis should be placed on coital incontinence in the terminology of urinary incontinence.
Oh
Seung-June
SJ
Department of Urology, Seoul National University College of Medicine, Seoul, South Korea.
Choo
Myung-Soo
MS
Kim
Hong Sik
HS
Kim
Joon Chul
JC
Lee
Jeong Gu
JG
Yun
Jong Min
JM
Kim
Duk Yoon
DY
Paick
Jae-Seung
JS
Lee
Ji Youl
JY
Chung
Byung Soo
BS
Min
Kweon Sik
KS
Kim
Young-Ho
YH
Jung
Hee Chang
HC
Son
Hwancheol
H
Jeong
Jeong Yun
JY
Rho
Joon
J
Lee
Kyu-Sung
KS
Park
Won-Hee
WH
Ku
Ja Hyeon
JH
D003075:Coitus; D005260:Female; D006801:Humans; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress