Effects of Urinary Incontinence Subtypes on Quality of Life and Sexual Function among Women Seeking Weight Loss.

Int Urogynecol J

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric & Gynecologic Diseases, No. 1 Shuaifu Road, Dongcheng District, Beijing, People's Republic of China, 100730.

Published: November 2024

AI Article Synopsis

  • The study aimed to identify types of urinary incontinence (UI) among women seeking weight loss and assess their impacts on quality of life (QoL) and sexual function.
  • A total of 564 women with UI symptoms were analyzed, revealing that mixed UI was the most common and had the most severe effects on QoL and sexual function compared to stress and urgency UI.
  • The findings suggest that while mixed UI presented the worst impacts, overall QoL and sexual function did not significantly differ among the UI subtypes when severity was controlled.

Article Abstract

Introduction And Hypothesis: The objective was to detect subtypes of urinary incontinence (UI) and their effects on quality of life (QoL) and sexual function among women seeking weight loss.

Methods: A cross-sectional study focusing on women seeking weight loss with UI symptoms was carried out. Participants were stratified into three groups: stress UI, urgency UI, and mixed UI groups. The effects of the three groups on QoL and sexual function were compared.

Results: A total of 564 individuals (46.8%) were reported to present with UI symptoms. Among these, 216 (38.3%), 71 (12.6%), and 277 (49.1%) had stress UI, urgency UI, and mixed UI respectively. The severity of UI was greater in the urgency UI and mixed UI groups than in the stress UI group, with varying ratios observed among patients with different severities of UI: stress UI was highest in mild cases, and the mixed UI was highest in moderate or severe cases. Mixed UI had the most detrimental effect on QoL and sexual function. However, after controlling for the severity of UI, mixed UI still had a greater detrimental effect on UI-specific QoL, and no differences were identified among the three groups regarding general QoL or sexual function.

Conclusion: This study revealed variations in the constituent ratios of UI subtypes related to the severity of UI and the effects of various UI subtypes on QoL and sexual function among women seeking weight loss. Notably, the mixed UI demonstrated the most severe symptoms and the most detrimental impact, particularly as assessed by UI-specific QoL questionnaires.

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Source
http://dx.doi.org/10.1007/s00192-024-05977-zDOI Listing

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