2008, Number 11
<< Back Next >>
Ginecol Obstet Mex 2008; 76 (11)
Diagnosis and treatment alternatives to sexual disorders in women with urinary incontinence
Sánchez BC, Rodríguez CSE, Carreño MJ, Meza RP, Zámano SH
Language: Spanish
References: 22
Page: 635-642
PDF size: 276.28 Kb.
ABSTRACT
Background: One difficulty that a woman with urinary incontinence faces up is quality and control of her sexual life, the more it is complicated the more it affects her in different ways. These complications require, as well as medical treatment, evaluation and special psychological intervention to integrally recovery.
Objective: To know frequency and origin of sexual disturbances in women with urinary incontinence.
Patients and methods: Demographical, confirmatory, descriptive, transversal, retrospective with non-experimental design study. Seventy patients, ranging from 21 to 59 years old, with diagnosis of urinary incontinence were selected. Three groups were conformed: Group 1, patients with
sexual dysfunction before the manifestation of urinary incontinence; Group 2, patients with
sexual dysfunction due to urinary incontinence, and Group 3, patients with no sexual problems neither before nor after the urinary incontinence problem. Codified Clinical History Form on Female Sexuality was used to classify patients; diagnosis was performed with the DSM-IV-TR.
Results: Forty-six percent of patients had sexual dysfunctions (mainly dysrythmia and orgasmic disorder), 37% showed sexual disorder associated with urinary incontinence (dyspaurenia and hypoactive sexual desire), and 17% had no sexual problems.
Conclusions: As proper appraisal will define intervention strategies, patients with medical sexual problems must be evaluated by a psychology to establish diagnose and for adequate approach.
REFERENCES
Abrams P, Cardozo L, Fall M, Griffiths D, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Neurourol Urodyn 2002;21:167-78.
Tanagho E. Urología general de Smith. 11ª ed. México: El Manual Moderno, 1997.
Martínez V, Velasco JE. Climaterio. Estudio, diagnóstico y tratamiento. 2ª ed. México: Intersistemas 2000;pp:28-33.
Pontenziani JC. Incontinencia Urinaria. Dirección URL: . 2002.
Robles JE. Curso de formación en incontinencia urinaria. Departamento de Urología de la Clínica Universitaria de la Universidad de Navarra. Dirección URL: . 2003.
Masters W, Johnson V, Kolondy R. La sexualidad humana. 13ª ed. Barcelona: Grijalbo, 1995.
American Psychiatric Association. Manual diagnóstico y estadístico de los trastornos mentales (DSM-IV-TR). Madrid: Masson, 2003.
Rubio E, Díaz J. Las disfunciones sexuales. En: CONAPO, editores. Antología de la sexualidad humana. México: Miguel Ángel Porrúa, 1994;pp:203-46.
Sánchez C, Carreño J, Martínez S, Gómez ME. Disfunciones sexuales femeninas y masculinas: comparación de género en una muestra de la Ciudad de México. Salud Mental 2005;28:74-80.
Sánchez C, Carreño J, Martínez S, Gómez E. Comunicación marital y estilo de comunicación en mujeres con disfunción sexual. Rev Perinatol Reprod Hum 2003;17(2):91-101.
Sánchez BC, Morales F, Carreño MJ, Martínez RS. Disfunción sexual femenina y su relación con el rol de género y la asertividad. Revista de Perinatol Reprod Hum 2005;19(3 y 4):152-60.
Sánchez C, Carreño J, Espíndola JG, Anzures A. Las distintas disfunciones femeninas y la relación con ansiedad rasgo-estado. Psicol Iberoamericana 2007;15:52-59.
Sánchez C, Carreño J, González G, González I. Autoconcepto y satisfacción marital. Rev Perinatol Reprod Hum 1997;11(4):190-7.
Álvarez-Gayou J. Sexoterapia integral. 1ª ed. México: El Manual Moderno, 1986.
Souza M, Cárdenas J, Montero MC, Mendoza L. Historia clínica de la sexualidad femenina. Ginecol Obstet Mex 1987;55:277-87.
Sánchez BC, Carreño J. Guía clínica de intervención psicológica de la sexualidad humana en parejas. Rev Perinatol Reprod Hum 2007;21(1).
Birnbaum G. The meaning of heterosexual intercourse among women with female orgasmic disorder. Arch Sex Beh 2003;32(1):61-71.
Rosen RC, Leiblum SR. Assessment and treatment of desire dIsorders. In: Lieblum SR, Rosen SC, editors. Principles and practice of sex therapy. 2nd ed. New York: The Guilford Press, 1998.
Basson R. Women’s sexual dysfunction: revised and expanded definitions. Can Med Assoc J 2005;172:1327-33.
Hartmann U, Heiser K, Rüffer-Hesse C. Female sexual desire disorders: subtypes, classification, personality factors and new directions for treatment. World J Urol 2002;20:79-88.
Espuña M. Incontinencia urinaria. Dirección URL: .
Montoya R. Principales problemas urogenitales y sus manifestaciones. En: Climaterio: estudio, diagnóstico y tratamiento. México: Intersistemas. 2000;pp:158-69.