Spinal cord · 2026
Partnered sexual activity and satisfaction in women with spinal cord disease: influence of urinary incontinence and other predictors.
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Mazoni Costa Rachel, Horta Manuela, Tunes de Paula André, da Costa Taynna Ferreira Arantes, de Bessa José, Nahas William Carlos, Gomes Cristiano Mendes
Аннотация
STUDY DESIGN: Cross-sectional study.
OBJECTIVES: Evaluate sexual activity and satisfaction in women with spinal cord disease (SCD) and their associations with urinary incontinence.
SETTING: Outpatient neuro-urology clinics at a tertiary rehabilitation center in Brazil.
METHODS: Ninety-eight women aged ≥18 years with traumatic or non-traumatic SCD were included. Clinical and demographic data were collected through structured interviews. Bladder symptoms were assessed with the Neurogenic Bladder Symptom Score-Short Form (NBSS-SF). Sexual function was evaluated with the Female Sexual Function Index (FSFI), and sexual satisfaction with the WHOQOL-BREF. Sexual activity was defined as partnered sexual activity, with or without intercourse, within the prior six months. Logistic regression identified predictors of sexual activity and satisfaction.
RESULTS: Mean age was 42.9 (±12.1) years; most cases were non-traumatic (85.7%), mainly multiple sclerosis (55.9%). Urinary incontinence was reported by 52%, severe in 28.6%. Sexual activity was reported by 48 women (49.0%), of whom 58.3% had FSFI-defined dysfunction and 60.4% reported satisfaction. Incontinence was strongly associated with inactivity (72.5% vs. 27.5%, p < 0.001) and lower FSFI scores (16.2 (10.3) vs. 24.4 (9.1), p < 0.001). Urinary continence (OR 5.0, 95% CI, 1.7 to 14.4), younger age (OR 0.93/year, 95% CI, 0.89 to 0.98), and being married (OR 10.9, 95% CI, 3.6 to 33.3) predicted sexual activity and satisfaction.
CONCLUSIONS: Sexual dysfunction and UI were prevalent and interrelated in women with SCD. UI independently predicted inactivity and dissatisfaction.
OBJECTIVES: Evaluate sexual activity and satisfaction in women with spinal cord disease (SCD) and their associations with urinary incontinence.
SETTING: Outpatient neuro-urology clinics at a tertiary rehabilitation center in Brazil.
METHODS: Ninety-eight women aged ≥18 years with traumatic or non-traumatic SCD were included. Clinical and demographic data were collected through structured interviews. Bladder symptoms were assessed with the Neurogenic Bladder Symptom Score-Short Form (NBSS-SF). Sexual function was evaluated with the Female Sexual Function Index (FSFI), and sexual satisfaction with the WHOQOL-BREF. Sexual activity was defined as partnered sexual activity, with or without intercourse, within the prior six months. Logistic regression identified predictors of sexual activity and satisfaction.
RESULTS: Mean age was 42.9 (±12.1) years; most cases were non-traumatic (85.7%), mainly multiple sclerosis (55.9%). Urinary incontinence was reported by 52%, severe in 28.6%. Sexual activity was reported by 48 women (49.0%), of whom 58.3% had FSFI-defined dysfunction and 60.4% reported satisfaction. Incontinence was strongly associated with inactivity (72.5% vs. 27.5%, p < 0.001) and lower FSFI scores (16.2 (10.3) vs. 24.4 (9.1), p < 0.001). Urinary continence (OR 5.0, 95% CI, 1.7 to 14.4), younger age (OR 0.93/year, 95% CI, 0.89 to 0.98), and being married (OR 10.9, 95% CI, 3.6 to 33.3) predicted sexual activity and satisfaction.
CONCLUSIONS: Sexual dysfunction and UI were prevalent and interrelated in women with SCD. UI independently predicted inactivity and dissatisfaction.