Özet:

Abstract İntroduction Urge incontinence is observed in 36% of cases with overactive bladder (OAB) and this is the most bothersome finding. Sexual dysfunction negatively affects the quality of life of many women and is more common than in men. In this study, we aimed to evaluate the sexual functions of women with OAB. Material and Methods Patients who presented with overactive bladder complaints between September 2019 and February 2020 were evaluated. A total of 64 patients from 32 patients with urinary incontinence and 32 patients without urinary incontinence were included in the study. Over Active Bladder -V8 (OAB-V8) and Female Sexual Function Index (FSFI) questionnaire forms were filled in all patients. Patients with continence and incontinence were compared in terms of sexual function and FSFI subgroups. Results Of the 64 patients, 31 (48.4%) had sexual dysfunction. While 24 (75%) of patients with incontinence had sexual dysfunction, 7 (21.9%) of the continent ones had sexual dysfunction (p <0.01). While 6 (18.8%) of 32 patients with urinary incontinence said that they could not have orgasm due to urinary incontinence, 28 (87.5%) stated that they could not have orgasm due to fear of urinary incontinence. In other words, 22 (78.6%) of those who could not orgasm due to fear of urinary incontinence have sexual dysfunction. Conclusion In this study, urinary incontinence in women with OAB has been shown to be associated with sexual dysfunction. It has also been shown that anxiety of urinary incontinence can be associated with an inability to reach orgasm, one of the main goals of sexual activity. There is a need for studies showing that sexual dysfunction improves when OAB is treated.

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