Üriner İnkontinansı Olan Hastalarda Cinsel Sağlık
Synopsis
Üriner inkontinans her yaşta görülebilen, ileri yaşlarda görülme sıklığı artan, bireylerin günlük yaşamını, fiziksel aktivitesini, sosyal ilişkilerini, duygusal fonksiyonlarını ve cinsel işlevini olumsuz etkileyerek yaşam kalitesini düşüren önemli bir sağlık sorunudur. Her iki cinsiyette görülmekle birlikte kadınlarda daha sık görülen bir durumdur. Yaş, vajinal doğum, obezite, oral östrojen kullanımı önemli risk faktörleri olup; fizik aktivite, diabetes mellitus, menopoz, histerektomi, prostatektomi ve genetik faktörün üriner inkontinansa neden olduğu belirtilmektedir. Kadınlarda pelvik taban yapılardaki değişiklikler ve intrensek sfinkter yetmezliği de neden olan faktörler arasındadır. Üriner inkontinans ilişki sırasında idrar kaçırma, idrar kokusunun oluşması, utanma, korku duyguları ve özgüven kaybı ile cinsel fonksiyon bozukluklarına neden olabilmektedir. Cinsel fonksiyon bozukluklarının yönetimi için hasta, ayrıntılı tıbbi öykü alınarak, fizik muayene ve temel tanısal testler yapılarak değerlendirilmelidir. Tedavide antimuskarinik ilaçlar, cerrahi müdahaleler, transvajinal elektriksel stimülasyon gibi yöntemler kullanılmalı ve pelvik taban kas egzersizleri ile hijyenik problemlere yönelik eğitim verilmelidir.
References
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Tran LN, Puckett Y. Urinary Incontinence. StatPearls Publishing; 2022. (06 Haziran 2023 tarihinde https://www.ncbi.nlm.nih.gov/books/NBK559095/ adresinden ulaşılmıştır.)
Khandelwal C, Kistler C. Diagnosis of urinary incontinence. American Family Physician. 2013;87(8):543–50.
Mota RL. Female urinary incontinence and sexuality. International braz j urol. 2017;43(1):20–8.
Dieter AA. Background, etiology, and subtypes of urinary ıncontinence. Clinical Obstetrics and Gynecology. 2021;64(2):259–65.
Hu JS, Pierre EF. Urinary ıncontinence in women: evaluation and management. American Family Physician. 2019;100(6):339–48.
Ouslander JG. Üriner İnkontinans. In: Ünal S, editor. Cecil Textbook of Medicine. 22.Baskı. Güneş Tıp Kitabevi; 2006. p. 11–114.
Demaagd GA, Davenport TC. Management of urinary incontinence. P & T : A Peer-Reviewed Journal For Formulary Management. 2012;37(6):345-361
Southall K, Tuazon JR, Djokhdem AH, van den Heuvel EA, Wittich W, Jutai JW. Assessing the stigma content of urinary incontinence intervention outcome measures. Journal of Rehabilitation and Assistive Technologies Engineering. 2017;4:205566831773894
A Akyuz A, Kok G, Kilic A, Guvenc G. In her own words: living with urinary ıncontinence in sexual life. Sexuality and Disability. 2014;32(1):23–33.
Öz Ö, Atalay B. Üriner inkontinans risk faktörleri ve hemşirelik yaklaşımı. İnönü Üniversitesi Sağlık Bilimleri Dergisi. 2017;6(1):34–7.
Wyndaele M, Hashim H. Pathophysiology of urinary incontinence. Surgery (Oxford). 2020;38(4):185–90.
Yıldız Ş, Turan Z. Üriner inkontinansı olan kadınlarda hemşirelik yaklaşımları. Sakarya Üniversitesi Holistik Sağlık Dergisi. 2021;4(3):155–66.
Cullıgan PJ. Urinary ıncontinence in women: evaluation and management. Am Fam Physician. 2000;62(11):2433–44.
Hersh L, Salzman B. Clinical management of urinary ıncontinence in women. Am Fam Physician. 2013;87(9):634–40.
Demirci N, Coşar F. Üriner inkontinans tedavisinde davranışsal tedavi yöntemleri. SDÜ Tıp Fak Derg. 2009;16(3):35–40.
Shaban A, Drake MJ, Hashim H. The medical management of urinary incontinence. Autonomic Neuroscience. 2010;152(1–2):4–10.
Lucas MG, Bosch RJL, Burkhard FC, Cruz F, Madden TB, Nambiar AK, et al. EAU Guidelines on surgical treatment of urinary ıncontinence. European Urology. 2012;62(6):1118–29.
National Collaborating Centre for Women’s and Children’s Health. Urinary incontinence in women: the management of urinary incontinence in women. Royal College of Obstetricians and Gynaecologists. 2013. PMID: 25340217.
Coşkun B, Kadıoğlu M. Üriner inkontinansta konservatif tedavi seçenekleri. In: Onur R, Bayrak Ö, editors. Üriner İnkontinans Tanı ve Tedavi. 2nd ed. İstanbul, Turkey: TÜD/Türk Üroloji Akademisi Yayını; 2015. p. 213–23.
Escura Sancho S, Ribera-Torres L, Castelo-Branco C, Anglès-Acedo S. Impact of urinary ıncontinence on women’s sexuality. Clinical and Experimental Obstetrics & Gynecology. 2022;49(2):049.
Kanter G, Rogers RG, Pauls RN, Kammerer-Doak D, Thakar R. A strong pelvic floor is associated with higher rates of sexual activity in women with pelvic floor disorders. International Urogynecology Journal. 2015;26(7):991–6.
Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews. 2018;2018(10).
World Health Organization (WHO). Sexual health. 2023. (06 Haziran 2023 tarihinde https://www.who.int/health-topics/sexual-health#tab=tab_1 adresinden ulaşılmıştır.)
Zeren F, Gürsoy E. Neden cinsel sağlık eğitimi? Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2018;8(1):29–33.
Felippe MR, Zambon JP, Girotti ME, Burti JS, Hacad CR, Cadamuro L, et al. What ıs the real ımpact of urinary ıncontinence on female sexual dysfunction? a case control study. Sexual Medicine. 2017;5(1):e54–60.
Frigerio M, Barba M, Cola A, Braga A, Celardo A, Munno G, et al. Quality of life, psychological wellbeing, and sexuality in women with urinary ıncontinence—where are we now: a narrative review. Medicina. 2022;58(4):525.
Chu CM, Arya LA, Andy UU. Impact of urinary incontinence on female sexual health in women during midlife. Women’s Midlife Health. 2015;1(1):6.
Erol B, Kadıoğlu A. İnkontinans ve Cinsel Yaşam. In: Onur R BÖ, editor. Üriner İnkontinans Tanı ve Tedavi. İstanbul: Türk Üroloji Derneği/ Turkish Association of Urology; 2015. p. 109–24.
Barber M. Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstetrics & Gynecology. 2002;99(2):281–9.
Bekker MD, Beck JJH, Putter H, Van Driel MF, Pelger RCM, Weijmar Schultz WC, et al. Sexual Experiences of Men with Incontinent Partners. The Journal of Sexual Medicine.2010;7(5):1877–82.
Kizilkaya Beji N, Yalcın O, Ayyildiz EH, Kayir A. Effect of urinary leakage on sexual function during sexual ıntercourse. Urologia Internationalis. 2005;74(3):250–5.
Nilsson M, Lalos O, Lindkvist H, Lalos A. Impact of female urinary incontinence and urgency on women’s and their partners’ sexual life. Neurourology and Urodynamics. 2011;30(7):1276–80.
Lau H-H, Huang W-C, Su T-H. Urinary leakage during sexual intercourse among women with incontinence: Incidence and risk factors. Coppola D, editor. PLOS ONE. 2017;12(5):e0177075.
Bo K, Talseth T, Vinsnes A. Randomized controlled trial on the effect of pelvic floor muscle training on quality of life and sexual problems in genuine stress incontinent women. Acta obstetricia et gynecologica Scandinavica. 2000;79(7):598–603.
Zahariou AG, Karamouti M V., Papaioannou PD. Pelvic floor muscle training improves sexual function of women with stress urinary incontinence. International Urogynecology Journal. 2008;19(3):401–6.
Tran LN, Puckett Y. Urinary Incontinence. StatPearls Publishing; 2022. (06 Haziran 2023 tarihinde https://www.ncbi.nlm.nih.gov/books/NBK559095/ adresinden ulaşılmıştır.)
Khandelwal C, Kistler C. Diagnosis of urinary incontinence. American Family Physician. 2013;87(8):543–50.
Mota RL. Female urinary incontinence and sexuality. International braz j urol. 2017;43(1):20–8.
Dieter AA. Background, etiology, and subtypes of urinary ıncontinence. Clinical Obstetrics and Gynecology. 2021;64(2):259–65.
Hu JS, Pierre EF. Urinary ıncontinence in women: evaluation and management. American Family Physician. 2019;100(6):339–48.
Ouslander JG. Üriner İnkontinans. In: Ünal S, editor. Cecil Textbook of Medicine. 22.Baskı. Güneş Tıp Kitabevi; 2006. p. 11–114.
Demaagd GA, Davenport TC. Management of urinary incontinence. P & T : A Peer-Reviewed Journal For Formulary Management. 2012;37(6):345-361
Southall K, Tuazon JR, Djokhdem AH, van den Heuvel EA, Wittich W, Jutai JW. Assessing the stigma content of urinary incontinence intervention outcome measures. Journal of Rehabilitation and Assistive Technologies Engineering. 2017;4:205566831773894
A Akyuz A, Kok G, Kilic A, Guvenc G. In her own words: living with urinary ıncontinence in sexual life. Sexuality and Disability. 2014;32(1):23–33.
Öz Ö, Atalay B. Üriner inkontinans risk faktörleri ve hemşirelik yaklaşımı. İnönü Üniversitesi Sağlık Bilimleri Dergisi. 2017;6(1):34–7.
Wyndaele M, Hashim H. Pathophysiology of urinary incontinence. Surgery (Oxford). 2020;38(4):185–90.
Yıldız Ş, Turan Z. Üriner inkontinansı olan kadınlarda hemşirelik yaklaşımları. Sakarya Üniversitesi Holistik Sağlık Dergisi. 2021;4(3):155–66.
Cullıgan PJ. Urinary ıncontinence in women: evaluation and management. Am Fam Physician. 2000;62(11):2433–44.
Hersh L, Salzman B. Clinical management of urinary ıncontinence in women. Am Fam Physician. 2013;87(9):634–40.
Demirci N, Coşar F. Üriner inkontinans tedavisinde davranışsal tedavi yöntemleri. SDÜ Tıp Fak Derg. 2009;16(3):35–40.
Shaban A, Drake MJ, Hashim H. The medical management of urinary incontinence. Autonomic Neuroscience. 2010;152(1–2):4–10.
Lucas MG, Bosch RJL, Burkhard FC, Cruz F, Madden TB, Nambiar AK, et al. EAU Guidelines on surgical treatment of urinary ıncontinence. European Urology. 2012;62(6):1118–29.
National Collaborating Centre for Women’s and Children’s Health. Urinary incontinence in women: the management of urinary incontinence in women. Royal College of Obstetricians and Gynaecologists. 2013. PMID: 25340217.
Coşkun B, Kadıoğlu M. Üriner inkontinansta konservatif tedavi seçenekleri. In: Onur R, Bayrak Ö, editors. Üriner İnkontinans Tanı ve Tedavi. 2nd ed. İstanbul, Turkey: TÜD/Türk Üroloji Akademisi Yayını; 2015. p. 213–23.
Escura Sancho S, Ribera-Torres L, Castelo-Branco C, Anglès-Acedo S. Impact of urinary ıncontinence on women’s sexuality. Clinical and Experimental Obstetrics & Gynecology. 2022;49(2):049.
Kanter G, Rogers RG, Pauls RN, Kammerer-Doak D, Thakar R. A strong pelvic floor is associated with higher rates of sexual activity in women with pelvic floor disorders. International Urogynecology Journal. 2015;26(7):991–6.
Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews. 2018;2018(10).
World Health Organization (WHO). Sexual health. 2023. (06 Haziran 2023 tarihinde https://www.who.int/health-topics/sexual-health#tab=tab_1 adresinden ulaşılmıştır.)
Zeren F, Gürsoy E. Neden cinsel sağlık eğitimi? Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2018;8(1):29–33.
Felippe MR, Zambon JP, Girotti ME, Burti JS, Hacad CR, Cadamuro L, et al. What ıs the real ımpact of urinary ıncontinence on female sexual dysfunction? a case control study. Sexual Medicine. 2017;5(1):e54–60.
Frigerio M, Barba M, Cola A, Braga A, Celardo A, Munno G, et al. Quality of life, psychological wellbeing, and sexuality in women with urinary ıncontinence—where are we now: a narrative review. Medicina. 2022;58(4):525.
Chu CM, Arya LA, Andy UU. Impact of urinary incontinence on female sexual health in women during midlife. Women’s Midlife Health. 2015;1(1):6.
Erol B, Kadıoğlu A. İnkontinans ve Cinsel Yaşam. In: Onur R BÖ, editor. Üriner İnkontinans Tanı ve Tedavi. İstanbul: Türk Üroloji Derneği/ Turkish Association of Urology; 2015. p. 109–24.
Barber M. Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstetrics & Gynecology. 2002;99(2):281–9.
Bekker MD, Beck JJH, Putter H, Van Driel MF, Pelger RCM, Weijmar Schultz WC, et al. Sexual Experiences of Men with Incontinent Partners. The Journal of Sexual Medicine.2010;7(5):1877–82.
Kizilkaya Beji N, Yalcın O, Ayyildiz EH, Kayir A. Effect of urinary leakage on sexual function during sexual ıntercourse. Urologia Internationalis. 2005;74(3):250–5.
Nilsson M, Lalos O, Lindkvist H, Lalos A. Impact of female urinary incontinence and urgency on women’s and their partners’ sexual life. Neurourology and Urodynamics. 2011;30(7):1276–80.
Lau H-H, Huang W-C, Su T-H. Urinary leakage during sexual intercourse among women with incontinence: Incidence and risk factors. Coppola D, editor. PLOS ONE. 2017;12(5):e0177075.
Bo K, Talseth T, Vinsnes A. Randomized controlled trial on the effect of pelvic floor muscle training on quality of life and sexual problems in genuine stress incontinent women. Acta obstetricia et gynecologica Scandinavica. 2000;79(7):598–603.
Zahariou AG, Karamouti M V., Papaioannou PD. Pelvic floor muscle training improves sexual function of women with stress urinary incontinence. International Urogynecology Journal. 2008;19(3):401–6.
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479-488
Published
March 19, 2024
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Yılmaz Karabulutlu E, Güneş D. Üriner İnkontinansı Olan Hastalarda Cinsel Sağlık. In: Karabulutlu Ö, editor. Her Yönüyle Cinsel Sağlık [Internet]. Türkiye: Academician Publishing Book DOI Portal; 2024 [cited 2026 Jul. 13]. pp. 479-88. Available from: https://www.omp35.books.akademisyen.net/index.php/akya/catalog/book/3000/chapter/13856
