array:24 [ "pii" => "S0210480609742330" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74233-0" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74233" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:801-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2180 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 1225 "PDF" => 948 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609742342" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74234-2" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74234" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:806-10" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2783 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 1840 "PDF" => 934 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Factores de riesgo asociados a lesiones vesicales en cesárea" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "806" "paginaFinal" => "810" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Risk factors for bladder injuries during cesarean section" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jaime Alcocer Urueta, Marcela Bonilla Mares, Viridiana Gorbea Chávez, Beatriz Velázquez Valassi" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Jaime Alcocer" "apellidos" => "Urueta" ] 1 => array:2 [ "nombre" => "Marcela Bonilla" "apellidos" => "Mares" ] 2 => array:2 [ "nombre" => "Viridiana Gorbea" "apellidos" => "Chávez" ] 3 => array:2 [ "nombre" => "Beatriz Velázquez" "apellidos" => "Valassi" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742342?idApp=UINPBA00004N" "url" => "/02104806/0000003300000007/v1_201304251940/S0210480609742342/v1_201304251940/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609742329" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74232-9" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74232" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:794-800" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3305 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1859 "PDF" => 1438 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Estenosis uretral en la mujer: Etiología, diagnóstico y tratamiento" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "794" "paginaFinal" => "800" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Female Urethral Stricture: Etiology, diagnostic and treatment" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cristina Gutiérrez Ruiz, Fernando Rodríguez-Escovar, Carlos Errando Smet, Pedro Arañó Bertrán, Humberto Villavicencio Mavrich" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Cristina" "apellidos" => "Gutiérrez Ruiz" ] 1 => array:2 [ "nombre" => "Fernando" "apellidos" => "Rodríguez-Escovar" ] 2 => array:2 [ "nombre" => "Carlos" "apellidos" => "Errando Smet" ] 3 => array:2 [ "nombre" => "Pedro" "apellidos" => "Arañó Bertrán" ] 4 => array:2 [ "nombre" => "Humberto" "apellidos" => "Villavicencio Mavrich" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742329?idApp=UINPBA00004N" "url" => "/02104806/0000003300000007/v1_201304251940/S0210480609742329/v1_201304251940/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Incontinencia de orina durante la actividad sexual coital. Síntomas asociados y gravedad de la incontinencia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "801" "paginaFinal" => "805" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Montserrat Espuña-Pons, Montserrat Puig-Clota" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Montserrat" "apellidos" => "Espuña-Pons" "email" => array:1 [ 0 => "mespuna@clinic.ub.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Montserrat" "apellidos" => "Puig-Clota" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Institut Clínic de Ginecología, Obstetricia i Neonatología. Hospital Clinic I Provincial. Universidad de Barcelona. España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1." "correspondencia" => "Correspondencia autor: Dra. Montserrat Espuña Pons ICGON. Hospital Clínic i Provincial Villarroel, 170 - 08036 Barcelona. Te.l: 932 275 400" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Coital Urinary Incontinence. Associated Symptoms And Severity Of Incontinence" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-03-01" "fechaAceptado" => "2009-04-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89047" "palabras" => array:5 [ 0 => "Incontinencia Urinaria" 1 => "Coito" 2 => "Mujer" 3 => "Cuestionarios" 4 => "Calidad de vida" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec89046" "palabras" => array:4 [ 0 => "Urinary incontinence" 1 => "Coitus" 2 => "Women- Questionnaires" 3 => "Quality of life" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En el presente estudio se analizó en una muestra de mujeres sexualmente activas que consultaban por incontinencia urinaria (IU), la relación entre la IU en el coito y los síntomas de IU de esfuerzo y de urgencia y el grado de afectación por la IU expresados por la mujer mediante el cuestionario ICIQ-UI SF.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio epidemiológico, observacional, transversal y multicéntrico de 1.735 mujeres con diagnóstico de IU. Las pacientes que no tenían relación sexual de pareja fueron excluidas siendo analizadas 1.292 mujeres, que cumplimentaron el cuestionario ICIQ-UI SF y el King’s Health Questionnaire (KHQ).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">De acuerdo al KHQ, la prevalencia de IU en el coito fue de 29,4%. Las mujeres con IU en el coito en comparación a las que no la padecían presentaron similar edad media e índice de masa corporal, con mayor frecuencia síntomas de IUE (37,6% vs 27,7%) y con menor frecuencia síntomas de IUU (16,6% vs 27,4%) (p<0,001). El 36,1% de las mujeres con IUE referían IU en el coito, porcentaje que resultó inferior en las mujeres con IUU (20,1%). La puntuación total del ICIQ-UI SF fue superior en mujeres con IU en el coito, 14,1 frente a 12,1 (p<0,001), diferencia debida fundamentalmente a la dimensión “afectación” más que a “frecuencia” y “cantidad”.</p> <span class="elsevierStyleSectionTitle">Discusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La IU en el coito parece asociarse a la presencia de síntomas de IUE y a una mayor gravedad de la IU medidos por el cuestionario ICIQ-UI SF. Probablemente esta asociación se deba a que el ICIQ-UI SF incluye en su puntuación total la afectación causada por la IU y la IU en el coito tiene un importante efecto en la calidad de vida de las mujeres sexualmente activas.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The objective of present study was to analyze the relationship between coital urinary incontinence (UI) and the symptoms of Stress UI (SUI), Urge UI (UUI) and the extent to which they impair the patient’s life, measured through the ICIQ-UI SF questionnaire in a sample of sexually active women with UI symptoms.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Epidemiologic, observational, cross-sectional and multicentric study of 1,735 women with diagnostic of urinary incontinence (UI). Patients who were not sexually active were excluded, remaining 1,292 patients for the analysis. All women filled in the ICIQ-UI SF questionnaire and the King’s Health Questionnaire (KHQ).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">According to KHQ, the prevalence of coital incontinence was 29.4%. Women with coital incontinence compared to those who did not suffer from it, had similar mean age and body mass index, were more likely to have symptoms of SUI (37.6% vs. 27.7%) and less likely to have UUI (16.6% vs. 27.4%) (p<0.001). 36.1% of women with SUI had coital UI; this percentage was lower for women with UUI (20.1%). ICIQ-UI global score was higher in women with coital incontinence, 14.1 vs. 12.1 (p<0.001), difference that was mainly due to the dimension “affectation” rather than “frequency” and “amount” dimension scores.</p> <span class="elsevierStyleSectionTitle">Discussion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Coital IU seem to be associated to SUI and to a higher severity of the urinary incontinence measured by the ICIQ-UI SF. Probably this association is due to the fact that ICIQ-UI-SF includes in its score the impact of patients’ UI symptoms on their life and coital incontinence has an important effect on the quality of life of sexually active women.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Incontinencia de orina durante la actividad sexual coital. Síntomas asociados y gravedad de la incontinencia
Coital Urinary Incontinence. Associated Symptoms And Severity Of Incontinence
Montserrat Espuña-Pons1
, Montserrat Puig-Clota
Autor para correspondencia
mespuna@clinic.ub.es
Correspondencia autor: Dra. Montserrat Espuña Pons ICGON. Hospital Clínic i Provincial Villarroel, 170 - 08036 Barcelona. Te.l: 932 275 400
Correspondencia autor: Dra. Montserrat Espuña Pons ICGON. Hospital Clínic i Provincial Villarroel, 170 - 08036 Barcelona. Te.l: 932 275 400
Institut Clínic de Ginecología, Obstetricia i Neonatología. Hospital Clinic I Provincial. Universidad de Barcelona. España