The impact on sexual function of the pelvic floor muscle training with biofeedback in women with mild or moderate stress urinary incontinence

The aim of this study was to assess the impact on SF of PFMT with biofeedback in women with mild or moderate stress urinary incontinence (SUI). A prospective cohort study including 110 women with mild or moderate SUI, who received PFMTduring 3 months based on daily exercises, weekly supervised with biofeedback. Patients completed questionnaires at baseline and after PFMT to assess UI and sexual activity and function: International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI-SF), Female Sexual Function Index (FSFI) and Prolapse Urinary Incontinence Sexual Function Questionnaire- IUGA Revised (PISQ-IR). Patients were informed about the role of PFM function for SUI and sexual response, without specific sex therapy during the training period. The mean baseline ICIQ-IU-SF (SD) and Oxford were 10.7 (1.9) and 2, respectively, and 5.3 (3.3) and 3 after PFMT. Baseline, 104 women were sexually active (SA) and 6 non-SA. 92.7% accepted to assess their sexuality (all heterosexual, 90% with a partner). By asking directly about the global perception of their sexuality; 70.6% reported it was good. 18 women (17.8%) referred SUI during sexual activity. However, 66,6% among them reported they avoid "little or not at all” their sexuality as a consequence of SUI. A statistically significant difference was observed in FSFI Desire domain, (Table 1) and in PISQ-IR arousal-orgasm subscale (Table 2). Moreover, SA women with dyspareunia "always, often” were significantly reduced after PFMT (7.4% baseline vs 3.5% afterPFMT, p < 0.05). We also observed an increasing rate of women who reported they never have dyspareunia (baseline 31.9% vs 50.6% after PFMT, p < 0.05).