Working with urinary incontinence in primary health care: satisfaction, sexuality and therapeutic compliance

• Published in: Archivos españoles de urología Vol. 60; no. 6; pp. 625 - 632
• Main Authors: García-Giralda Ruíz, Luis, Guirao Sánchez, Lorenzo, Casas Aranda, Isabel, Alfaro González, Juan Vicente, Sánchez Pérez, Gregorio, Guirao Egea, Lorenzo
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.07.2007
• Subjects: Aged; Female; Humans; Longitudinal Studies; Male; Patient Compliance; Patient Satisfaction; Primary Health Care; Quality of Life; Sexuality; Surveys and Questionnaires; Urinary Incontinence - therapy
• ISSN: 0004-0614

Our aim is not only to measure the satisfaction of both sex patients with urinary incontinence but also to analyse the influence of urgency incontinence in our patient's sexuality as well as their treatment fulfilment. This is a quasi-experimental naturalistic, longitudinal, open and not controlled study made during 24 weeks with before-after analysis on 60 urgent or mixed urinary incontinence patients treated with physic therapy and tolterodine. We have used the Spanish version of the questionnaire about overactive bladder (OAB-q), the Spanish version of the King's Health Questionnaire (KHQ) and the Golombok Rust Inventory of Sexual Satisfaction (G.R.I.S.S.) about sexual satisfaction. We have born in mind treatment fulfilment. The 56.25% (18) of the valid calendars showed "normal" mictional values at the end of the study (p < 0.001). Each item of the OAB-q has improved after the treatment of the 26.55% (p < 0.001). The health status has also improved in the KHQ (p < 0.001), but it hasn't happened the same in the G.R.I.S.S. Finally, an improvement in several items of the treatment fulfilment can be contrasted. The results of this study corroborate the efficiency of pelvic floor rehabilitation combined with pharmacological therapy in urinary incontinence treatment. These results are very hope-giving because the incontinence problem affects negatively to the patients' perception of their own health status, so solving this problem their health status will be improved.