Sexual function after energy-based treatments of women with urinary incontinence. A systematic review and meta-analysis
Introduction and hypothesis Urinary incontinence (UI) affects approximately 50% of adult women worldwide and is associated with declining sexual function (SF). Energy-based devices emerged as a minimally invasive alternative treatment. Nevertheless, their effect on sexuality is uncertain. We hypothe...
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| Veröffentlicht in: | International Urogynecology Journal 2023-06, Vol.34 (6), p.1139-1152 |
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| container_title | International Urogynecology Journal |
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| creator | Pavarini, Nádia Valadares, Ana L. R. Varella, Glaucia M. Brito, Luiz G. O. Juliato, Cássia R. T. Costa-Paiva, Lúcia |
| description | Introduction and hypothesis
Urinary incontinence (UI) affects approximately 50% of adult women worldwide and is associated with declining sexual function (SF). Energy-based devices emerged as a minimally invasive alternative treatment. Nevertheless, their effect on sexuality is uncertain. We hypothesize that the UI energy treatment can lead to sexual function improvement.
Methods
A search was performed in PubMed, Cochrane Library, Web of Science, Embase, and Scopus for randomized clinical trials (RCTs) and nonrandomized studies of intervention, which treated incontinent women using energy, with UI and sexual function (SF) as outcomes. Severe comorbidities, pelvic organ prolapse (POP)> grade 2, and use of medication to treat UI or that affects SF were excluded. Quality assessment and meta-analysis were performed.
Results
From 322 articles, 11 RCTs were included for qualitative analysis. UI symptoms improved in all studies. Regarding SF, RCT with premenopausal women showed improvement in SF in the Er:Yag group (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 and Female Sexual Function Index). A prospective study showed improvement in SF independent of the grade of SUI. RF showed benefits for SF but was not superior to pelvic floor muscle training. One nonrandomized study of intervention with a High-Intensity Focused Electromagnetic Field showed significant improvement of SF in the Golombok Rust Inventory of Sexual Satisfaction total score, a decline in pain and dissatisfaction domains. Meta-analysis with 4 RCTs and 2 nonrandomized studies found no difference between groups (0.26 (95% CI −0.67 to 1.20, and −0.74 (95% CI −3.78 to 2.30) respectively).
Conclusions
This meta-analysis did not confirm that energy equipment improved the SF of women with UI. |
| doi_str_mv | 10.1007/s00192-022-05419-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2768233192</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2768233192</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-370ad5a57fed346b22c96814934b8aeac8fc51004961b71a6b99d6b233379983</originalsourceid><addsrcrecordid>eNp9kU9P3DAQxS1UBMvCF-ihstRLLwb_SeL4iFBbkJA4wN2aOBNqlDjUdrrst8fL0lbqoQdrLPk3bzzvEfJR8HPBub5InAsjGZfl1JUwrD0gK1EpxRSX6gNZcaM0U1Ujj8lJSk-c84rX_Igcq6ZpeW2aFdnc48sCIx2W4LKfA4UhY6QYMD5uWQcJe5ojQp4w5ETngW7mcqUbn3_QJfoAcUt9cHPIPmBweE4vadqmjBNk72jEXx43FEJPJ8zAIMC4TT6dksMBxoRn73VNHr59fbi6Zrd332-uLm-ZU7rOTGkOfQ21HrAvi3RSOtO0ojKq6lpAcO3g6mJGZRrRaQFNZ0xfMKWUNqZVa_JlL_sc558LpmwnnxyOIwScl2SlbtoCFxsL-vkf9GleYvluoVopdKXkm6DcUy7OKUUc7HP0UzHBCm53qdh9KrakYt9SsbumT-_SSzdh_6fldwwFUHsglafwiPHv7P_IvgIzDpiF</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2821743298</pqid></control><display><type>article</type><title>Sexual function after energy-based treatments of women with urinary incontinence. A systematic review and meta-analysis</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Pavarini, Nádia ; Valadares, Ana L. R. ; Varella, Glaucia M. ; Brito, Luiz G. O. ; Juliato, Cássia R. T. ; Costa-Paiva, Lúcia</creator><creatorcontrib>Pavarini, Nádia ; Valadares, Ana L. R. ; Varella, Glaucia M. ; Brito, Luiz G. O. ; Juliato, Cássia R. T. ; Costa-Paiva, Lúcia</creatorcontrib><description>Introduction and hypothesis
Urinary incontinence (UI) affects approximately 50% of adult women worldwide and is associated with declining sexual function (SF). Energy-based devices emerged as a minimally invasive alternative treatment. Nevertheless, their effect on sexuality is uncertain. We hypothesize that the UI energy treatment can lead to sexual function improvement.
Methods
A search was performed in PubMed, Cochrane Library, Web of Science, Embase, and Scopus for randomized clinical trials (RCTs) and nonrandomized studies of intervention, which treated incontinent women using energy, with UI and sexual function (SF) as outcomes. Severe comorbidities, pelvic organ prolapse (POP)> grade 2, and use of medication to treat UI or that affects SF were excluded. Quality assessment and meta-analysis were performed.
Results
From 322 articles, 11 RCTs were included for qualitative analysis. UI symptoms improved in all studies. Regarding SF, RCT with premenopausal women showed improvement in SF in the Er:Yag group (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 and Female Sexual Function Index). A prospective study showed improvement in SF independent of the grade of SUI. RF showed benefits for SF but was not superior to pelvic floor muscle training. One nonrandomized study of intervention with a High-Intensity Focused Electromagnetic Field showed significant improvement of SF in the Golombok Rust Inventory of Sexual Satisfaction total score, a decline in pain and dissatisfaction domains. Meta-analysis with 4 RCTs and 2 nonrandomized studies found no difference between groups (0.26 (95% CI −0.67 to 1.20, and −0.74 (95% CI −3.78 to 2.30) respectively).
Conclusions
This meta-analysis did not confirm that energy equipment improved the SF of women with UI.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-022-05419-8</identifier><identifier>PMID: 36680596</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Female ; Gynecology ; Humans ; Medicine ; Medicine & Public Health ; Meta-analysis ; Pelvic organ prolapse ; Pelvic Organ Prolapse - complications ; Pelvic Organ Prolapse - therapy ; Review Article ; Sexual Behavior ; Sexuality ; Surveys and Questionnaires ; Urinary incontinence ; Urinary Incontinence - complications ; Urinary Incontinence - therapy ; Urology</subject><ispartof>International Urogynecology Journal, 2023-06, Vol.34 (6), p.1139-1152</ispartof><rights>The International Urogynecological Association 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The International Urogynecological Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-370ad5a57fed346b22c96814934b8aeac8fc51004961b71a6b99d6b233379983</citedby><cites>FETCH-LOGICAL-c375t-370ad5a57fed346b22c96814934b8aeac8fc51004961b71a6b99d6b233379983</cites><orcidid>0000-0002-8416-6096</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-022-05419-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-022-05419-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36680596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pavarini, Nádia</creatorcontrib><creatorcontrib>Valadares, Ana L. R.</creatorcontrib><creatorcontrib>Varella, Glaucia M.</creatorcontrib><creatorcontrib>Brito, Luiz G. O.</creatorcontrib><creatorcontrib>Juliato, Cássia R. T.</creatorcontrib><creatorcontrib>Costa-Paiva, Lúcia</creatorcontrib><title>Sexual function after energy-based treatments of women with urinary incontinence. A systematic review and meta-analysis</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
Urinary incontinence (UI) affects approximately 50% of adult women worldwide and is associated with declining sexual function (SF). Energy-based devices emerged as a minimally invasive alternative treatment. Nevertheless, their effect on sexuality is uncertain. We hypothesize that the UI energy treatment can lead to sexual function improvement.
Methods
A search was performed in PubMed, Cochrane Library, Web of Science, Embase, and Scopus for randomized clinical trials (RCTs) and nonrandomized studies of intervention, which treated incontinent women using energy, with UI and sexual function (SF) as outcomes. Severe comorbidities, pelvic organ prolapse (POP)> grade 2, and use of medication to treat UI or that affects SF were excluded. Quality assessment and meta-analysis were performed.
Results
From 322 articles, 11 RCTs were included for qualitative analysis. UI symptoms improved in all studies. Regarding SF, RCT with premenopausal women showed improvement in SF in the Er:Yag group (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 and Female Sexual Function Index). A prospective study showed improvement in SF independent of the grade of SUI. RF showed benefits for SF but was not superior to pelvic floor muscle training. One nonrandomized study of intervention with a High-Intensity Focused Electromagnetic Field showed significant improvement of SF in the Golombok Rust Inventory of Sexual Satisfaction total score, a decline in pain and dissatisfaction domains. Meta-analysis with 4 RCTs and 2 nonrandomized studies found no difference between groups (0.26 (95% CI −0.67 to 1.20, and −0.74 (95% CI −3.78 to 2.30) respectively).
Conclusions
This meta-analysis did not confirm that energy equipment improved the SF of women with UI.</description><subject>Adult</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Pelvic organ prolapse</subject><subject>Pelvic Organ Prolapse - complications</subject><subject>Pelvic Organ Prolapse - therapy</subject><subject>Review Article</subject><subject>Sexual Behavior</subject><subject>Sexuality</subject><subject>Surveys and Questionnaires</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - complications</subject><subject>Urinary Incontinence - therapy</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU9P3DAQxS1UBMvCF-ihstRLLwb_SeL4iFBbkJA4wN2aOBNqlDjUdrrst8fL0lbqoQdrLPk3bzzvEfJR8HPBub5InAsjGZfl1JUwrD0gK1EpxRSX6gNZcaM0U1Ujj8lJSk-c84rX_Igcq6ZpeW2aFdnc48sCIx2W4LKfA4UhY6QYMD5uWQcJe5ojQp4w5ETngW7mcqUbn3_QJfoAcUt9cHPIPmBweE4vadqmjBNk72jEXx43FEJPJ8zAIMC4TT6dksMBxoRn73VNHr59fbi6Zrd332-uLm-ZU7rOTGkOfQ21HrAvi3RSOtO0ojKq6lpAcO3g6mJGZRrRaQFNZ0xfMKWUNqZVa_JlL_sc558LpmwnnxyOIwScl2SlbtoCFxsL-vkf9GleYvluoVopdKXkm6DcUy7OKUUc7HP0UzHBCm53qdh9KrakYt9SsbumT-_SSzdh_6fldwwFUHsglafwiPHv7P_IvgIzDpiF</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Pavarini, Nádia</creator><creator>Valadares, Ana L. 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A systematic review and meta-analysis</title><author>Pavarini, Nádia ; Valadares, Ana L. R. ; Varella, Glaucia M. ; Brito, Luiz G. O. ; Juliato, Cássia R. T. ; Costa-Paiva, Lúcia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-370ad5a57fed346b22c96814934b8aeac8fc51004961b71a6b99d6b233379983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Female</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Pelvic organ prolapse</topic><topic>Pelvic Organ Prolapse - complications</topic><topic>Pelvic Organ Prolapse - therapy</topic><topic>Review Article</topic><topic>Sexual Behavior</topic><topic>Sexuality</topic><topic>Surveys and Questionnaires</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - complications</topic><topic>Urinary Incontinence - therapy</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pavarini, Nádia</creatorcontrib><creatorcontrib>Valadares, Ana L. R.</creatorcontrib><creatorcontrib>Varella, Glaucia M.</creatorcontrib><creatorcontrib>Brito, Luiz G. O.</creatorcontrib><creatorcontrib>Juliato, Cássia R. T.</creatorcontrib><creatorcontrib>Costa-Paiva, Lúcia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pavarini, Nádia</au><au>Valadares, Ana L. R.</au><au>Varella, Glaucia M.</au><au>Brito, Luiz G. O.</au><au>Juliato, Cássia R. T.</au><au>Costa-Paiva, Lúcia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexual function after energy-based treatments of women with urinary incontinence. A systematic review and meta-analysis</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>34</volume><issue>6</issue><spage>1139</spage><epage>1152</epage><pages>1139-1152</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
Urinary incontinence (UI) affects approximately 50% of adult women worldwide and is associated with declining sexual function (SF). Energy-based devices emerged as a minimally invasive alternative treatment. Nevertheless, their effect on sexuality is uncertain. We hypothesize that the UI energy treatment can lead to sexual function improvement.
Methods
A search was performed in PubMed, Cochrane Library, Web of Science, Embase, and Scopus for randomized clinical trials (RCTs) and nonrandomized studies of intervention, which treated incontinent women using energy, with UI and sexual function (SF) as outcomes. Severe comorbidities, pelvic organ prolapse (POP)> grade 2, and use of medication to treat UI or that affects SF were excluded. Quality assessment and meta-analysis were performed.
Results
From 322 articles, 11 RCTs were included for qualitative analysis. UI symptoms improved in all studies. Regarding SF, RCT with premenopausal women showed improvement in SF in the Er:Yag group (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 and Female Sexual Function Index). A prospective study showed improvement in SF independent of the grade of SUI. RF showed benefits for SF but was not superior to pelvic floor muscle training. One nonrandomized study of intervention with a High-Intensity Focused Electromagnetic Field showed significant improvement of SF in the Golombok Rust Inventory of Sexual Satisfaction total score, a decline in pain and dissatisfaction domains. Meta-analysis with 4 RCTs and 2 nonrandomized studies found no difference between groups (0.26 (95% CI −0.67 to 1.20, and −0.74 (95% CI −3.78 to 2.30) respectively).
Conclusions
This meta-analysis did not confirm that energy equipment improved the SF of women with UI.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>36680596</pmid><doi>10.1007/s00192-022-05419-8</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-8416-6096</orcidid></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Female Gynecology Humans Medicine Medicine & Public Health Meta-analysis Pelvic organ prolapse Pelvic Organ Prolapse - complications Pelvic Organ Prolapse - therapy Review Article Sexual Behavior Sexuality Surveys and Questionnaires Urinary incontinence Urinary Incontinence - complications Urinary Incontinence - therapy Urology |
| title | Sexual function after energy-based treatments of women with urinary incontinence. A systematic review and meta-analysis |
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