Evidence map›Paper›PMID 42129374›Full record

ArticleSpinal cord2026

Partnered sexual activity and satisfaction in women with spinal cord disease: influence of urinary incontinence and other predictors.

Rachel Mazoni Costa, Manuela Horta, André Tunes de Paula, Taynna Ferreira Arantes da Costa, José de Bessa, William Carlos Nahas, Cristiano Mendes Gomes

Abstract read
In one paragraph

Article in Spinal cord, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rachel Mazoni CostaDivision of Urology, Universidade de São Paulo, São Paulo, Brazil. rachelmazoni@hotmail.com.ORCID http://orcid.org/0000-0002-8462-806X
Manuela HortaDivision of Urology, Universidade de São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0009-0000-8693-0054
André Tunes de PaulaDepartment of Urology, Hospital Evangélico de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil.
Taynna Ferreira Arantes da CostaDepartment of Urology, Hospital Evangélico de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil.
José de BessaDivision of Urology, Universidade Estadual de Feira de Santana, Feira de Santana, Bahia, Brazil.
William Carlos NahasDivision of Urology, Universidade de São Paulo, São Paulo, Brazil.
Cristiano Mendes GomesDivision of Urology, Universidade de São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCross-sectional study.

objectivesEvaluate sexual activity and satisfaction in women with spinal cord disease (SCD) and their associations with urinary incontinence.

settingOutpatient neuro-urology clinics at a tertiary rehabilitation center in Brazil.

methodsNinety-eight women aged ≥18 years with traumatic or non-traumatic SCD were included. Clinical and demographic data were collected through structured interviews. Bladder symptoms were assessed with the Neurogenic Bladder Symptom Score-Short Form (NBSS-SF). Sexual function was evaluated with the Female Sexual Function Index (FSFI), and sexual satisfaction with the WHOQOL-BREF. Sexual activity was defined as partnered sexual activity, with or without intercourse, within the prior six months. Logistic regression identified predictors of sexual activity and satisfaction.

resultsMean age was 42.9 (±12.1) years; most cases were non-traumatic (85.7%), mainly multiple sclerosis (55.9%). Urinary incontinence was reported by 52%, severe in 28.6%. Sexual activity was reported by 48 women (49.0%), of whom 58.3% had FSFI-defined dysfunction and 60.4% reported satisfaction. Incontinence was strongly associated with inactivity (72.5% vs. 27.5%, p < 0.001) and lower FSFI scores (16.2 (10.3) vs. 24.4 (9.1), p < 0.001). Urinary continence (OR 5.0, 95% CI, 1.7 to 14.4), younger age (OR 0.93/year, 95% CI, 0.89 to 0.98), and being married (OR 10.9, 95% CI, 3.6 to 33.3) predicted sexual activity and satisfaction.

conclusionsSexual dysfunction and UI were prevalent and interrelated in women with SCD. UI independently predicted inactivity and dissatisfaction.

Indexed as

Personal SatisfactionSexual BehaviorSexual Dysfunction, PhysiologicalSexual PartnersSpinal Cord DiseasesUrinary IncontinenceAdultCross-Sectional StudiesFemaleHumansMiddle Aged

Identifiers

PMID42129374
PMCPMC13441874

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.