Sexual function is important for health and quality of life. We evaluated effects of lower urinary tract symptoms (LUTS), urinary incontinence (UI) and coital incontinence, and/or pelvic organ prolapse (POP) on sexual functions and quality of life of women over 50 years of age. Secondary objectives were to compare rate of sexual activity, effects of type of UI and coital incontinence on sexual functions and quality of life among age groups. Female-Sexual-Function-Index (FSFI), Pelvic-Organ-Prolapse/Urinary-Incontinence Sexual-Function-Questionnaire-12 (PISQ-12), and King’s-Health-Questionnaire (KHQ) were used for evaluation. Between 2013 and 2018, 1256 women were included. 565 women were 50–59 years (Group 1), 440 were 60–69 (Group 2), 251 were over 70 (Group-3). 763 women (60.7%) suffered from LUTS, 141 women (11.2%) suffered from POP only, and 352 women (28%) suffered from POP + LUTS. Younger women were more sexually active (p = 0.001). FSFI and PISQ-12 scores of women suffering from LUTS, POP + LUTS, and POP only were similar. Lubrication and orgasm scores were worse in Group 3 (p = 0.006 and 0.037). Type of UI did not affect FSFI and PISQ-12 scores. Coital incontinence was correlated with mixed UI in Groups 1 (p = 0.01) and 2 (p = 0.03). There was no association with coital incontinence and type of UI in Group 3. Coital incontinence had adverse effect in FSFI, PISQ-12 scores. In younger women, coital incontinence had an adverse effect on desire and arousal domains. KHQ scores were worse in women having LUTS in comparison to women suffering from POP only (p = 0.00) and were worse in Groups 1 and 2 (p = 0.002 and 0.013). KHQ scores were worse in women suffering from urge or mixed UI (p = 0.00). Coital incontinence had adverse effect in KHQ scores. In conclusion, aging, LUTS, UI, and coital incontinence have detrimental effects on sexual functions and quality of life. Urge or mixed UI have more adverse effects on quality of life. Quality of life is worse in younger women suffering from UI and coital incontinence.

性功能对于健康和生活质量至关重要。我们评估了下尿路症状（LUTS），尿失禁（UI）和性交失禁和/或盆腔器官脱垂（POP）对50岁以上女性性功能和生活质量的影响。次要目标是比较年龄组之间的性活动率，UI类型和性失禁对性功能和生活质量的影响。使用女性性功能指数（FSFI），盆腔器官脱垂/尿失禁性功能问卷12（PISQ-12）和国王健康问卷（KHQ）进行评估。在2013年至2018年期间，纳入了1256名妇女。565名妇女年龄在50-59岁之间（第1组），440名妇女在60-69岁之间（第2组），251名年龄在70岁以上的妇女（第3组）。仅POP就使763名妇女（60.7％）遭受了LUTS，141名妇女（11.2％）受了持久性有机污染物，352名妇女（占28％）患有POP + LUTS。较年轻的女性性行为活跃（p  = 0.001）。患有LUTS，POP + LUTS和POP的女性的FSFI和PISQ-12得分相似。第三组的润滑和性高潮评分较差（p  = 0.006和0.037）。UI的类型不影响FSFI和PISQ-12分数。在第1组（p  = 0.01）和第2组（p  = 0.03），性交失禁与混合UI相关。第3组与性失禁和UI类型无关。性失禁对FSFI，PISQ-12评分有不良影响。在年轻女性中，性交失禁对性欲和唤醒区域有不利影响。与仅患有POP的女性相比，患有LUTS的女性的KHQ评分较差（p  = 0.00），而在第1组和第2组中则较差（p = 0.002和0.013）。在患有冲动或UI混合的女性中，KHQ评分较差（p  = 0.00）。尿失禁对KHQ评分有不良影响。总之，衰老，LUTS，UI和性交失禁会对性功能和生活质量产生不利影响。敦促或混合使用UI会对生活质量产生更多不利影响。患有UI和性交失禁的年轻妇女的生活质量较差。