purpose : This research is a descriptive investigative study for figuring out differences between sexual function and quality of life in married women with and without urinary incontinence (UI) and for exploring level of lower urinary tract symptoms (LUTS), sexual function, and quality of life (QOL) in married women with urinary incontinence. Moreover, this paper touches on correlations between LUTS, sexual function and QOL.

Method : Targets of this research were 234 married women aged between 30 and 79 who live in J city with their spouses and keep sex life. They agreed to participate and understood the purpose of this study. The data were collected by convenience sampling by considering the proportion of married women per ages in J city announced by the National Statistical Office.
In this study, various methods which validity has been proven in Korean language were applied. LUTS were analysed with the Korean version of Scored Form of the Bristol Female Lower Urinary Tract Symptoms Questionnaire, BFLUTS-SF. Sexual function and QOL in married women were estimated with the Korean version of Female Sexual Function Index, FSFI and the Korean version of The Medical Outcomes Study 36-Item Short Form Version 2 Standard, SF-36v2 respectively.
The data had been collected for a month from Oct 10th to Nov 9th in 2016, using self-reported questionnaires. The obtained data from the survey were analyzed computer?based statistic programme which is called as SPSS 23.0.

Results : The results of this study are as follows.
1) From this study the prevalence of UI was 54.7% among participants and their symptoms could be classified into three types. stress UI was 54.7% and the proportion of urge UI and mixed UI was 13.3% and 32.0% respectively.
2) With and without UI, the score of sexual function(t=-4.69, p<.001) showed significant differences and sexual function in married women without UI was better than married women with UI. With and without UI, the score of QOL(t=-3.86, p<.001) displayed significant differences and QOL in married women without UI felt better about their QOL than those with UI.
3) The average score of LUTS in married women with UI was found to be 7.55±4.27 points of full marks 47 points. The average score of its sub?factors showed filling symptoms 3.00±2.13 points, voiding symptoms 1.00±1.27 points, incontinence symptoms 3.55±2.00 points. The average score of sexual function in married women with UI was found to be 14.67±10.52 points of full marks 36 points. The average score of QOL in married women with UI was found to be 68.27±1.60 points of full marks 100 points.
4) Among LUTS in married women with UI, nocturia more than once per night accounted for 71.9%. The rate of urgency and bladder pain was represented to 47.7% and 27.3 % respectively. On the aspect of daytime urinary frequency, the proportion of occurrence less than 3 hour consist of 66.4% and hesitancy, strain to start and intermittent stream stand at 22.7%, 23.4% and 35.2% respectively. According to incontinence frequency, the rate of people who had experienced it was more than once a week was 87.5%. The rate of unpredictable incontinence and nocturnal incontinence was represented to 32.8% and 8.6% respectively.
5) LUTS in married women with UI were statistically varied according to sociodemographic characteristics and UI related characteristics education level (t=2.88, p=.006), family income (t=2.93, p=.004), health status (F=6.95, p=.001), menopause status (t=-2.22, p=.029), duration of menopause (t=-2.00, p=.048), knowledge of Kegel exercise (t=-2.57, p=.011) and type of UI (F=26.81, p<.001). Sexual function in married women with UI were differed from sociodemographic characteristics and UI related characteristics age (F=7.67, p<.001), education level (t=-3.05, p=.003), marital period (F=8.51, p<.001), occupation status (t=-3.06, p=.003), family income (t=-3.52, p=.001), exercise status (t=2.21, p=.029), history of genitourinary disease (t=3.06, p=.003), menopause status (t=6.05, p<.001), duration of menopause (t=4.38, p<.001), knowledge of Kegel exercise (t=3.46, p=.001), performance of Kegel exercise (t=3.49, p=.001), and the number of sexual intercourse per month (F=270.13, p<.001). QOL in married women with UI showed statistically significant differences in relation to sociodemographic characteristics and UI related characteristics education level (t=-2.26, p=.025), marital period (F=7.67, p<.001), occupation status (t=-3.05, p=.003), family income (t=-3.52, p=.001), exercise status (t=2.21, p=.029), health status (t=3.06, p=.003), number of spontaneous delivery (t=-2.13, p=.036), menopause status (t=6.05, p<.001), knowledge of Kegel exercise (t=3.46, p=.001), performance of Kegel exercise (t=2.06, p=.043), number of sexual intercourse per month (F=270.13, p<.001) and type of UI (F=7.67, p<.001).
6) LUTS were found to have negative correlation with sexual function (r=-.24, p=.007), QOL (r=-.50, p=<.001) and positive correlation between sexual function and QOL (r=.37, p=<.001).

Conclusion : From results of this study above, UI symptoms were significantly related to low sexual function and QOL. Comparing to married women who have not experienced UI, LUTS were worse and the scores for presenting sexual function and QOL were relatively lower in targets who have been suffered from UI. There was negative correlation among LUTS and sexual function and QOL, and positive correlation between sexual function and QOL in married women with UI. The results of this study are expected to provide basic data for therapeutic nursing intervention for LUTS management, sexual dysfunction and low QOL in women with UI, and help to recognize and understand diseases of UI.