Online citations, reference lists, and bibliographies.

Urine Leakage During Sexual Activity Among Ethnically Diverse, Community‐dwelling Middle‐aged And Older Women

Nagambika Munaganuru, S. K. Van Den Eeden, J. Creasman, L. Subak, Lisa Strano-Paul, A. Huang
Published 2017 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
BACKGROUND: Urinary incontinence is associated with decreased female sexual function, but little is known about the prevalence, predictors, and impact of urine leakage during sexual activity among women in the community. OBJECTIVE: The purpose of this study was to evaluate the prevalence and impact of urine leakage during sex in ethnically diverse, community‐dwelling midlife and older women. STUDY DESIGN: Urinary incontinence and sexual function were assessed by structured questionnaire in a multiethnic, community‐based cohort of women enrolled in Kaiser Permanente Northern California, an integrated healthcare delivery system in California. All women were aged 40–80 years and sampled from 1 of 4 racial/ethnic groups (20% black, 20% Latina, 20% Asian, and 40% non‐Latina white). Differences in frequency, bother, and fear of urine leakage during sexual activity were examined among women with monthly, weekly, and daily urinary incontinence and across different types of urinary incontinence (stress, urgency, mixed, and other type urinary incontinence), with the use of chi‐square tests. Independent risk factors for urine leakage during sexual activity were identified through multivariable logistic regression. RESULTS: Of the 509 women who reported being sexually active and having at least monthly urinary incontinence, 127 of them (25%) reported experiencing any urine leakage during sex during the past 3 months. Nineteen percent of the women reported being subjectively bothered by leakage during sex, and 16% of them reported restricting sexual activity because of fear of leakage. Women with more frequent underlying urinary incontinence were more likely to report experiencing or being bothered by leakage during sex and restricting sexual activity because of fear of leakage (P<.001 for all). Participants with predominantly stress or mixed type urinary incontinence were more likely to report experiencing leakage during sex and being subjectively bothered by this leakage (P<.002 for all). Factors independently associated with leakage during sex were depression (odds ratio,1.96; 95% confidence interval, 1.20–3.20), symptomatic pelvic organ prolapse (odds ratio, 2.10; 95% confidence interval, 1.11–3.98), mixed vs urgency type urinary incontinence (odds ratio, 3.16; 95% confidence interval, 1.70–5.88), stress vs urgency type urinary incontinence (odds ratio, 1.94; 95% confidence interval, 1.01–3.70), and frequency of sexual activity (odds ratio, 1.6395% confidence interval, 1.05–2.55), but not age or race/ethnicity. CONCLUSIONS: Up to a quarter of women with at least monthly urinary incontinence in the community may experience urine leakage during sexual activity. Many incontinent women who leak urine during sex remain sexually active, which indicates that the preservation of sexual function should still be a priority in this population. Among incontinent women, depression, pelvic organ prolapse, and stress mixed‐type urinary incontinence may be associated with urine leakage during sexual activity.
This paper references
Sexual Function in Women with and without Urinary Incontinence and/or Pelvic Organ Prolapse
G. R. Rogers (2014)
Depression in neurological disorders: Parkinson’s disease, multiple sclerosis, and stroke
H. Rickards (2005)
The impact of urinary incontinence on quality of life of the elderly.
Y. Ko (2005)
Female Sexual Function and Pelvic Floor Disorders
V. Handa (2008)
Type 2 diabetes mellitus and risk of stress, urge and mixed urinary incontinence.
K. Danforth (2009)
The impact of pelvic organ prolapse on sexual function in women with urinary incontinence
Begüm Z. Özel (2005)
Sexual Function in Women With Urinary Incontinence and Pelvic Organ Prolapse
M. Barber (2002)
Sexual satisfaction in the elderly female population: A special focus on women with gynecologic pathology.
E. Ratner (2011)
Association between anxiety and mortality in patients with coronary artery disease: A meta-analysis.
C. M. Celano (2015)
The impact of multimorbidity on sexual function in middle-aged and older women: beyond the single disease perspective.
Ayesha A. Appa (2014)
The severity of urinary incontinence decreases health-related quality of life among community-dwelling elderly.
S. Aguilar-Navarro (2012)
Relationship between Stress Urinary Incontinence and Pelvic Organ Prolapse
S. Bai (2002)
Urinary incontinence and pelvic organ prolapse.
G. Buchsbaum (2006)
Depression in cancer patients: Pathogenesis, implications and treatment (Review)
H. Smith (2015)
Sexual function in women with urodynamic stress incontinence, detrusor overactivity, and mixed urinary incontinence.
R. Urwitz-Lane (2006)
The impact of urinary incontinence on the quality of life of women
L. Swithinbank (1999)
Urinary Incontinence in US Women A Population-Based Study
J. Melville (2005)
The impact of urinary incontinence on self-efficacy and quality of life
B. Broome (2003)
Urinary incontinence self-report questions: reproducibility and agreement with bladder diary
Catherine S. Bradley (2011)
Sexual function among women with urinary incontinence and pelvic organ prolapse.
V. Handa (2004)
Sexual function and aging in racially and ethnically diverse women.
A. Huang (2009)
Sexual function among overweight and obese women with urinary incontinence in a randomized controlled trial of an intensive behavioral weight loss intervention.
Alison J. Huang (2009)
Childbirth and Female Sexual Function Later in Life
J. Fehniger (2013)
Sexual function in women with pelvic organ prolapse compared to women without pelvic organ prolapse.
J. Novi (2005)
Urinary Incontinence Predictors and Life Impact in Ethnically Diverse Perimenopausal Women
C. Sampselle (2002)
The association between gastroesophageal reflux disease with sleep quality, depression, and anxiety in a cohort study of Australian men
Zhi Xiang On (2017)
Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence.
J. Melville (2002)
Bridging the gap: determinants of undiagnosed or untreated urinary incontinence in women.
Erin R Duralde (2016)
Urinary leakage during coitus in women.
P. Morán (1999)
Incidence of and risk factors for change in urinary incontinence status in a prospective cohort of middle-aged and older women: the reproductive risk of incontinence study in Kaiser.
D. Thom (2010)
Are sexual activity and satisfaction affected by pelvic floor disorders? Analysis of a community-based survey.
E. Lukacz (2007)
Urinary Incontinence and Depression in Middle‐Aged United States Women
I. Nygaard (2003)
Female urinary incontinence during intercourse: a review on an understudied problem for women's sexuality.
M. Serati (2009)
The relationship between sexual activity and urinary incontinence in older women.
C. Tannenbaum (2006)
Coital incontinence: relation to detrusor overactivity and stress incontinence.
A. El-Azab (2011)

This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar