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Female Urinary Incontinence During Intercourse: A Review On An Understudied Problem For Women's Sexuality.
M. Serati, S. Salvatore, S. Uccella, R. Nappi, P. Bolis
Published 2009 · Medicine
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INTRODUCTION Coital urinary incontinence is a frequently underreported symptom, with a relevant impact on women's sexuality and quality of life. AIM This article will review the available evidence on incidence, pathophysiology, and treatment of coital urinary incontinence with the attempt to present the current state of the art. METHODS PubMed was searched for reports about coital urinary incontinence that were published from 1970 to 2008, and the most relevant articles were reviewed. MAIN OUTCOME MEASURES Review on epidemiology, pathophysiology, diagnosis, and treatment of coital incontinence. RESULTS The incidence of coital incontinence in incontinent women has been reported to range between 10% and 27%. At present, some evidence suggests an association between urinary leakage at penetration and urodynamic stress (USI) incontinence as well as urinary leakage during orgasm and detrusor overactivity (DO). When treatment for these conditions are based upon urodynamic findings, pelvic floor muscle training, surgery, and pharmacotherapy show satisfactory cure rates. CONCLUSIONS Coital urinary incontinence deserves much more attention in clinical practice: women should be specifically interviewed for this disturbance because it has a very negative impact on their sexuality. If a reliable urodynamic diagnosis is made, coital urinary incontinence at penetration can be cured in more than 80% of cases by surgery in the presence of USI. The form of coital incontinence during orgasm is curable by antimuscarinic treatment in about 60% of cases when associated with DO.
This paper references
Generic and Disease-Specific Health-Related Quality of Life in Women with Coital Incontinence: A Prospective, Multicenter Study
S. Oh (2007)
Randomized controlled trial on the effect of pelvic floor muscle training on quality of life and sexual problems in genuine stress incontinent women
Kari Bø (2000)
Distress and delay associated with urinary incontinence, frequency, and urgency in women.
P. Norton (1988)
SEXUAL DYSFUNCTION AND URINARY INCONTINENCE
J. Sutherst (1979)
Does sexual function change after surgery for stress urinary incontinence and/or pelvic organ prolapse? A multicenter prospective study.
R. Rogers (2006)
Impact of tension-free vaginal tape on sexual function: results of a prospective study
F. Ghezzi (2005)
Sexual function following surgery for urodynamic stress incontinence
S. Jha (2006)
Sexual function after transobturator tape procedure for stress urinary incontinence.
L. Sentilhes (2008)
Treatment of urinary incontinence in women in general practice: observational study
Anders R Seim (1996)
Sexual Function after Tension-Free Vaginal Tape Procedure
M. Marszalek (2007)
Urinary incontinence at orgasm: relation to detrusor overactivity and treatment efficacy.
M. Serati (2008)
Help seeking behaviour and health and social services utilisation by people suffering from urinary incontinence.
B. Roe (1999)
Urinary incontinence during orgasm.
Z. Khan (1988)
Are persistent or recurrent symptoms of urinary incontinence after surgery associated with adverse effects on sexual activity or function?
D. Morgan (2007)
"Diagnostic investigation of the pelvic floor": a helpful tool in the approach in patients with complaints of micturition, defecation, and/or sexual dysfunction.
P. Voorham-van der Zalm (2008)
Overactive bladder and women's sexual health: what is the impact?
K. Coyne (2007)
Urinary incontinence during sexual intercourse: a common, but rarely volunteered, symptom
P. Hilton (1988)
The effect of tension-free vaginal tape (TVT) procedure on sexual function in women with stress urinary incontinence
Ercan Yeni (2003)
Do women with female ejaculation have detrusor overactivity?
R. Cartwright (2007)
Sexual function in women with urinary incontinence treated by pelvic floor transvaginal electrical stimulation.
Paradiso Galatioto Giuseppe (2007)
Urinary incontinence in Belgium: a population-based epidemiological survey.
C. Schulman (1997)
Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study.
A. Salonia (2004)
Does Burch colposuspension cure coital incontinence?
K. Baessler (2004)
Sexual Function in Women
Laurie Duncan (1993)
Female sexual function after surgery for stress urinary incontinence: transobturator suburethral tape vs. tension-free vaginal tape obturator.
H. Elzevier (2008)
Sexual function in women with urodynamic stress incontinence, detrusor overactivity, and mixed urinary incontinence.
R. Urwitz-Lane (2006)
Effect of Urinary Leakage on Sexual Function during Sexual Intercourse
Nezihe Kızılkaya Beji (2005)
Female sexual function evaluation of the tension-free vaginal tape (TVT) and transobturator suburethral tape (TOT) incontinence surgery: results of a prospective study.
G. Pace (2008)
Sexual function among women with urinary incontinence and pelvic organ prolapse.
V. Handa (2004)
A review of the psychosocial predictors of help-seeking behaviour and impact on quality of life in people with urinary incontinence.
C. Shaw (2001)
Mechanisms of urine loss during sexual activity.
M. Vierhout (1993)
Incontinence-related quality of life and sexual function following the tension-free vaginal tape versus the “inside–out” tension-free vaginal tape obturator
M. Murphy (2007)
Social context, social abstention, and problem recognition correlated with adult female urinary incontinence.
G. W. Lam (1992)
Sexual function after tension-free vaginal tape (TVT) for stress incontinence: results of a mailed questionnaire
H. W. Elzevier (2004)
Urinary leakage during coitus in women.
P. Morán (1999)
Health‐related quality of life and sexual function in women with stress urinary incontinence and overactive bladder
S. Oh (2008)
Urinary complications and sexual function after the tension‐free vaginal tape procedure
C. Mazouni (2004)
The Prevalence and Determinants of Health Care-Seeking Behavior for Urinary Incontinence in United Arab Emirates Women
D. Rizk (1999)
The impact of the overactive bladder syndrome on sexual function: a preliminary report from the Multicenter Assessment of Transdermal Therapy in Overactive Bladder with Oxybutynin trial.
P. Sand (2006)
The impact of urodynamic stress incontinence and detrusor overactivity on marital relationship and sexual function.
S. Yip (2003)
Burch colposuspension for the treatment of coital urinary leakage secondary to genuine stress incontinence.
P. Morán (1999)
Coital urinary incontinence: impact on quality of life as measured by the King’s Health Questionnaire
M. Pons (2007)
Sex and the bladder
L. Cardozo (1988)
Sexual Function in Women With Urinary Incontinence and Pelvic Organ Prolapse
M. Barber (2002)
Impact of vaginal surgery for stress urinary incontinence on female sexual function: is the use of polypropylene mesh detrimental?
S. Shah (2005)
Sexual function in women before and after suburethral sling operation for stress urinary incontinence: a retrospective questionnaire study
K. Glavind (2004)
Sexual dysfunction in the United States: prevalence and predictors.
E. Laumann (1999)
Editorial comment on: Urinary incontinence at orgasm: relation to detrusor overactivity and treatment efficacy.
Hann-chorng Kuo (2008)
A systematic review of the literature on the prevalence of sexual impairment in women with urinary incontinence and the prevalence of urinary leakage during sexual activity.
C. Shaw (2002)
The impact of lower urinary tract symptoms and urinary incontinence on female sexual dysfunction using a validated instrument.
B. Cohen (2008)
Female sexual dysfunction: a new urogynaecological research field
O. Dalpiaz (2008)
Brief sexual inquiry in gynecologic practice.
G. Bachmann (1989)
Treatment Seeking for Urinary Incontinence in Older Adults
K. Burgio (1994)
The prevalence of female urinary incontinence and reasons for not seeking treatment.
K. Holst (1988)
Evaluating the impact of overactive bladder on sexual health in women: what is relevant?
K. Coyne (2007)
Pelvic floor muscle training improves sexual function of women with stress urinary incontinence
A. Zahariou (2007)
Sexual function after using tension‐free vaginal tape for the surgical treatment of genuine stress incontinence
M. Maaita (2002)
Sexual function in patients presenting to a urogynecology practice
R. Pauls (2006)
Why Older Community‐Dwelling Adults Do Not Discuss Urinary Incontinence with Their Primary Care Physicians
E. Dugan (2001)
This paper is referenced by
Management of sexual dysfunctions
Pardis Hosseinzadeh (2017)
Continuing Medical Education: Urogenital Complaints and Female Sexual Dysfunction (Part 2) (CME)
Salim A. Wehbe (2010)
Comments on Jha et al.: Incontinence during intercourse: myths unravelled
M. Serati (2012)
Secondary provoked vestibulodynia in sexually active women with uncomplicated recurrent urinary tract infections.
A. Salonia (2013)
Incontinência Urinária de Esforço e Disfunção Sexual Feminina: o papel da Reabilitação do Pavimento Pélvico
A. Preda (2019)
Is the sexual satisfaction of postmenopausal women enhanced by physical exercise and pelvic floor muscle training?
L. Lara (2012)
The Impact of Urinary Incontinence and Its Treatment on Female Sexual Function
C. Moore (2010)
Comparison of Correlated Comorbidities in Male and Female Sexual Dysfunction: Findings From the Third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).
Allison R. Polland (2018)
Directive clinique de consensus sur la santé sexuelle de la femme
John Lamont (2012)
Quality of life and sexual function in women with genitourinary syndrome of menopause (GSM): Effectiveness of local therapy with ultralow-concentration estriol vaginal gel
V. Rosa (2018)
Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor.
M. Bozkurt (2014)
The Effect of Stress Incontinence Operations on Sexual Functions: Laparoscopic Burch versus Transvaginal Tape-O
İ. Gümüş (2018)
Place de la rééducation périnéale du post-partum dans la sexualité
Marie Lhéritier (2012)
Long-term clinical outcomes with the retropubic tension-free vaginal tape (TVT) procedure compared to Burch colposuspension for correcting stress urinary incontinence (SUI)
B. Holdø (2017)
M. Moutounaïck (2018)
Urine leakage during sexual activity among ethnically diverse, community‐dwelling middle‐aged and older women
Nagambika Munaganuru (2017)
Correlação entre força muscular do assoalho pélvico, função sexual e qualidade de vida em mulheres de meia idade
Vanessa Braga Torres (2015)
Neural pathways of somatic and visceral reflexes of the external urethral sphincter in female rats
C.F. Pastelín (2012)
Continuing Medical Education: Urogenital Complaints and Female Sexual Dysfunction (Part 1) (CME)
Salim A. Wehbe (2010)
ORIGINAL RESEARCH—WOMEN'S SEXUAL HEALTH The Impact of Mid-Urethral Slings for the Treatment of Urodynamic Stress Incontinence on Female Sexual Function:
Maria Teresa Filocamo (2011)
The impact of symptomatic urinary incontinence on female sexual function in middle- to old-aged Korean women
Jee Hyun Kim (2011)
40th Annual Congress of the Italian Urodynamic Society, Università degli Studi di Perugia, Perugia, Italy, June 23-25, 2016.
M. Taverna (2016)
The effects of stress incontinence surgery on sexual function and life quality of women.
M. Tuncer (2016)
Maintaining sexuality in menopause
R. Nappi (2014)
Coital incontinence: Relation to detrusor overactivity and stress incontinence
A. El-Azab (2011)
Flawed Bodies, Blackness, and Incontinence
Kathomi Gatwiri (2019)
Multidisciplinary management of women with pelvic organ prolapse, urinary incontinence and lower urinary tract symptoms.A clinical and psychological overview
Valentina Lucia La Rosa (2019)
Sexual function after radical hysterectomy for early-stage cervical cancer: is there a difference between laparoscopy and laparotomy?
M. Serati (2009)
Sexuality for Women With Spinal Cord Injury
Jackie D. Cramp (2015)
Associations Between Urinary Symptoms and Sexual Health in Older Adults.
Cara Tannenbaum (2015)
Kadinlarda Koital Üriner İnkontinans
Sabri Cavkaytar (2016)
Differential diagnostics of female “sexual” fluids: a narrative review
Z. Pastor (2017)See more