Coital incontinence: a factor for deteriorated health-related quality of life and sexual function in women with urodynamic stress urinary incontinence

Grzybowska, Magdalena Emilia; Wydra, Dariusz

doi:10.1007/s00192-016-3185-3

Cited by 14 publications

(11 citation statements)

References 29 publications

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“…Studies have been determined that increase in UI severity negatively affected the quality and frequency of sexual intercourse. It was also reported that women who had sexual incontinence had lower quality of life than women who did not 27‐29 . In studies conducted in Turkey, it is determined that feeling ashamed of incontinence was due to the smell or wet feeling, adversely affecting sex life.…”

Section: Discussionmentioning

confidence: 99%

The adaptation states of women with urinary incontinence according to the Roy Adaptation Model: A qualitative study

Güneri

Şen

2022

Neurourology and Urodynamics

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Aims This study aimed to explore experiences of women with urinary incontinence (UI) according to the Roy Adaptation Model (RAM). Methods A phenomenological design was used in this study, and its conceptual framework was formed by the RAM. The sample was composed of 12 women with UI. Face‐to‐face in‐depth interviews were conducted according to data collection tools. Semi‐structured interviews were recorded in audio‐recording device. Thematic approach was used to assess the data. Results The average age of the women was 52.77 ± 7.32 years, seven women had menopause, eight had vaginal birth. According to the thematic approach, four main themes emerged: physiological mode, self‐esteem mode, role function mode, and interdependence mode and they had difficulties in this regard. Conclusions The results show that women cannot adapt to the problem of incontinence according to the dimensions of RAM. These factors are important to consider when developing strategies to address UI, diagnosis, and treatment.

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Section: Discussionmentioning

confidence: 99%

The adaptation states of women with urinary incontinence according to the Roy Adaptation Model: A qualitative study

Güneri

Şen

2022

Neurourology and Urodynamics

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“…Conversely, women with UI with concomitant coital UI negatively experience this specific symptom, which has an influence in different dimensions of the quality of life [24,25] (e.g., emotional, relational and sexual). In relation to this, Illiano et al [18] showed that coital UI was associated with increased severity of UI according to the ICIQ-SF scores, as well as with higher impact on the quality and frequency of sexual activity.…”

Section: Urinary Incontinence During Sexual Activitymentioning

confidence: 99%

Impact of Urinary Incontinence on Women’s Sexuality

Sancho¹,

Ribera-Torres²,

Castelo-Branco³

et al. 2022

Clin. Exp. Obstet. Gynecol.

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Objective: Globally, the prevalence of urinary incontinence (UI) in women is estimated to be in the range of 25% to 45%. Different types of UI exist, being the most frequent ones stress UI, urgency UI and mixed UI. Being affected by UI is associated with a higher risk of sexual inactivity, regardless of its type. Mechanism: It is estimated that 5-38% patients with UI are sexually inactive due to UI, whereas 25-38% sexually active women would restrict their sexual activity due to UI. The prevalence of sexual dysfunction within sexually active women with UI is 23-56%. Findings in brief: In patients with UI, the most frequent sexual dysfunctions are dyspareunia (44%), female sexual interest/arousal disorder (34%) and orgasmic disorder (11%). Therefore, UI has a negative impact on the sexual function of sexually active women with UI. Coital incontinence is defined as the complaint of involuntary loss of urine during or after intercourse. UI with penetration represents any complaint of involuntary loss of urine with vaginal stimulation (either with a sexual toy, manually or with penetration). Orgasmic UI refers to any complaint of involuntary loss of urine occurring at orgasm, regardless of the sexual behaviour that has triggered it. Due to the high prevalence of coital UI (50-60%) in the female population and its strongly negative impact on women's sexuality, patients should be specifically asked for coital UI in the gynecologic visits. Conclusions: UI affects between one in four and one in two women and had a negative impact on quality of life. Not only UI has an impact on female sexuality, but also different treatments which are offered to treat it can play a role. The reduction of sexual problems with pelvic floor muscle training in women with stress UI has been proved, being the rate of sexual activity doubled. A significant improvement of the overactive bladder associated to urgency UI and female sexual function has been described after the pharmacological treatment or botulinum toxin. Finally, significant improvement of the sexual function has also been found after midurethral slings for stress UI, as well as for coital UI.

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“…[16][17][18][19] Stress urinary incontinence is strongly involved in urinary incontinence during sexual intercourse, with reduced urethral resistance contributing the most. [20][21][22][23] In surgery for stress urinary incontinence and pelvic organ prolapse, it has been reported that, while it improves sexual function, there is apprehension that transvaginal mesh implantation can cause dyspareunia (coital pain) and chronic pain. [24][25][26][27][28][29][30] CQ11.…”

Section: Selected Cqsmentioning

confidence: 99%

Clinical Guidelines for Female Lower Urinary Tract Symptoms (second edition)

Takahashi¹,

Takei²,

Asakura³

et al. 2021

Int J of Urology

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The present article is an abridged English translation of the Japanese Clinical Guidelines for Female Lower Urinary Tract Symptoms (second edition), published in September 2019. These guidelines consist of a total of 212 pages and are unique worldwide in that they cover female lower urinary tract symptoms other than urinary incontinence. They contain two algorithms for "primary treatment" and "specialized treatment," respectively. These guidelines, consisting of six chapters, address a total of 26 clinical questions including: (i) treatment algorithms; (ii) what are female lower urinary tract symptoms?; (iii) epidemiology and quality of life; (iv) pathology and illness; (v) diagnosis; and (vi) treatment. When the patient's symptoms mainly involve voiding and post-micturition symptoms, specialized treatment should be considered. In the event of voiding symptoms concurrent with storage symptoms, residual urine should be measured; if the residual urine volume is <100 mL, then diagnosis and treatment for storage symptoms is prioritized, and if the volume is ≥100 mL, then specialized treatment should be considered. When storage symptoms are the primary condition, then the patient is subject to the primary treatment algorithm. Specialized treatment for refractory overactive bladder includes botulinum toxin injection and sacral nerve stimulation. For stress urinary incontinence, surgical treatment is indicated, such as urethral slings. The two causes of voiding symptoms and post-micturition symptoms are lower urinary tract obstruction and detrusor underactivity (underactive bladder). Mechanical lower urinary tract obstruction, such as pelvic organ prolapse, is expected to improve with surgery.

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Coital incontinence: a factor for deteriorated health-related quality of life and sexual function in women with urodynamic stress urinary incontinence

Cited by 14 publications

References 29 publications

The adaptation states of women with urinary incontinence according to the Roy Adaptation Model: A qualitative study

The adaptation states of women with urinary incontinence according to the Roy Adaptation Model: A qualitative study

Impact of Urinary Incontinence on Women’s Sexuality

Clinical Guidelines for Female Lower Urinary Tract Symptoms (second edition)

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