Mechanisms of urine loss during sexual activity

Vierhout, Mark E.; Gianotten, Woet L.

doi:10.1016/0028-2243(93)90224-z

Cited by 39 publications

(39 citation statements)

References 9 publications

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“…Similarly, in our cohorts, the frequency of UI and volume of leakage were higher in women with coital incontinence than those without coital incontinence. To date, there is no clear evidence as to whether those with urge UI and stress UI are more likely to experience coital incontinence, although Vierhout and Gianotten [20] reported a higher prevalence in women with stress UI than in those with mixed or urge UI. However, several studies showed a higher prevalence in women with mixed UI [14,18,21] .…”

Section: Discussionmentioning

confidence: 94%

Generic and Disease-Specific Health-Related Quality of Life in Women with Coital Incontinence: A Prospective, Multicenter Study

Choo

Kim

et al. 2007

Gynecol Obstet Invest

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Objective: This study was carried out to evaluate the impact of coital incontinence on health-related quality of life (HRQOL) in women with lower urinary tract symptoms. Methods: A total of 180 women with sexual activity were evaluated. To obtain HRQOL assessments, patients were asked to fill out the Bristol Female Lower Urinary Tract Symptoms and the Medical Outcomes Study Short Form (SF-36) questionnaires. Results: The coital incontinence group had more frequently symptoms including urgency, urge incontinence, bladder pain, stress incontinence, unpredictable incontinence, nocturnal incontinence, reduced stream, and stopping flow than the no coital incontinence group. The frequency of incontinence and volume of leakage were also higher in the coital incontinence group than the no coital incontinence group. All symptom questions regarding sexual matters and quality of life except cutting down on fluid were more frequent in patients with coital incontinence than those without coital incontinence. Of the eight domains in the SF-36 questionnaire, five domains, namely, Physical functioning, Role-physical functioning, Social functioning, Role-emotional functioning, and Mental health were significantly different between the two groups. When comparing the Bristol Female Lower Urinary Tract Symptoms scores in the two groups, the scores in all domains except Voiding symptoms in the coital incontinence group were significantly higher than those in the no coital incontinence group. Patients with coital incontinence had more HRQOL impairment than those without coital incontinence. Conclusions: Our study reveals that more emphasis should be placed on coital incontinence in the terminology of urinary incontinence.

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Section: Discussionmentioning

confidence: 94%

Generic and Disease-Specific Health-Related Quality of Life in Women with Coital Incontinence: A Prospective, Multicenter Study

Choo

Kim

et al. 2007

Gynecol Obstet Invest

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“…This symptom is well known but only seldom voluntarily mentioned by patients [12,14]. It is known to have a great impact on the sexual lives of women and couples and to have a profound negative influence on quality of life [15].…”

Section: Discussionmentioning

confidence: 99%

Does vaginal reconstructive surgery with or without vaginal hysterectomy or trachelectomy improve sexual well being? A prospective follow-up study

Stoutjesdijk

Vierhout²,

Spruijt

et al. 2005

Int Urogynecol J

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“…39,40 Higher prevalencesaveraging 22% (10-56%)-have been reported in other studies conducted in heterogeneous clinical cohorts (with different initial disease conditions and ages, and varying severity of incontinence). 10,[41][42][43][44][45] The physiopathological mechanisms involved have been widely debated, with bladder overactivity conventionally being implicated in orgasmic incontinence and SUI in p enetration incontinence. 46 …”

Section: Coital Incontinencementioning

confidence: 99%

Stress urinary incontinence and LUTS in women—effects on sexual function

2014

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The sexual impact of urinary incontinence in women depends on a host of parameters, including physical, psychological, social and cultural dimensions. Evaluation of the effects of stress urinary incontinence (SUI) and lower urinary tract symptoms on sexual function is often biased by their common association with other pelvic floor disorders, such as pelvic organ prolapse, which also affect sexual satisfaction. Indeed, these complexities are reflected in the literature, which shows considerable disparity in sexual functional characteristics in women with incontinence both before and after treatment. This discordance is further emphasized by heterogeneity in study design, quality and analysis. Here, we describe the nature of sexual dysfunction in women with incontinence, including coital incontinence. The various treatments for SUI, which include transvaginal tape surgeries, can also affect sexual function, positively or negatively. Coital incontinence seems to be a good predictor of an improvement in postoperative sexual parameters: its cure, achieved by >90% of women, to a large extent explains the sexual benefits reported in several studies. By contrast, deterioration in sexual function is sometimes reported after surgery, with de novo or worsened dyspareunia being the most common cause. The literature does not contain any convincing arguments for one treatment or another on the basis of sexual functional outcome.

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Mechanisms of urine loss during sexual activity

Cited by 39 publications

References 9 publications

Generic and Disease-Specific Health-Related Quality of Life in Women with Coital Incontinence: A Prospective, Multicenter Study

Generic and Disease-Specific Health-Related Quality of Life in Women with Coital Incontinence: A Prospective, Multicenter Study

Does vaginal reconstructive surgery with or without vaginal hysterectomy or trachelectomy improve sexual well being? A prospective follow-up study

Stress urinary incontinence and LUTS in women—effects on sexual function

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