[Unintended urine loss in women during sexual activities; an exploratory study].
Urinary incontinence can have a profound negative impact on female sexuality. Not only feelings of shame and loss of libido are important; complaints of urine loss during sexual activity can also exist. The prevalence of this phenomenon was examined in a study of 245 patients complaining of urinary incontinence. We also analysed the evoking moments and the impact of the complaint on the sexual relation. 20% of the patients had no partner. 66 (34%) of the remaining women reported losing urine during sexual activity. It was often experienced during pressure on the abdomen and deep vaginal penetration. Non-mechanical factors played an important part as well. Neither the history nor the urodynamic diagnosis had a clear relationship with evoking moments during intercourse. Incontinence was frequently (also) experienced during orgasm and sexual excitement. We found a strong negative effect of this complaint on the sexual lives of many women and their partners. Adequate relief of stress incontinence by colpo-suspension will also stop urine loss during intercourse.
Ikazia Ziekenhuis, afd. Verloskunde en Gynaecologie, Rotterdam.
M E
ME
Vierhout
W L
WL
Gianotten
D000328:Adult; D000368:Aged; D003075:Coitus / Q000502:physiology; D005260:Female; D006801:Humans; D007989:Libido; D008297:Male; D008875:Middle Aged; D012723:Sex; D012725:Sexual Behavior / Q000502:physiology; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology
Ongewenst urineverlies bij vrouwen tijdens seksuele activiteit; een inventariserend onderzoek.