Urinary leakage during sexual intercourse among women with incontinence: Incidence and risk factorsReport as inadecuate




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Background

Coital incontinence is an under-reported disorder among women with urinary incontinence. Women seldom voluntarily report this condition, and as such, related data remains limited and is at times conflicting.

Aims and objectives

To investigate the incidence and quality of life in women with coital incontinence and to determine associated predictors.

Methods

This observational study involved 505 sexually active women attending the urogynecologic clinic for symptomatic urinary incontinence at a tertiary medical center. All of the patients were consulted about the experience of coital incontinence and completed evaluations including urodynamics, and valid questionnaires including the short form of the Pelvic Organ Prolapse-Urinary Incontinence Sexual Questionnaire, the Urogenital Distress Inventory and the Incontinence Impact Questionnaire.

Results

Of these women, 281 56% had coital incontinence, while 224 44% did not. Among women with coital incontinence, 181 64% had urodynamic-proven stress incontinence, 29 10% had mixed incontinence, and 15 5% had detrusor overactivity. Only 25 9% sought consultation for this disorder before direct questioning. Fifty percent 84-281 of the women rarely or sometimes had incontinence during coitus, while 33% 92-281 often had incontinence, and 17% 48-281 always had incontinence. The frequency of coital incontinence was not different regarding the types of incontinence p = 0.153. Women with mixed incontinence had the worst sexual quality of life and incontinence-related symptom distress. Based on univariate analysis, higher body mass index OR 2.47, p = 0.027, and lower maximal urethral closure pressure ≤ 30 cmH2O OR 4.56, p = 0.007 were possible predictors for coital incontinence. Multivariate analysis showed lower MUCP was independently significant predictors OR3.93, p = 0.042

Conclusions

The prevalence of coital intercourse in urinary incontinence women was high. Coital incontinence in these women was associated with abnormal urodynamic diagnosis and urethral dysfunction.



Author: Hui-Hsuan Lau, Wen-Chu Huang, Tsung-Hsien Su

Source: http://plos.srce.hr/



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