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Incontinence during intercourse: myths unravelled
Swati Jha1, Katherine Strelley, Stephen Radley
1Department of Urogynaecology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. swatijha83@hotmail.com
International Urogynecology Journal
|January 13, 2012
Summary
Urinary incontinence significantly impacts sexual function, with 60% of women experiencing leakage during intercourse. Urodynamic diagnosis does not predict the severity of sexual dysfunction related to incontinence.
Area of Science:
- Urology
- Gynecology
- Sexual Health
Background:
- Urinary incontinence is a common condition affecting women's quality of life.
- Sexual dysfunction is a frequently reported consequence of urinary incontinence.
- The relationship between urodynamic findings and sexual impact remains incompletely understood.
Purpose of the Study:
- To determine the prevalence of urinary leakage during sexual intercourse.
- To assess the impact of urinary leakage on women's sexual lives.
- To investigate the correlation between urodynamic diagnoses and coital incontinence.
Main Methods:
- A cohort of 480 women with urinary incontinence undergoing urodynamic assessment was studied.
- Data were collected via the electronic Pelvic floor Assessment Questionnaire.
- Findings were correlated with urodynamic assessment results.
Main Results:
- Sixty percent of women with urinary incontinence reported leakage during intercourse.
- A strong correlation was observed between overall quality of life and the impact of urinary symptoms on sexual life.
- Sexual function parameters did not differ significantly across various urodynamic diagnoses.
Conclusions:
- Worsening urinary incontinence negatively affects sexual function.
- Urodynamic diagnosis does not correlate with specific sexual problems like those related to orgasm or penetration incontinence.
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