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[Coital incontinence].

M Moutounaïck¹, G Miget¹, M Teng¹

¹Groupe de recherche clinique en neuro-urologie (GREEN), GRC 01, Sorbonne universités, 75006 Paris, France; Service de neuro-urologie et d'explorations périnéales, hôpital Tenon, AP-HP, 75020 Paris, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie

|June 6, 2018

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Coital incontinence, or urinary leakage during sex, affects many women and men, particularly after prostatectomy. Precise assessment is key to identifying specific mechanisms and effective treatments for this common issue.

Area of Science:

Urology
Sexual Medicine
Pelvic Floor Disorders

Background:

Urinary incontinence significantly impacts quality of life, self-image, and sexual function.
Coital incontinence, specifically, is urinary leakage during sexual intercourse, leading to distinct sexual life alterations.

Purpose of the Study:

To analyze the prevalence of coital incontinence.
To investigate the pathophysiological mechanisms underlying coital incontinence.
To explore potential therapeutic options for coital incontinence.

Main Methods:

A literature search was conducted on the PubMed database.
Keywords included terms related to urinary incontinence and sexual dysfunction.

Main Results:

Keywords:

Coital incontinence Dysfonction sexuelle Fuites urinaires durant les rapports sexuelles Incontinence coïtale Incontinence urinaire Sexual dysfunction Urinary incontinence Urine leakage during sexual activity

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Coital incontinence affects at least a quarter of incontinent women and is often underreported.
In men, it is frequently observed post-prostatectomy (20-64%).
Mechanisms include hypermobility, sphincter incompetence, urethral instability, and detrusor overactivity; treatments like rehabilitation, medication, and surgery show effectiveness.

Conclusions:

Coital incontinence is a prevalent and distressing symptom.
Accurate assessment is crucial for determining specific underlying mechanisms.
Targeted treatment strategies can effectively manage coital incontinence.