Mechanisms of urine loss during sexual activity

The objective of the study was to establish the prevalence of urine loss during sexual activity and to identify the major mechanisms which cause this complaint. The study was carried out in two gynecological out-patient clinics in Rotterdam, The Netherlands. This exploratory study was conducted by using a detailed questionnaire filled in by all incontinent sexually active female patients. The results show that 66 (34%) of 196 incontinent and sexually active women experienced the complaint. The results are based on 57 women (response rate, 86%). The mean age was 47 years. Deep penetration and abdominal pressure were considered to be responsible in 77%. Also, 74% of the women experienced leakage during orgasm and in 50% it was noticed during clitoral stimulation. It is concluded that urine loss during sexual activity is a frequently encountered problem in female incontinent patients. A multifactorial pathophysiology with mechanical and non-mechanical factors is suggested.