Relationship between different types of urinary incontinence and coital incontinence in sexually active women
Skoric, V1; Nale, DJ2
1: Serbia ; 2: Serbia
Objectives: The objective of the study was to determine the correlation between different types of urinary incontinence and the occurrence of various types of coital incontinence.
Material and method: Of the total of 619 women, there were 466 (75.3%) of women with urinary incontinence (UI) and 153 (24.7%) women without of symptoms which formed the control group. The criterion for inclusion in the study were: age over 18 years, was not pregnant, is able to read, write and understand the language and presence of prolapse, urinary or fecal incontinence (or any combination). Criteria for exclusion from the study were women with vesicovaginal fistula, vulvodynia, painfulbladder syndrome and chronic pelvic pain syndrome (defined as pelvic pain for more than 6 months). All patients were examined by: detailed medical history from which we obtained information whether there is a coital incontinence is present, 3 day Frequency-Volume Chart physical examination, neurological assessment, stress test in the supine and standing position, Oxford gradient scale,the evaluation of the contraction of the muscles pelvic strength. Biochemical blood tests, urinalysis and urine culture. All patients have completed the questionnaire ICIQ, IIQ7, PISQ, I- QoL and SF 36th. Based on the obtained data all patients with incontinence are divided into 3 groups: with stress urinary incontinence: 147 (31.5%) women of average age 56,20±11,57years, urge incontinence: 86 (18.5%) women of average age 59,39±13,35 years and mixed incontinence: 233 (50.0%) women of average age 60,79±10,39 years.
Results: Out of a total of 619 women with UI 419 (67.7%) women were sexually active and 78 women (18.61%) had coital incontinence. Of the total of 153 women without UI 136 (88.88%) of women were sexually active and 2 (1.47%) women had causal incontinence during sexual activity. In the group of women without UI there was a significantly lower frequency of coital incontinence (p = 0.000). The most sexually active women with UI who have coital incontinence have incontinence during coitus– 49 (11,69%), than during imission – 12 (2.86%), during orgasm – 7 (1,67%), during immission and orgasm – 4 (0,95%), during coitus and orgasm – 3 (0,71%), during immission, coitus and orgasm – 2 (0,47%), and always– 1 (0,24%). There is no significant difference between coital incontinence groups relate to incontinence type (stress, mixed, urge). Pearson Chi-Square=17,550; df=12; p=0,130.
Conclusion: Women without urinary incontinence rarely have coital incontinence. There is no significant difference between groups of women with different types of urinary incontinence and between the coital groups of incontinence.
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