Prevalence of coital incontinence in sexual active women with and without urinary incontinence
Skoric, V1; Nale, DJ1
Objectives: The objective of the study was to establish the prevalence of coital incontinence in sexual active women with and without urinary incontinence.
Materials 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±10,39years.
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 UIthere 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 immission – 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%).
Conclusions: Prevalence of coital incontinence in women with urinary incontinence is 18.61%. Cough incontinence is significantly more frequently registeredin women with urinary incontinence compared to women without urinary incontinence. The most common type of coital incontinence is during sexual activity. Urinary incontinence is a risk factor for the occurrence of coital incontinence.
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