Omer DEMIR
(Erzurum Karayazı Bölge Devlet Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Erzurum, Türkiye)
Hasan TURAN
(Yozgat Sorgun Bölge Devlet Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Yozgat, Türkiye)
Yıl: 2020Cilt: 26Sayı: 2ISSN: 1300-4751 / 2602-4918Sayfa Aralığı: 130 - 133İngilizce

104 0
Investigation of the Incidence of Coital Incontinence in Incontinent Women
OBJECTIVE: Coital incontinence is the involuntary leakage of urine during sexual intercourse and is rarely reported in women with urinary incontinence. The aim of this study is to investigate the frequency of coital incontinence and its association with incontinence types. STUDY DESIGN: All sexually active women with urinary incontinence (diagnosed as self-reported) attending the out-patient gynecology clinic of a regional state hospital were interviewed consecutively between September 2017 and September 2018 about their experience with regards to coital incontinence. The clinical evaluation consisted of medical history, physical examination, and urine analysis. The SPSS 20 program designed for Windows was used for statistical analysis. RESULTS: Twenty-two of the 64 women who participated in the study were diagnosed with coital incontinence and the remaining 42 women were to be compared. 42 women were included in the control group, and 22 women were defined as the study group. The women with coital incontinence had significantly higher stress test positivity than the control group (p=0.00). No significant differences in the frequency of coital incontinence between incontinence types were found. The chi-square test was applied, and the p-value was >0.05 (p=0.110). So there was no statistically significant relationship between the type of incontinence and the frequency of coital incontinence. CONCLUSION: Coital incontinence is much more prevalent than expected and therefore patients with symptomatic urinary incontinence should be investigated for the presence of coital incontinence, as this may affect patient approach and treatment.
DergiAraştırma MakalesiErişime Açık
  • 1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U. et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-78.
  • 2. Thakar R. Review of current status of female sexual dysfunction evaluation in urogynecology. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(1):27-31.
  • 3. Pauls RN, Segal JL, Silva WA, Kleeman SD, Karram MM. Sexual function in patients presenting to a urogynecology practice. Int Urogynecol J Pelvic Floor Dysfunct. 2006; 17(6): 576-80.
  • 4. Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in four European countries. BJU Int. 2004;93(3):324-30.
  • 5. Bump RC, Mattiasson A, Bø K, Brubaker LP, DeLancey JO, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10-7.
  • 6. Serati M, Salvatore S, Uccella S, Nappi RE, Bolis P. Female urinary incontinence during intercourse: a review on an understudied problem for women's sexuality. J Sex Med. 2009;6(1):40-8.
  • 7. Hilton P. Urinary incontinence during sexual intercourse: a common,but rarely volunteered, symptom. Br J Obstet Gynaecol. 1988;95(4):377-81.
  • 8. Gordon D, Groutz A, Sinai T, Wiezman A, Lessing JB, David MP, et al. Sexual function in women attending a urogynecology clinic. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(5):325-8.
  • 9. Jha S, Strelley K, Radley S. Incontinence during intercourse: myths unravelled. Int Urogynecol J. 2012;23 (5):633-7.
  • 10. Espuña Pons M, Puig Clota M. Coital urinary incontinence: impact on quality of life as measured by the King’s health questionnaire. Int Urogynecol J Pelvic Floor Dysfunct.2008;19(5):621-5.
  • 11. El-Azab AS, Yousef HA, Seifeldein GS. Coital incontinence: relation to detrusor overactivity and stress incontinence. Neurourol Urodyn. 2011;30(4):520-4.
  • 12. Serati M, Salvatore S, Uccella S, Cromi A, Khullar V, Cardozo L, et al. Urinary incontinence at orgasm: relation to detrusor overactivity and treatment efficacy. Eur Urol. 2008;54(4):911-5.
  • 13. Urwitz-Lane R, Ozel B. Sexual function in women with urodynamic stress incontinence, detrusor over-activity, and mixed urinary incontinence. Am J Obstet Gynecol. 2006;195(6):1758-61.
  • 14. Coksuer H, Ercan CM, Haliloğlu B, Yucel M, Cam C, Kabaca C, et al. Does urinary incontinence subtype affect sexual function? Eur J Obstet Gynecol Reprod Biol. 2011;159(1):213-7.
  • 15. Khan Z, Bhola A, Starer P. Urinary incontinence during orgasm. Urology. 1988;31(3):279-82.

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © 2019 Tüm Hakları Saklıdır.