COITAL INCONTINENCE IN WOMEN WITH URINARY INCONTINENCE: RESULTS FROM AN INTERNATIONAL CROSS-SECTIONAL STUDY

Coital incontinence (CI) is an underreported symptom in sexually active women with pelvic floor dysfunction. Aims of our study were to evaluate the prevalence of CI in women with Urinary Incontinence (UI), its impact on female sexuality and quality of life (QoL) and associated risks factors. This international, multicenter, cross-sectional study was registered on ClinicalTrials.gov: NCT02306655. Sexually active adult women with UI were enrolled. They were asked about CI during penetration, intercourse and orgasm and its impact on the quality and frequency of their sexual life. The International Consultation on Incontinence Questionnaire (ICIQ-UI) and the Patient Perception of Bladder Condition (PPBC) were administered. Statistical analysis was performed by using univariate and multiple logistic regression analysis at significance level of p<0.05 576 women with mean age of 53.611years were included. 36.1% of women had CI: 17.7% at penetration, 28.3% during intercourse, 17% at orgasm and 37% a combination of these. According to ICIQ-UI scores, increased severity of UI positively correlated with CI (p¼ 0.007) and had a negative impact on the quality (p<0.001) and frequency (p¼0.002) of sexual activity. CI also positively correlated with age (p<0.001), mixed UI with predominant stress component (p¼0.008), vaginal delivery (p¼0.002), previous hysterectomy (p¼0.004) and thyroid disease (p¼0.013) CI is common in women with UI and significantly impacts their sexual life. Older age, vaginal delivery and previous hysterectomy are significant risk factors. Further investigation of the epidemiologic associations of CI is warranted.