Sex and the bladder

Abstract

In view of the close anatomical proximity and common embyological on'g'n ofthe lower urina y and genital tracts it is not surprising to find that disordered function of one often affects the other. Invariably this relationship is forgotten and sexual dtficulties are commonly overlooked in the assessment of lower urinary tract dysfunction. Urinary symptoms can result in sexual problems by many dtfferent mechanisms and sexual intercourse is often implicated as a primary cause of lower urina y tract dysfunction. Although the surgical management of urogenital complaints may be the prima y cause of dyspareunia this important operative complication has received little interest. Sexual dzficulties deepen with time and failure to recognize the presence and severity of sexual dysfunction may lead to the deterioration of interpersonal relationships despite the successful treatment of urina y disorders. Only by appropriute recognition and timely intervention can these problems be resolved. The urinary and genital tracts should never be aiewed or treated in isolation as the function of each is often &pendent on the other.

Beckenbodenstörungen und Inkontinenz im Alter

“…Aus psychosomatischer Sicht wird eine Harninkontinenz bei Frauen häufig als Ausdruck von psychischen oder psychosozialen Problemen angesehen [91,92,93,94,95], die oft mit vielfältigen anderen Störungen verbunden sind, z. B. Schmerzen beim Geschlechtsverkehr, Rückenproblemen und Kopfschmerzen [96,97].…”

“…Harninkontinenz und Miktionsstörungen können aus psychosomatischer Sicht Ausdruck einer zugrunde liegenden Sexualstörung sein, so dass die Förderung einer gesunden sexuellen Entwicklung eine präventive Wirkung haben sollte [91,92,93,94].…”