Urinary incontinence during orgasm

Khan, Zafar K.; Bhola, A.; Starer, Perry

doi:10.1016/0090-4295(88)90160-4

Cited by 51 publications

(26 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…I think this points out that urine loss associated with orgasm should be considered pathologic, and may be a symptom of detrusor instability. The pathologic association of urinary incontinence with orgasm and detrusor instability was pointed out by Hilton in 1988 andKhan in 1988. This paper complements these studies by demonstrating a reflex in the female dog which produces bladder relaxation and external urethral sphincter tone increase during coital-type stimulation.…”

Section: Genitovesical Reflexsupporting

confidence: 50%

See 1 more Smart Citation

Study of the response of the urinary bladder to stimulation of the cervix uteri and clitoris — The ‘genitovesical reflex’: An experimental study

Shafik

1995

Int Urogynecol J

View full text Add to dashboard Cite

Abstract:There is a debate as to whether, during the sexual act, some women eject a fluid that could be urine. As a part of investigation into this subject, the effect of stimulation of the clitoris and cervix on urinary bladder pressure and external urethral sphincter (EUS) activity was studied in 12 bitches. The clitoris and cervix were stimulated both electrically and mechanically. Upon clitoral or cervical stimulation, the vesical pressure dropped (P<0.05) and the EMG activity of EUS increased; action potentials increased and latency decreased when the stimulation frequency increased. No fluid came out of the external urethral orifice or the vagina. Stimulation of the anesthetized clitoris and cervix effected no vesical pressure or EUS response. These results were reproducible. The study has shown that on clitoral and cervical stimulation, which closely simulates the conditions during coitus, the bladder neck was firmly closed by EUS contraction, whereas the vesical detrusor was relaxed. A constant and reproducible reflex relationship existed between the clitoris, or the cervix, and the urinary bladder, which the author calls the 'genitovesical reflex' and which probably acts to prevent urinary leak during coitus. The genitovesical reflex may prove to be of diagnostic significance in genitourinary disorders.

show abstract

Section: Genitovesical Reflexsupporting

confidence: 50%

“…However, urinary leakage may occur under pathological conditions such as in competent bladder neck or stress urinary incontinence. Khan et al [16] and Hilton [17] reported urinary incontinence with orgasm in women with detrusor instability.…”

Section: Discussionmentioning

confidence: 97%

Study of the response of the urinary bladder to stimulation of the cervix uteri and clitoris — The ‘genitovesical reflex’: An experimental study

Shafik

1995

Int Urogynecol J

View full text Add to dashboard Cite

show abstract

“…In our study, however, the most frequently reported sexual problems were lack of desire and pain; those two symptoms may be interrelated, as UI and the fear of leakage during intercourse [25,26] progressively may lead to loss of confidence and self-esteem, frustration, and depression, feelings that abolish sexual desire and enhance sexual aversion. Low sexual desire and arousal and poor sexual satisfaction probably arise from psychological and emotional rather than anatomical factors.…”

Section: Discussionmentioning

confidence: 93%

Pelvic floor muscle training improves sexual function of women with stress urinary incontinence

2007

View full text Add to dashboard Cite

The aim of this study was to assess the effect of a program of supervised pelvic floor muscle training (PFMT) on sexual function, in a group of women with urodynamically diagnosed stress urinary incontinence (SUI), using a validated questionnaire. Incontinence episodes frequency and continence pads used per week were measured before and after treatment using a 7-day bladder diary. Improvements in sexual function were assessed using the Female Sexual Function Index (FSFI). Seventy women completed the 12-month program of supervised PFMT successfully. At the end of the study, incontinence episode frequency decreased by 38.1%, and patients required 39% less pads per week. All domains of the FSFI were also significantly improved with median total FSFI scores increasing from 20.3 to 26.8. This is one of the few studies to quantify, using a validated questionnaire, the improvement in sexual function of women with SUI, undergoing successfully a 12-month supervised PFMT program.

show abstract

“…However, displacement of the anterior vaginal wall and bladder neck or an increase in intraabdominal pressure may cause urinary stress leakage. Simultaneous bladder contractions and urethral relaxation have also been demonstrated in urodynamic studies [45]. In a study by Salonia [46], comparing sexual function in 227 patients with or without UI or lower urinary tract symptoms, 47% of patients reported low sexual desire with stress UI (SUI), and 46% of those complaining of orgasmic problems had significant urge incontinence (UUI) symptoms.…”

Section: Childbirth and Fsdmentioning

confidence: 99%

Female sexual dysfunction

2007

View full text Add to dashboard Cite

Female sexual dysfunction is a common problem with detrimental effects on woman's quality of life. It also has an economical and societal impact. It is defined as disorders of sexual desire, arousal, orgasm, and sexual pain, which lead to personal distress. The etiology of sexual dysfunction is frequently multifactorial as it relates to general physical and mental well-being, quality of relationship, past sexual functioning, social class, education, employment, life stressors, personality factors, the presence of a sexual partner, and partner's age and health. It is very important to adopt the most efficient approach to gather information, and this may be achieved via standardized questionnaires or open-ended questions. Therapy should be tailored according to the patient's needs and may involve a multidisciplinary team approach including psychosexual counselor/sexologist/therapist and the physician. There is still more work needed to optimize the care of women with this problem. Priority should be given to international standardization and training of health care professionals.

show abstract

Urinary incontinence during orgasm

Cited by 51 publications

References 1 publication

Study of the response of the urinary bladder to stimulation of the cervix uteri and clitoris — The ‘genitovesical reflex’: An experimental study

Study of the response of the urinary bladder to stimulation of the cervix uteri and clitoris — The ‘genitovesical reflex’: An experimental study

Pelvic floor muscle training improves sexual function of women with stress urinary incontinence

Female sexual dysfunction

Contact Info

Product

Resources

About