General obstetrics and gynecology: gynecologyDoes Burch colposuspension cure coital incontinence?☆
Section snippets
Material and methods
The computerized data of all 1124 consecutively referred sexually active and stress and/or urge incontinent women since the start of the database in April 1996 were analyzed. A total of 3043 patients had attended the clinic in this period. A standardized questionnaire had been administered by the physician during the structured interview at the first clinical visit. The questionnaire included questions about bladder, bowel, and sexual function. It was noted whether urinary incontinence during
Results
At follow-up, 7 women were no longer sexually active (partner became impotent in 2, partner had died in 3, no interest unrelated to the operation in 2), 2 women did not return the questionnaire, and 4 could not be traced, leaving 30 women for analysis. The mean age was 51 years (range 29-73 years). Preoperatively, 22 of the 30 women (73%) experienced urinary leakage during penetration, 3 (10%) during orgasm, and 5 (17%) at both. Nineteen women underwent primary and 11 had secondary Burch
Comment
The results of our small series suggest that coital incontinence is very likely to be cured or improved when stress urinary incontinence has been successfully treated by Burch colposuspension. This is in accordance with empirical impressions,1., 5. though it has not been studied before. One prospective study exploring sexual function, including incontinence during intercourse before and after prolapse and/or incontinence surgery, did not distinguish between incontinence on penetration or orgasm
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Cited by (25)
Stress Urinary Incontinence: Slings, Single-Incision Slings, and Nonmesh Approaches
2021, Obstetrics and Gynecology Clinics of North AmericaCitation Excerpt :Sexual function after retropubic colposuspension is inconsistently reported in the literature, with conflicting results. Coital incontinence is likely to be cured or improved postoperatively,43 and the addition of colposuspension to sacrocolpopexy in a randomized controlled trial did not adversely affect sexual function.44 Conversely, a small prospective study comparing colposuspension and midurethral sling found statistically significant decreases in multiple domains of sexual function.45
Coital Incontinence in Women With Urinary Incontinence: An International Study
2018, Journal of Sexual MedicineCitation Excerpt :The pathophysiology of urine leakage during sexual activity is not completely elucidated. Recent studies underline the importance of urethral insufficiency,3 contradicting beliefs that CUI is stress UI (SUI) if it occurs during penetration but related to detrusor overactivity when it occurs at orgasm.4,5 Several studies have demonstrated the impairment of sexual life by the presence of voiding symptoms,2 but the impact of UI during coitus, in particular, is difficult to assess given that it seldom presents as an isolated symptom.
Coital incontinence
2018, Progres en UrologieContemporary Review of Male and Female Climacturia and Urinary Leakage During Sexual Activities
2018, Sexual Medicine ReviewsCitation Excerpt :An alternative surgical approach is the Burch procedure. In a retrospective study, Baessler and Stanton89 assessed 30 women and found preoperatively that 73% experienced urinary leakage during penetration, 10% had leakage during orgasm, and 17% at leakage at the two occasions. SUI was successfully treated in 77%, with resolution of CI in 70% and improvement in 7%.
Impact of Incontinence Surgery on Sexual Function: A Systematic Review and Meta-Analysis
2012, Journal of Sexual MedicineSexual outcome after pelvic reconstructive surgery
2009, Gynecologie Obstetrique et Fertilite
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