Urinary leakage during coitus in women.
Urinary leakage during coitus in women.
复制标题
女性性交时漏尿。
DOI：
10.1080/01443619965084
复制
发表时间：
1999
期刊：
影响因子：
--
通讯作者：
S. Ziccone
中科院分区：
文献类型：
--
作者：
P. Moran;P. Dwyer;S. Ziccone
从1993年到1997年的4年间，共有2153名妇女被转诊到我们的泌尿外科诊所，主诉尿失禁。在这些女性中，228人(10.6%)承认有性交失禁。在这228名妇女中，只有22人在没有直接询问的情况下抱怨这种症状。158名女性在穿透过程中发生尿失禁，45名女性在性高潮期间发生尿失禁，25名女性在两者都发生尿失禁。这些组的比较显示，他们在呈现症状、检查结果、尿动力学数据或诊断方面几乎没有其他差异。真性压力性尿失禁发生率为79.8%，性高潮时尿漏为93.2%，两者均为92.0%。逼尿肌不稳定并不常见。在大多数主诉性交期间尿漏的女性中，潜在的病理生理机制是尿道括约肌功能不全。与无性交尿失禁的女性相比，性交渗漏的女性发生压力性尿失禁和急迫性尿失禁的发生率更高，阴道前壁脱垂和检查时可见的压力性尿失禁的发生率也显著增加。
During a 4-year period from 1993 to 1997, a total of 2153 women were referred to our urogynaecology clinic complaining of urinary incontinence. Of these women, 228 (10.6%) admitted to coital incontinence. Only 22 of these 228 women complained of this symptom without direct questioning. Urine loss occurred during penetration in 158 women, during orgasm in 45 women and during both in 25 women. Comparison of these groups showed few other differences in their presenting symptoms, examination findings, urodynamic data or diagnosis. Genuine stress incontinence was present in 79.8% of women with urinary leakage during penetration, in 93.2% with leak on orgasm and in 92.0% who leaked on both. Detrusor instability was uncommon. In most women who complain of urinary leakage during sexual intercourse, the underlying pathophysiological mechanism is urethral sphincter incompetence. Compared with women presenting with urinary incontinence in the absence of coital incontinence, women with coital leakage had a higher incidence of stress and urge incontinence, and a significantly greater incidence of anterior vaginal wall prolapse and demonstrable stress incontinence on examination.