Coital Incontinence:A Multicentre Study Evaluating Prevalence and Associations

Athey, Ruth, Gray, Thomas, Kershaw, Victoria, Radley, Stephen and Jha, Swati (2024) Coital Incontinence:A Multicentre Study Evaluating Prevalence and Associations. International Urogynecology Journal, 35 (10). pp. 1969-1975. ISSN 0937-3462

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Abstract

Introduction and Hypothesis: Coital incontinence (CI) is common, with a significant impact on quality of life and sexual function. This multicentre study was aimed at measuring the association between overactive bladder (OAB), stress urinary incontinence (SUI) and different aspects of CI including orgasm and penetration incontinence.  Methods: Following ethical approval, data from the electronic Personal Assessment Questionnaire–Pelvic Floor patient-reported outcome measure was collated for Urogynaecology outpatients from seven participating UK Hospitals between April 2018 and January 2022. Data were anonymised and analysed centrally using Excel.  Results: A total of 12,877 responses were obtained, of which 4,843 were valid for inclusion. 79.3% of women presented with urinary incontinence of whom 41.6% also reported CI. 96.8% of women with CI reported mixed OAB and SUI, with 2.1% and 1.1% reporting pure OAB and SUI respectively. There was a small subset (2.4%) with no overt urinary incontinence who occasionally experienced CI. Spearman’s rank-order correlation demonstrated a statistically significant association between CI symptom score with both SUI (R = 0.57, p < 0.001) and OAB (R = 0.40, p < 0.001); orgasm incontinence with SUI (R = 0.49, p < 0.001) and OAB (R = 0.36, P < 0.001); penetration incontinence with SUI (R = 0.48, p < 0.001) and OAB (R = 0.35, p < 0.001).  Conclusions: Coital incontinence is experienced by 42% of women with urinary incontinence. There is a statistically significant association between both SUI and OAB with orgasm incontinence and penetration incontinence, suggesting (a) common underlying mechanism(s). Limitations of this study include the large amount of missing data and the NHS outpatient setting that limit the conclusions that can be drawn from the data.

Item Type:	Article
Additional Information:	Data Availability: The data that support the findings of this study are available from the corresponding author [RA].
Uncontrolled Keywords:	coital incontinence,orgasm incontinence,penetration incontinence,obstetrics and gynaecology,urology ,/dk/atira/pure/subjectarea/asjc/2700/2729
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:	https://www.scopus.com/pages/publication...
Depositing User:	LivePure Connector
Date Deposited:	03 Jun 2026 16:27
Last Modified:	09 Jun 2026 11:14
URI:	https://ueaeprints.uea.ac.uk/id/eprint/103272
DOI:	10.1007/s00192-024-05902-4

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