Incontinence can have a distressing and detrimental effect on relationships. The precise mechanism may be due to detrusor overactivity or related to mechanical pressure with a weak sphincter. It may occur at time of penetration or orgasm. Twenty-five per cent of incontinent women suffer incontinence during sexual intercourse, typically with penetration.(23) Management includes treating any underlying bladder dysfunction, change of position to alleviate pressure on the bladder, and emptying the bladder prior to and after sexual intercourse.
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