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Urinary incontinence or the urge to urinate during sexual activity can be a frustrating problem for any man or woman and can greatly influence the quality of life in these individuals. A simple solution would tell the person just to go to the bathroom before they "get in the mood" in order to avoid this sudden urge to urinate while in the middle of sexual intercourse. Unfortunately, this is a much more complex problem than that so patients need to be aware of what is causing their frustrating. 

Studies show that this condition is more likely to be seen in males following a radical prostatectomy. In one study, of near 700 male patients who had a recent prostatectomy and were sexually active, nearly 400 complained of the urge to urinate during their sexual activity. In this group, 268 males even reported incontinence during their sexual activity. This can really impact the mood of the encounter when males will accidentally urinate on their partner and not surprisingly, these males reported lower quality of lives, lower satisfaction rates during sex and more marriage problems compared to men without this condition. [1] 

A big reason for why this can happen is due to what has occurred during this radical prostatectomy. Physicians are primarily concerned with removing as much of the cancerous prostate as possible and can may not be as delicate as possible when removing this tissue. Stray cuts can easily nick the nerves responsible for giving you an organism and patients also may notice changes in their bladder function because there is no longer the natural pressure from your prostate to help you sense when it is time to go to the bathroom. 

Women are not spared from this discomfort, either. In prevalence studies, it is believed that urinary incontinence during sex can occur in up to 29 percent of the female population worldwide. Numbers may underestimate the true prevalence of this condition, however, because of the embarrassing nature of this condition. Mechanisms to explain this incontinence stem from detrusor muscle overactivity adding to the extra urodynamic stress on the muscles. This is a natural process as women age and is a big reason why gynecologists will recommend that women try vaginal floor training exercises, Kegel routines and even pharmaco-therapy or surgery in order to alleviate these weak muscles. 

If this urinary sensation still persists after muscle training exercises, you will have to do something more drastic. It is important to tell your doctor if you have this problem because in reality, surgery will be able to fix this problem 80 percent of the time, if this is just urodynamic stress. Surgeons will manipulate the ligaments surrounding the bladder to make them more rigid in order to provide more strength to your bladder. If it is determined that your symptoms are primarily due to overactive muscles like your detrusor, simple anti-muscarinic medications will be able to treat this condition 60 percent of the time. [2]

The key to remember is you are really not alone when you face this condition. It is a very common problem and you just need to trust your doctor even if this problem may be embarrassing for you because treatment options are not only available, they are also very effective. You will be able to have simple corrections to improve the quality of your sex life and save you from depression. 

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