A 44-year-old patient presents with bothersome symptoms of urine leakage. She has had 3 vaginal deliveries with the first baby being almost 10 lbs.!
She has had some urine leakage since the birth of the first child but with every subsequent birth, it just kept getting worse. She was wearing pantiliners but now she is wearing incontinence pads.

A few weeks back while they were having sex, her husband noticed that both of them were wet as was the bedsheet. He realized that this was urine and since then has shied away from having intercourse. They are the best of friends and very close but for some reason she had never mentioned this urine leakage issue as she was too embarrassed to talk about it.
She came to see us, and we diagnosed her, explained to her and her husband how much of a medical condition urine leakage is. The trauma that she sustained during childbirth could have probably caused her urine leakage condition, especially as the problem began right after.
Once the medical nature of the condition was explained to them, her husband became very sympathetic and encouraged her to have it taken care of. We discussed all the issues pertaining to this condition and how this was a true medical condition like any other such as high blood pressure etc. and there was no reason to be embarrassed about it.
I explained to the patient and her husband that coital incontinence i.e. leakage during sex is a classic manifestation of stress urinary incontinence and can affect both partners. In fact, there have been papers published that show that coital incontinence is strongly linked to erectile dysfunction in the male partner.
She underwent our DISST procedure and is now several months out, dry and very happy and free of wearing pads for the first time in over 20 years! She has absolutely no leakage during intercourse and she and her husband are both happy and enjoying their marital relationship.
To learn more about the management of stress urinary incontinence and our DISST technique – Stress Urinary Incontinence Videos – Advanced Urogynecology of Michigan PC (augm.org)