Psychosexual biography and the strategies used by women afflicted with stress urinary incontinence during intercourse: two case studies.

BACKGROUND: Stress urinary incontinence often leads to major physical, psychological and social problems, and many patients struggle to cope with this illness. The issue of urinary leakage during sex is particularly troublesome. CASE REPORT: In order to show the relationship between psychosexual biography and the strategies applied to cope with urinary leakage during sexual intercourse, we analyzed the psychosexual biographies of 2 patients with stress urinary incontinence. CONCLUSIONS: Psychosexual biography influences the choice of strategies used by incontinent women to cope with urinary leakage during sexual intercourse. Normal psychosexual development in all developmental stages conditions proper sexual functioning in women with urinary leakage during sexual intercourse and the choice of less restrictive coping strategies.