Khan Z, Bhola A, Starer P
Department of Urology, Beth Israel Medical Center, New York, New York.
Urology. 1988 Mar;31(3):279-82. doi: 10.1016/0090-4295(88)90160-4.
Urinary incontinence occurring during orgasm in women is an infrequently volunteered symptom. We studied 3 such patients to understand the mechanism behind such leakage. Urodynamic studies were performed prior to and during orgasm. It was found that during orgasm, there was involuntary bladder contraction with simultaneous urethral relaxation, resulting in leakage. Similar studies performed prior to orgasm did not reveal any involuntary bladder contraction. We believe that incontinence during orgasm is multifactorial: the most important causes are sphincter incompetence, neuropathic hyperreflexic bladder, and non-neuropathic idiopathic bladder instability.
女性在性高潮时出现尿失禁是一种很少主动提及的症状。我们研究了3例此类患者，以了解这种漏尿背后的机制。在性高潮前和性高潮期间进行了尿动力学研究。结果发现，在性高潮期间，膀胱会出现不自主收缩，同时尿道松弛，从而导致漏尿。在性高潮前进行的类似研究未发现任何膀胱不自主收缩。我们认为，性高潮时的尿失禁是多因素的：最重要的原因是括约肌功能不全、神经源性反射亢进膀胱和非神经源性特发性膀胱不稳定。
