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Sex and incontinence

Communication

People with incontinence problems need to communicate openly with partners about their needs and the possibility of leakage.

Medication

Medication can sometimes help manage incontinence by reducing spasms of the bladder and urethra. If vaginal dryness is experienced as a side effect of the medication, some water-based lubricant may be needed.

Intermittent catheterisation

Be catheterised before sexual activity. Keep towels handy if worried about leakage and protect the mattress. If there are only small amounts of leakage, this can be managed by a condom with a reservoir tip.

Suprapubic catheters

Use longer drainage tube to allow room to manoeuvre. Tape drainage tube to stomach to prevent excess pulling or pressure on catheter. Certain sex positions make it easier to keep drainage tube and collection bag out of the way. Ask doctor/nurse whether it is possible to disconnect the drainage tube and collection bag and clamp the catheter during sex.

Indwelling catheters

Sometimes possible to remove catheter occasionally for sexual activity – if this is possible make sure to empty bladder first. If there is a need to leave catheter in, the woman can bring the tube back up over the stomach. Men, once the penis is erect, can fold the tube down the penis, tape it on with non-stick tape, and place a condom over the penis. Additional lubrication may be needed to allow comfortable entry into the vagina.

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