Repercussões da incontinência urinária na vida sexual de mulheres com lesão medular traumática: um estudo qualitativo

Ronize Freitas de Oliveira; Monique Maria Dantas Rêgo; Cátia Suely Palmeira

doi:10.30886/

Authors

Ronize Freitas de Oliveira Bahian School of Medicine and Public Health , Escola Bahiana de Medicina e Saúde Pública – Salvador (BA), Brazil.
Monique Maria Dantas Rêgo Bahian School of Medicine and Public Health , Escola Bahiana de Medicina e Saúde Pública – Salvador (BA), Brazil.
Cátia Suely Palmeira Bahian School of Medicine and Public Health , Escola Bahiana de Medicina e Saúde Pública – Salvador (BA), Brazil.

DOI:

https://doi.org/10.30886/

Abstract

Objective: To understand the impact of urinary incontinence on the sexual lives of women with traumatic spinal cord injury. Method: A qualitative descriptive study conducted at a public referral hospital specializing in rehabilitation in Northeastern Brazil. Eight sexually active women aged 18 years or older, diagnosed with traumatic spinal cord injury and undergoing rehabilitation, participated in the study. Data were collected between August and September 2025 using a sociodemographic form and semi-structured interviews, which were audio-recorded and transcribed. Data were analyzed manually according to the stages of Bardin’s content analysis. Results: Urinary incontinence negatively affected the participants’ daily and sexual lives, generating feelings of shame, embarrassment, fear of exposure, low self-esteem, and insecurity. It interfered with sexual desire, spontaneity, and autonomy, limiting their ability to fully experience their sexuality. Coping strategies included bladder catheterization and behavioral adaptations. Partner support contributed to rebuilding intimacy and trust, whereas the approach taken by healthcare professionals, although relevant, was limited, revealing gaps in care. Conclusion: Urinary incontinence has a broad and multidimensional impact on women’s sexuality, highlighting the need for comprehensive care that addresses physical, emotional, and social dimensions through empathetic support, attentive listening, and appropriate guidance.

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