To evaluate the efficacy of sexual intercourse in the expulsion of distal ureteric stones in women.
Materials and methods
A total of seventy woman patients with distal ureteral or intramural stone were randomly divided into two groups. Group 1 included 35 patients who were advised to do sexual intercourse 3–4 times/week with the administration of symptomatic treatment, and group 2 (control group) included 35 patients receiving symptomatic treatment only and were instructed not to do sexual intercourse or masturbation during the study. After 4 weeks follow up; the expulsion rate, need for analgesic and ureterorenoscopic lithotripsy were compared for each group.
The mean ages of the patients in groups 1 and 2 were 36.4 ± 10.8, 37.1 ± 12.4, respectively. The mean stone size was 7.01 ± 1.6 in group 1, 6.67 ± 1.4 mm in group 2 (p: 0.3). Stone expulsion rate, in the first 2 weeks for group 1 was 80% (28/35), while 51.4% (18/35) in group 2 (p < 0.001). In the 4th week, the expulsion rate for group 1 was 85.7%, but 60% in group 2 (p < 0.001). The mean expulsion time was shorter in group 1 (12 ± 4.2 days) than group 2 (16.1 ± 6.4 days) (p < 0.01). The analgesic needs in groups 1 and 2 were found to be 1.9 ± 0.7, 2.6 ± 0.8 times/a day respectively, and were significantly lower in group 1 (p < 0.001).
At least three or four sexual intercourses per week seem to increase the spontaneous passage for distal or intramural ureteral stones in women. Furthermore, sexual intercourse reduces the need for analgesics.
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Scales CD, Smith AC, Hanley JM, Saigal CS (2012) Prevalence of kidney stones in the United States. EurUrol 62(1):160–165. https://doi.org/10.1016/j.eururo.2012.03.052
Huang W, Xue P, Zong H, Zhang Y (2016) Efficacy and safety of silodosin in the medical expulsion therapy for distal ureteral calculi: a systematic review and meta-analysis. Br J Clin Pharmacol 81(1):13–22. https://doi.org/10.1111/bcp.12737
Chung MJ (2017) Urolithiasis and nephrolithiasis. J Am Acad Physi Assist 30(9):49–50. https://doi.org/10.1097/01.JAA.0000522145.52305.aa
Küpeli B et al (2004) Does tamsulosin enhance lower ureteral stone clearance with or without shock wave lithotripsy? Urology 64(6):1111–1115. https://doi.org/10.1016/j.urology.2004.07.020
Preminger GM et al. (2007) Chapter 1: the management of ureteral calculi: diagnosis and. Am Urol Assoc Adv Urol, pp. 1–64 [Online]. Available: https://www.auanet.org/common/pdf/education/clinical-guidance/Ureteral-Calculi.pdf.
Prieto D (2008) Physiological regulation of penile arteries and veins. Int J Impot Res 20(1):17–29. https://doi.org/10.1038/sj.ijir.3901581
Courtois F, Carrier S, Charvier K, Guertin P, Journel N (2013) The control of male sexual responses. Curr Pharm Des 19(24):4341–4356. https://doi.org/10.2174/13816128113199990333
Fernandes VS, Hernández M (2016) The role of nitric oxide and hydrogen sulfide in urinary tract function. Basic Clin Pharmacol Toxicol 119:34–41. https://doi.org/10.1111/bcpt.12565
Doluoglu OG et al (2015) Can sexual intercourse be an alternative therapy for distal ureteral stones? A prospective, randomized, controlled study. Urology 86(1):19–24. https://doi.org/10.1016/j.urology.2015.03.037
Abdel-Kader MS (2017) Evaluation of the efficacy of sexual intercourse in expulsion of distal ureteric stones. Int UrolNephrol 49(1):27–30. https://doi.org/10.1007/s11255-016-1448-z
Bayraktar Z, Albayrak S (2017) Sexual intercourse as a new option in the medical expulsive therapy of distal ureteral stones in males: a prospective, randomized, controlled study. Int UrolNephrol 49(11):1941–1946. https://doi.org/10.1007/s11255-017-1677-9
Wiegel M, Meston C, Rosen R (2005) The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther 31(1):1–20. https://doi.org/10.1080/00926230590475206
Hollingsworth JM et al (2006) Medical therapy to facilitate urinary stone passage: a meta-analysis. Lancet 368(9542):1171–1179. https://doi.org/10.1016/S0140-6736(06)69474-9
Seitz C, Liatsikos E, Porpiglia F, Tiselius HG, Zwergel U (2009) Medical therapy to facilitate the passage of stones: what is the evidence? EurUrol 56(3):455–471. https://doi.org/10.1016/j.eururo.2009.06.012
Hochreiter WW, Danuser H, Perrig M, Studer UE (2003) Extracorporeal shock wave lithotripsy for distal ureteral calculi: what a powerful machine can achieve. J Urol 169(3):878–880. https://doi.org/10.1097/01.ju.0000051896.15091.0c
Peplau LA (2003) Human sexuality : how do men and women differ? Relationships aggression. Curr Dir Psychol Sci 12(2):37–41. https://doi.org/10.1111/1467-8721.01221
Yilmaz E, Batislam E, Basar MM, Tuglu D, Ferhat M, Basar H (2005) The comparison and efficacy of 3 different α1-adrenergic blockers for distal ureteral stones. J Urol 173(6):2010–2012. https://doi.org/10.1097/01.ju.0000158453.60029.0a
Agrawal M, Gupta M, Gupta A, Agrawal A, Sarkari A, Lavania P (2009) Prospective randomized trial comparing efficacy of alfuzosin and tamsulosin in management of lower ureteral stones. Urology 73(4):706–709. https://doi.org/10.1016/j.urology.2008.11.013
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Conflict of interest
All authors declare no conflict of interest
The study was approved by the local ethics committee (Approval no:2018/01/270) and written informed consent was received from all participants. The study protocol conformed to the ethical guidelines of the 1975 Helsinki Declaration
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Turgut, H. Evaluation of the efficacy of sexual intercourse on distal ureteral stones in women: a prospective, randomized, controlled study. Int Urol Nephrol 53, 409–413 (2021). https://doi.org/10.1007/s11255-020-02661-1
- Sexual intercourse
- Ureteral stone