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Background: Urinary incontinence (UI) is a pelvic floor dysfunction that can affect nulliparous female athletes because of the effect of sports activities on pelvic floor muscles., Objectives: To verify and quantify urine loss in nulliparous athletes during 1 hour of sports training using a modified pad test protocol., Design: Cross-sectional., Setting: Secondary, institutional practice., Participants: Nulliparous athletes (N = 104)., Methods: Athletes completed the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI-SF) and underwent a maximal resistance test of the abdominal muscles followed by the new modified pad test during 1 hour of training., Outcomes: Presence or absence of UI was the dependent variable; the initial hypothesis was that high-impact activities could lead to the development of UI., Results: Almost 52% of athletes (n = 54) self-reported UI according to the ICIQ-UI-SF score. Of athletes who reported stress or mixed UI (n = 32), only 43.7% (n = 14) had leakage during the training pad test. Interestingly, 24% of athletes (n = 12) who did not report UI had a positive pad test result. In total, 27.9% of athletes (n = 29) presented a positive pad test during the training. Mean urinary loss was 1.57 ± 0.4 g., Conclusion: Athletes did not seem to have a good knowledge of UI symptoms, and the modified pad test could be an alternative to quantify urine loss; however, it is necessary to perform accuracy tests. None of the athletes reported discomfort or decreased performance when performing the pad test., Level of Evidence: II., (© 2018 American Academy of Physical Medicine and Rehabilitation.)

Objectives: To estimate the prevalence of Female Sexual Dysfunction (FSD) and Urinary Incontinence (UI) symptom in nulliparous athletes and analyze the risk factors for these dysfunctions., Design: A cross-sectional study., Setting: The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI-SF) and the Female Sexual Function Index (FSFI) were applied to assess the UI and the FSD., Participants: 50 athletes with ≥18 years old., Results: We found a prevalence of 48% of UI and 44% of FSD among nulliparous athletes. The rate of athletes having concomitant FSD and UI was 24%. We found a significant difference between high and low impact sports in the ICIQ-UI-SF score (p = 0.028). Hours of training (p = 0.007; R 2  = 0.21) was found to be a risk factor for UI. Incontinent athletes demonstrated a Relative Risk of 2.7 to develop sexual desire problem when compared to the continents (p = 0.04; 95% CIs: 1.50-4.89)., Conclusions: This study found a high prevalence of both UI and FSD among nulliparous athletes. Furthermore, nulliparous athletes practicing high-impact modalities are the most susceptible to UI. The hours of training per day was considered a risk factor to develop UI, and incontinent athletes have more chances of showing difficulties in sexual desire., (Copyright © 2018 Elsevier Ltd. All rights reserved.)