Even though urologists know that there may be an association between sexual abuse and urinary disorders, finding sexual abuse (SA) is often not part of their standardized questioning. The aim of our work is to assess the incidence of sexual abuse(SA), to understand and know how to manage the consequences of child molestation on vesico-sphincter functions.

A multi-parametric, cross-sectional study was conducted by a female doctor looking for sexual assault , the latter has interviewed 214 women with bladder pain syndrome /Interstitial cystitis (BPS/IC) 14,95%  (32 cases), retentionist bladder 10,28% (22cases), bladder hyperactivity without leakage 18,69% (40 cases), Nocturnal enuresis 7,9%(17 cases), Urge urinary incontinence 19,63% (42 cases), stress urinary incontinence 15,89% (34 cases) and mixed urinary incontinence 12,62% (27 cases). The authors present their experience with 214 patients (42 years, extremes 19 to 75 years), followed by specialistsbetween January 2017 and December 2019. All patients were evaluated by a voiding calendar, an MHU score (measurement of urinary handicap), bladder fibroscopy and urodynamic workup and a spinal MRI to rule out a neurological lesion.

The distribution of patients according to the vesico-sphincteric disorder and the number of SA are shown in Table 1 , and the characteristics of our series in Table 2 . The psychosocial impact was observed in 100% of patients, showcasing mainly feelings of discomfort, anger, sadness, frustration, fear and feelings of rejection from those around them. In 90% of the cases, patients revealed  for the first time that the reason why they did not talk  was shame,whilst others said they had  no reason, or that they don’t know why.  Furthermore, Only 30% had dared to talk to someone regarding this issue. SA before 18 years of age was reported in 78% of the cases. Figures are almost identical no matter the socio-professional category, the highest prevalence  reported was 10%  among female executives (Tab.2).

The paradoxical attitude of the subject who refuses the examination urogyneological clinic or one that exhibits an attitude opposition during a urodynamic or coloproctological assessment can only alert us to the possibility a reminiscence of a painful memory (but there is no correlation between the painfulness of this memory and the gravity of what induced it: sometimes a simple examination may have been experienced as an assault).
The finding of a "frozen" perimeter, not contracting not in restraining effort and does not relax when pushed or when requesting relaxation, will further attract our Please note that this is a hypertonic perimeter (but we will also be wary of the possibility of a pathology central neurological).

Sexual abuse is very frequent and should be dealt with caution, since the latter may be the cause of physical or psychological illnesses, according to previous studies.
Sexual assault is very common, both amongst men and women, in all epidemiological studies, and in different countries: a strong causal link between SBAU and Sexual Abuse.
The urologist is at the heart of the problem, particularly in his management of pelvic static disorders and vesicosphincteric disorders.

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