Lower urinary tract symptoms are frequent in both men and women and group several entities, the most frequent of which is bladder hyperactivity with or without incontinence, benign prostatic hyperplasia, painful urinary disorders, stress incontinence, and recurrent urinary infections. Bladder hyperactivity is said to be present in 17% of women and 15% of men over 40 years of age. In the past 10 years, studies have shown that these problems interfere with the quality of life of most patients and were particularly associated with sexual dysfunctions. In bladder hyperactivity, nearly one woman in two has a sexual disorder (mainly pain or libido disorders); in men, significantly more Bladder hyperactivity erectile or ejaculatory dysfunction is noted. These diseases have benefitted from notable Sexual dysfunction therapeutic progress. Given the frequency of urinary disorders, their repercussions on Couple male and female sexuality, and the existence of effective treatments, it is indispensable Global approach to think of screening for them within a coherent and global approach to couples seeking treatment for sexual dysfunction.