Introduction and Hypothesis <p>Coital incontinence is defined as urinary incontinence before, during, or after sexual intercourse. This study aimed to determine the frequency of coital incontinence and when it occurs in women with urinary incontinence.</p> Methods <p>A systematic review and meta-analysis was conducted. The publications meeting the inclusion criteria were searched between February and April 2024. A search of the PubMed, ScienceDirect, Web of Science, EBSCO CINAHL Plus, and Cochrane Library databases was performed. The methodological qualities of the studies were examined using a checklist developed by the Joanna Briggs Institute. All analyses were performed using comprehensive meta-analysis (CMA).</p> Results <p>The study included 23 articles with a total sample size of 21,650. According to the study results, the estimated prevalence of coital incontinence in women with urinary incontinence was 35.3% (95% CI 0.363 (0.272–0.443); z 0.91, <i>p</i> &lt; 0.0001), coital incontinence was most frequently observed during penetration, and its estimated prevalence was 50.5% (95% CI 0.505 (0.336–0.673); tau 1.163, <i>p</i> &lt; 0.0001).</p> Conclusion <p>Coital incontinence is common in women with urinary incontinence. It was also concluded that approximately half of the women with urinary incontinence leak urine during penetration.</p> PROSPERO Registration No <p>CRD42024512307.</p>