Changes in sexual function and quality of life after single-incision mid-urethral sling for treatment of female stress urinary incontinence

Naumann, Gert; Steetskamp, J; Meyer, Mira; Laterza, Rosa Maria; Skala, Christine; Albrich, Stefan; Koelbl, Heinz

doi:10.1016/j.ejogrb.2013.03.013

Cited by 16 publications

(9 citation statements)

References 20 publications

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“…Although some studies reported improved function, others reported conflicting results with deterioration or no change in symptoms. One of reason (e.g., study design including varying age, hormonal status, co-morbidities, heterogeneity of coexistence of pelvic organ prolepses, difference evaluation criteria on success and retrospective design of studies) has been shown to account for these variable results (Naumann et al 2013 ).…”

Section: Discussionmentioning

confidence: 99%

Female sexual function after transobturator tape in women with urodynamic stress urinary incontinence

et al. 2014

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We evaluate quality of life and sexual function before and after transobturator tape procedure (TOT) using the International Consultation on Incontinence Questionnaire (ICIQ -SF) and Female Sexual Function Index (FSFI). Between 2008 and 2013, 92 patients with stress urinary incontinence (SUI) underwent TOT procedure. A total of 81 patients were sexual active and enrolled in the study. All patients completed the Turkish translation ICIQ -SF and FSFI forms before and 1, 3, 6, 12 months after surgery. To evaluate the impact of incontinence and TOT success on sexual function, we compared patients that were dry after surgery and patients still incontinent and/or facing complication.All 81 patients completed the study protocol. The total FSFI score was 21.3 ± 7.9 and statistically significant when compare with preoperative total FSFI score (16.2 ± 7.9). The mean postoperative ICIQ -SF score (2 ± 2.9) was also significantly lower than the mean preoperative ICIQ -SF score (17.3 ± 1.8). Complications were encountered in 13 patients, including vaginal erosion (4 patients), de novo urge incontinence (4 patients), vesico-vaginal fistula (1 case), cysto-rectocele (1 case) and high postoperative residue requiring mesh excision (3 patients). Continent (n = 68) patients had a significantly better postoperative total FSFI and ICIQ -SF score against patients who had urine loss.Our study found a significant improvement of FSFI score and ICIQ -SF score after TOT operation in women with SUI. Additionally, urine loss due to complications was related with worsened FSFI score and ICIQ score compare with healthy patient’s scores.

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Section: Discussionmentioning

confidence: 99%

Female sexual function after transobturator tape in women with urodynamic stress urinary incontinence

et al. 2014

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“…Stress urinary incontinence (SUI) has an adverse effect on a woman's quality of life (QoL), and the way in which affects her sexual health is important [1]. Female sexuality is complex, and incontinence might have unfavorable effects on many factors contributing to sexual dysfunction: embarrassment, fear of odor, loss of self-esteem, psychological distress, dyspareunia because of urinary dermatitis, and urine leaking during intercourse being a nuisance are some of the effects that may lead to sexual dysfunction [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Long-term follow-up of sexual function in women before and after tension-free vaginal tape operation for stress urinary incontinence

Lindquist

Glavind

2016

Int Urogynecol J

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“…Five articles were randomized controlled trials, 2 were retrospective cohorts, and 11 were prospective cohorts (Table 1). 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31…”

Section: Methodsmentioning

confidence: 99%

A Meta-Analysis Detailing Overall Sexual Function and Orgasmic Function in Women Undergoing Midurethral Sling Surgery for Stress Incontinence

Szell

Komisaruk

Goldstein³

et al. 2017

Sexual Medicine

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IntroductionMore than 200,000 midurethral slings are placed yearly for stress urinary incontinence. Approximately 14% to 20% of women experience worsening sexual function overall after these procedures. We postulated that sling placement injures neural pathways regulating “female prostate” tissue within the anterior vaginal wall.AimTo perform a meta-analysis for overall sexual function and orgasm using validated questionnaires for transvaginal tape, transobturator tape, and their variants.MethodsEffect sizes of preoperative and postoperative questionnaire scores for overall sexual function and orgasm were calculated. Random-effects models were selected for meta-analyses. Statistical analysis involved determination of the ratio of total heterogeneity to total variability.Main Outcome MeasuresDifferences of overall sexual and orgasm functions were calculated by subtracting postoperative sling scores from preoperative sling scores. Forest plots of effect sizes were performed.ResultsSixty-seven percent of midurethral sling procedures analyzed showed no change or improvement in overall sexual function postoperatively, whereas 33% of studies analyzed for orgasm function showed improvement after the procedure. For transvaginal tape, mean total sexual function and orgasm postoperative scores were significantly higher than preoperative scores. For transobturator tape, mean total postoperative score was significantly higher than the preoperative score; however, the mean orgasm postoperative score was not significantly higher than the preoperative score, possibly because of variability in transobturator tape data.ConclusionThere is a discrepancy between postoperative sexual satisfaction and orgasmic function after midurethral sling surgery. Although overall sexual function remained the same or improved for most women, orgasmic function in only one third of cases improved overall, with most women experiencing no change or deterioration in orgasmic function. Dissection for, and placement of, the midurethral sling can compromise the neural integrity of the anterior vaginal wall, thereby detrimentally affecting the periurethral prostate tissue that is essential to the orgasmic response. We propose that this surgical procedure can compromise orgasmic function in some women.Szell N, Komisaruk B, Goldstein SW, et al. A Meta-Analysis Detailing Overall Sexual Function and Orgasmic Function in Women Undergoing Midurethral Sling Surgery for Stress Incontinence. Sex Med 2017;5:e84–e93.

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Changes in sexual function and quality of life after single-incision mid-urethral sling for treatment of female stress urinary incontinence

Cited by 16 publications

References 20 publications

Female sexual function after transobturator tape in women with urodynamic stress urinary incontinence

Female sexual function after transobturator tape in women with urodynamic stress urinary incontinence

Long-term follow-up of sexual function in women before and after tension-free vaginal tape operation for stress urinary incontinence

A Meta-Analysis Detailing Overall Sexual Function and Orgasmic Function in Women Undergoing Midurethral Sling Surgery for Stress Incontinence

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