Improvement of sexual function after transobturator tape procedure in women with stress urinary incontinence

Jong, M.A.D.W. de; Altena, Anne M. van; Aalders, C. I. M.; Dijkhuizen, F. P. H. L. J.; Balken, Michael R. van

doi:10.1007/s10397-010-0643-7

Cited by 20 publications

(20 citation statements)

References 32 publications

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“…It is also speculated that after the TOT procedure, damage to vascular and neural structures may lead to sexual dysfunction [29]. On the other hand, in other tudies, it is suggested that due to the anatomic route of the TOT procedure, there are no effects on major neurovascular structures and therefore there is no effect on sexual functions [38].…”

Section: Discussionmentioning

confidence: 99%

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Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up

Aslan

Uğurlucan

Bilgiç

et al. 2017

Gynecol Obstet Invest

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Aim: To evaluate sexual functions of women having stress urinary incontinence (SUI) preoperatively and 6 months and 12 months after undergoing a transobturator tape (TOT) ± pelvic organ prolapse (POP) surgery. Methods: One hundred-ninety-five women with SUI ± POP were recruited and 150 sexually active women who had clinical ± urodynamic SUI and underwent TOT ± POP surgery were included in this prospective study. Urogynecologic symptoms were evaluated preoperatively, at 6 months, and 12 months by Female Sexual Function Index (FSFI). Results: One hundred fifty women completed the study. Seventy-four underwent TOT-only and 76 underwent TOT + concomitant surgery. Mean total scores of FSFI were 21.7 ± 7.8, 22 ± 8.7, and 22.1 ± 8 in the preoperative period, postoperative 6, and 12 months, respectively. There was significant improvement in desire and total scores in the TOT-only group, whereas there was no significant difference in the TOT + concomitant surgery group except for significant worsening in the lubrication domain. The frequency of sexual intercourse increased while that of coital incontinence decreased after surgery. Conclusions: In our study, TOT was associated with decrease in coital incontinence and significant improvement in desire. In addition, there was significant improvement in FSFI desire and total scores in the TOT-only group, whereas no significant difference was observed in the TOT + concomitant surgery group except for the worsening of lubrication.

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Section: Discussionmentioning

confidence: 99%

“…The prevalence of coital incontinence ranges from 10 to 56% [27,28]. Arts-de Jong et al [29] evaluated the effect of TOT on female sexual functions. There were no significant postoperative changes regarding frequency of sexual activity, sexual desire, and problems with lubrication or orgasm.…”

Section: Discussionmentioning

confidence: 99%

Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up

Aslan

Uğurlucan

Bilgiç

et al. 2017

Gynecol Obstet Invest

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“…In fact, in a prospective 12‐month follow‐up study, Arts‐de Jong et al. reported significant improvements in pain scores (during or after sexual activity) after TVT‐O. In addition, we used the PISQ‐12 to evaluate sexual function pre‐ and postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Tension‐free vaginal tape‐obturator for the treatment of stress urinary incontinence: a 12‐year prospective follow‐up

et al. 2018

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Objective To evaluate the long‐term safety and effectiveness of inside–out transobturator tape (tension‐free vaginal tape‐obturator, TVT‐O) for the treatment of stress urinary incontinence (SUI). Patients and Methods Between August 2004 and August 2006, 87 consecutive patients with SUI who underwent TVT‐O were enrolled in this prospective cohort study. Patients with mixed UI, or pelvic organ prolapse requiring surgery, were excluded. Data relating to long‐term postoperative complications, subjective satisfaction rate (Patient Global Impression of Improvement), objective cure rate (stress test), quality of life (QoL), and sexual function, were collected during follow‐up. The Incontinence Impact Questionnaire (IIQ‐7) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12) were used to assess QoL and sexual function, respectively. Statistical analyses were performed using paired‐sample t‐tests. Results At the 12‐year follow‐up, 73 patients (84%) were available for evaluation. Overall, the long‐term complication rate was 45.2%. De novo overactive bladder was observed in 12.3% of patients. None of the patients reported severe voiding dysfunction that required treatment by tape removal or catheterisation. However, 16 patients (16/73, 21.9%) had voiding changes compared with their preoperative status. Persistent groin pain was reported in 1.4% of the patients, and tape exposure occurred in 5.5%. The subjective satisfaction rate and objective cure rate were 80.8% and 82.2%, respectively. Compared with preoperative scores, the IIQ‐7 score decreased significantly (P < 0.05), whilst there was no significant difference in the PISQ‐12 score (P = 0.893). Conclusions This 12‐year follow‐up study showed that TVT‐O is a highly effective procedure for the treatment of SUI. The long‐term complication rate appears to be slightly high, which should raise concern.

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“…Furthermore, some studies have demonstrated sexual function improvement. Arts-de Jong et al found significant improvement in satisfaction regarding sexual function at 1 year (20). In our study, we asked the patients 19 questions about sexuel function.…”

Section: Discussionmentioning

confidence: 79%

Female Sexuel Function After Trans Obturator Tape Placement for Stress Urinary Incontinance

Yeşil¹,

Dede²,

Göktuğ³

et al. 2013

GMJ

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Improvement of sexual function after transobturator tape procedure in women with stress urinary incontinence

Cited by 20 publications

References 32 publications

Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up

Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up

Tension‐free vaginal tape‐obturator for the treatment of stress urinary incontinence: a 12‐year prospective follow‐up

Female Sexuel Function After Trans Obturator Tape Placement for Stress Urinary Incontinance

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