Sexual function after surgery for stress urinary incontinence: vaginal sling versus Burch colposuspension

Çayan, Filiz; Dılek, Saffet; Akbay, Erdem; Çayan, Selahíttín

doi:10.1007/s00404-007-0418-1

Cited by 32 publications

(22 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, TOT was found more superior over Burch operation in providing SUI. Although there are some studies supporting the results of our study in the literature (21,22), a study showed that Burch colposuspension surgery is more successful than TOT operation (23).…”

Section: Discussionsupporting

confidence: 62%

“…In a prospective study by Cayan et al comparing the effects of Burch colposuspension and vaginal sling procedures on the sexual functions of women, more reduction was detected in FSFI scores in Burch colposuspension group compared to vaginal sling group (21). In a multicentric and prospective study by Filacamo et al evaluating the effects of mid-urethral sling operations (transobturator procedure and retropubic procedure) on the sexual functions of women and including the patients with urodynamic stress urinary incontinence and sexually inactive patients, a significant increase was observed in total FSFI and sub-area scores of all patients.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

The effects of stress incontinence surgery on sexual function and life quality of women

Tuncer

Tarhan

Kafkaslı

et al. 2016

Arch Ital Urol Androl

View full text Add to dashboard Cite

Objective: To evaluate Transobturator tape (TOT) and Burch colposuspension procedure’s effects on sexual functions and life quality. Materials and Methods: A total of 81 patients who underwent TOT (n = 49) or Burch (n = 32) with stress incontinence were included in this prospective study. Preoperatively and at postoperative 6 month follow up pad and stress tests, physical examinations, Female Sexual Function Index (FSFI), International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF), Urinary Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7) questionnaires were performed. Patient Global Impression of Improvement (PGI-I) questionnare was added postoperatively. Results: According to stress test, success rate was found to be 69% and 45%, in the TOT and Burch groups respectively. Pad test decreased in both groups (p < 0.05). PGI-I scores was higher in the TOT group when compared to Burch group (p = 0.031). ICIQ-SF scores were improved in both TOT (p < 0.0001) and Burch groups (p < 0.012). IUDI-6 and IIQ-7 scores improved only in TOT group. Total FSFI scores did not change in both groups but only in TOT group sexual desire improved. Total FSFI scores did not change in patients that were successful and unsuccessful according to the stress test in both TOT and Burch groups (p < 0.05). Conclusions: TOT and Burch procedures have no effect on the sexual functions. However TOT improved life quality of patients.

show abstract

Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 98%

The effects of stress incontinence surgery on sexual function and life quality of women

Tuncer

Tarhan

Kafkaslı

et al. 2016

Arch Ital Urol Androl

View full text Add to dashboard Cite

show abstract

“…Generally, sexual function may be impaired after surgery for stress urinary incontinence. Cayan [9] found that Burch colposuspension deteriorated sexual function much more than vaginal surgery in women, but impact in the vaginal group was evident as well. Shah [10] was unable to show deterioration of sexual function in a series of 29 patients who underwent polypropylene sling insertion for urinary stress incontinence.…”

Section: Discussionmentioning

confidence: 97%

Sexual function after suburethral sling removal for dyspareunia

et al. 2008

View full text Add to dashboard Cite

Introduction Impact on sexual function has received little attention in the medical literature for a long time. Because of the site of insertion of permanent tension free vaginal tape (TVT) the G spot might be affected or the tape might interfere with arousal and sensory stimulation. Recent studies have reported varying degrees of sexual impairment after TVT insertion ranging from 0% to 15% including dyspareunia. Aim The aim of this study was to evaluate sexual function before and after suburethral sling removal due to postoperative female de novo dyspareunia. As a secondary outcome, general patients' satisfaction with their overall continence situation was assessed. Patients and methods Between December 2005 and December 2007, we included 18 female patients who complained of de novo dyspareunia after suburethral sling insertion for urinary stress incontinence. All patients filled in an FSFI questionnaire prior to sling removal and at 3 months postoperatively. Additionally, all women were asked to estimate their general satisfaction regarding their continence situation using a Visual Analogue Scale (VAS) from 0 to 10, with 0 being the least satisfying situation and 10 being the most satisfying situation. All patients underwent gynaecological examination including ICS-pelvic organ prolapse staging (ICS-POP score).Results Of the 18 slings, ten were transobturator tapes (6 9 TVT-O, 2 9 Monarch, 2 9 unknown) and eight were retropubic tapes (7 9 TVT, 1 9 SPARC). Desire, arousal, lubrication, satisfaction, and pain improved statistically significant. Orgasm scores were low with median scoring of 1.5 scores before and 1.0 scores after sling removal, and they did not change significantly after sling removal. The satisfaction rate deteriorated from a median of 7 (95% confidence interval [CI] 6.3-7.7) to a median of 4 (95% CI 3.7-5.1; p = 0.99) but not statistically significant. Conclusions Sexual function in patients with de novo dyspareuina is likely to improve after sling removal but not in all domains. Bladder function may deteriorate.

show abstract

“…However, Cayan et al [24] found that while TSF scores improved significantly after vaginal slings and Burch colposuspension (P=0.00), women who underwent Burch procedure experienced worse sexual functions scores than those who underwent vaginal sling surgery. Statistically significant decreases in TSF scores, postoperative sexual desire (P=0.014), arousal (P=0.026), lubrication (P=0.004), and orgasm scores (P=0.008) were observed in the Burch group compared to the vaginal sling group.…”

Section: Impact Of Treatment For Stress Urinary Incontinence On Femalmentioning

confidence: 92%

The Impact of Urinary Incontinence and Its Treatment on Female Sexual Function

Moore

2010

Curr Urol Rep

View full text Add to dashboard Cite

Urinary incontinence is a prevalent disorder that negatively impacts not only women's overall quality of life but also female sexual function. Most of the literature suggests that women with urge urinary incontinence are more likely to report sexual complaints and dissatisfaction than women with stress urinary incontinence. Successful treatment of both stress urinary incontinence and urge urinary incontinence have been shown to improve overall female sexual function scores.

show abstract

Sexual function after surgery for stress urinary incontinence: vaginal sling versus Burch colposuspension

Cited by 32 publications

References 29 publications

The effects of stress incontinence surgery on sexual function and life quality of women

The effects of stress incontinence surgery on sexual function and life quality of women

Sexual function after suburethral sling removal for dyspareunia

The Impact of Urinary Incontinence and Its Treatment on Female Sexual Function

Contact Info

Product

Resources

About