Sexual function after tension-free vaginal tape (TVT) for stress incontinence: results of a mailed questionnaire

Elzevier, H.W.; Venema, Pieter L.; Nijeholt, A.A.B. Lycklama à

doi:10.1007/s00192-004-1149-5

Cited by 53 publications

(61 citation statements)

References 22 publications

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“…In contrast to these investigations, Elzevier et al [8] did not observe a negative influence of TVT on the sexual function in a mailed questionnaire survey they performed in 2004 (n = 96). Furthermore, they found an improvement due to reduced incontinence especially during sexual activity in 26% of their patients.…”

Section: Discussionmentioning

confidence: 75%

Sexual Function after Tension-Free Vaginal Tape Procedure

Marszalek¹,

Roehlich²,

Racz³

et al. 2007

Urol Int

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Introduction: Aim of this cross-sectional study was to analyze the sexual function of women after tension-free vaginal tape (TVT) procedure. Patients and Methods: To evaluate the female sexual function after the TVT procedure, we designed a 36-item questionnaire including 21 questions on incontinence, 15 questions on sexuality and 3 questions on the personal impression of the procedure. Diagnostic workup consisted of a detailed medical history, urinalysis, postvoid residual urine volume assessment, ultrasound of the kidney and a urodynamic study. Results: Fifty-two women completed the entire questionnaire. Overall, 82.7% of the women were satisfied with the TVT procedure. A proportion of 74.0% indicated that they became totally continent after the operation. One third of the sexually active women reported an improvement of their sexual life after TVT, 14.3% a worsening, and 52.4% reported no change. Deterioration of sexual function was significantly associated with de novo urge, dyspareunia and sensation of postvoid residual urine volume. Conclusion: In summary, our investigations showed that the influence of the TVT procedure on female sexual function is evident, but of low impact, and in general will not be of relevance.

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Section: Discussionmentioning

confidence: 75%

Sexual Function after Tension-Free Vaginal Tape Procedure

Marszalek¹,

Roehlich²,

Racz³

et al. 2007

Urol Int

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“…While some studies claim that TVT reduces postoperative dyspareunia [54,55,[57][58][59], others report the opposite [56,60]. However, there seems to be a consensus that TVT reduces coital incontinence rates by three-to sixfold [54][55][56][57].…”

Section: Stress Incontinence Surgerymentioning

confidence: 88%

Female sexual dysfunction

2007

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Female sexual dysfunction is a common problem with detrimental effects on woman's quality of life. It also has an economical and societal impact. It is defined as disorders of sexual desire, arousal, orgasm, and sexual pain, which lead to personal distress. The etiology of sexual dysfunction is frequently multifactorial as it relates to general physical and mental well-being, quality of relationship, past sexual functioning, social class, education, employment, life stressors, personality factors, the presence of a sexual partner, and partner's age and health. It is very important to adopt the most efficient approach to gather information, and this may be achieved via standardized questionnaires or open-ended questions. Therapy should be tailored according to the patient's needs and may involve a multidisciplinary team approach including psychosexual counselor/sexologist/therapist and the physician. There is still more work needed to optimize the care of women with this problem. Priority should be given to international standardization and training of health care professionals.

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“…Some studies claim that there is no improvement in sexuality after surgery for UI or genital prolapse [31]. Small series evaluating the sexual well-being before and after tensionfree vaginal tape placement have showed conflicting results, with a reported deterioration of sexual function after surgery ranging from 3 to 20% [3,32]. Another study Fig.…”

Section: Discussionmentioning

confidence: 99%

Pelvic floor muscle training improves sexual function of women with stress urinary incontinence

2007

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The aim of this study was to assess the effect of a program of supervised pelvic floor muscle training (PFMT) on sexual function, in a group of women with urodynamically diagnosed stress urinary incontinence (SUI), using a validated questionnaire. Incontinence episodes frequency and continence pads used per week were measured before and after treatment using a 7-day bladder diary. Improvements in sexual function were assessed using the Female Sexual Function Index (FSFI). Seventy women completed the 12-month program of supervised PFMT successfully. At the end of the study, incontinence episode frequency decreased by 38.1%, and patients required 39% less pads per week. All domains of the FSFI were also significantly improved with median total FSFI scores increasing from 20.3 to 26.8. This is one of the few studies to quantify, using a validated questionnaire, the improvement in sexual function of women with SUI, undergoing successfully a 12-month supervised PFMT program.

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Sexual function after tension-free vaginal tape (TVT) for stress incontinence: results of a mailed questionnaire

Cited by 53 publications

References 22 publications

Sexual Function after Tension-Free Vaginal Tape Procedure

Sexual Function after Tension-Free Vaginal Tape Procedure

Female sexual dysfunction

Pelvic floor muscle training improves sexual function of women with stress urinary incontinence

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