Sexual Function after Tension-Free Vaginal Tape Procedure

Marszalek, Martin; Roehlich, Michaela; Racz, Ursula; Metzenbauer, M.; Ponholzer, Anton; Rauchenwald, Michael; Madersbacher, Stephan

doi:10.1159/000098069

Cited by 33 publications

(25 citation statements)

References 21 publications

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“…Thus, we cannot support the findings by Ghielmetti et al [4] or David-Montefiore et al [23] that prolapse operations, particularly posterior re- pair, deteriorate sexual function, or that incontinence procedures negatively affect sexual function. Our findings correlate to the findings by Marszalek et al [16] and Sen et al [17]. A limitation of our study is the small number of sexually active patients in the concomitant operation subgroup.…”

Section: Discussionsupporting

confidence: 91%

See 1 more Smart Citation

Sexual Impairment in Women Undergoing Laparoscopic Surgery for Genital Prolapse: A Hospital-Based Cohort Study

Banerjee

Sachse²,

Hellmich³

et al. 2010

Urol Int

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Introduction: No data regarding sexuality following laparoscopic prolapse surgery are available to date. Our hypothesis is that laparoscopic sacropexy does not influence sexuality negatively, whereas concomitant (vaginal) surgery negatively influences sexuality. Methods: Participants were 132 patients who underwent laparoscopic sacropexy. We compared pre- and postoperative sexual scores by 2 validated questionnaires. Results: The response rate was 84% (111/132). No change in sexual activity was reported after surgery. In the sexually active group (56.8%; 63/111) the impairment of sexuality was significantly reduced in all age groups independently of concomitant vaginal surgery. In the sexually inactive group, only 4.3% (2/48) were inactive because of vaginal symptoms before operation. After the operation these patients stayed inactive; however, 1 reported reasons unrelated to prolapse. Conclusions: Laparoscopic prolapse surgery reduces sexual impairment in sexually active patients. There appears to be no benefit for patients who are not sexually active for reasons related to the prolapse. Concomitant surgery does not affect sexual activity.

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Section: Discussionsupporting

confidence: 91%

“…To date, little is known about the impact of prolapse and urinary incontinence surgery on the female sexual life [16,17], and no data about laparoscopic prolapse sur- Values denote means with SD in parentheses, or numbers with 95% CI in parentheses. OP = Operation.…”

Section: Discussionmentioning

confidence: 99%

Sexual Impairment in Women Undergoing Laparoscopic Surgery for Genital Prolapse: A Hospital-Based Cohort Study

Banerjee

Sachse²,

Hellmich³

et al. 2010

Urol Int

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“…56,8 Several authors have therefore assessed the impact of stress urinary incontinence repair on subsequent sexual function using prospective (Table 1) and retrospective designs. [57][58][59][60][61][62] The results of most studies suggest that sexual symptoms, sexual activity and sexual function either improve or are unchanged following surgery for stress incontinence. Physical improvements of coital incontinence, urinary frequency and interference with sexual activity may be responsible for most benefit.…”

Section: Gynecological Surgery and Female Sexual Function Rn Paulsmentioning

confidence: 99%

Impact of gynecological surgery on female sexual function

Pauls

2010

Int J Impot Res

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Sexual function is complex and involves interaction of many factors, including emotional connection, body image, intact physical response and partner sexual function. Disease processes such as abnormal uterine bleeding, endometriosis, urinary incontinence and pelvic organ prolapse may have a negative impact on various parameters of sexual health. Gynecological surgery to address these common complaints may correct the pathological process. However, despite improvements in symptoms related to the disease, improvements in sexuality are not guaranteed and occasionally there may be deteriorations. This review will summarize the current literature assessing sexual symptoms following benign gynecological surgery, including hysterectomy, and bilateral salpingo-oophorectomy, tubal ligation, anti-incontinence surgery and pelvic organ prolapse reconstruction with and without mesh. In the majority of cases, sexual function and quality of life benefit from these surgical interventions. However, it is critical that physicians remain aware of the potential for negative outcomes. Subjects who experience worsening should undergo thorough evaluation early in the postoperative period in order to mitigate symptoms. Treatment modalities for sexual dysfunction following surgery should be the focus of future research.

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“…Ces résultats sont similaires à ceux de la majorité des études ayant évalué l'impact du TVT [15,[21][22][23][24][25] et du transobturator tape (TOT) [11] sur la sexualité féminine. Comme d'autres auteurs, nous avons trouvé que la cure d'une IUE par BSU pouvait s'accompagner d'une détério-ration de la qualité de la sexualité chez un nombre non négligeable de patientes (jusqu'à 15 % des patientes) [11,22,25].…”

Section: Discussionunclassified

“…Comme d'autres auteurs, nous avons trouvé que la cure d'une IUE par BSU pouvait s'accompagner d'une détério-ration de la qualité de la sexualité chez un nombre non négligeable de patientes (jusqu'à 15 % des patientes) [11,22,25]. Cependant, nous n'avons pu identifier un paramètre influant significativement sur la sexualité en postopératoire.…”

Section: Discussionunclassified

Sexualité après bandelette sous-urétrale par voie rétropubienne et transobturatrice: étude comparative

et al. 2010

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But : Comparer la sexualité féminine après cure d'incontinence urinaire d'effort (IUE) par bandelette sousurétrale (BSU) par voie rétropubienne (RP) versus transobturatrice (TO). Matériels et méthodes : Le questionnaire de Lemack et Zimmern a été envoyé à toutes les patientes ayant eu une cure d'IUE par bandelette RP ou TO. Les patientes ayant un antécédent de cure d'IUE par BSU ou de cure de prolapsus étaient exclues de l'étude. Résultats : Parmi les 310 patientes éligibles , 192 (61,9 %) questionnaires exploitables ont été analysés. Quatrevingt-une et 64 patientes étaient sexuellement actives avant et après la pose d'une BSU par voie RP et TO, respectivement. La sexualité féminine ne différait pas en pré-et postopératoire au sein des deux groupes, et en postopératoire entre les groupes RP et TO. Les patientes rapportaient une amélioration en postopératoire de la qualité de leurs rapports sexuels dans 29,5 et 32,9 % des cas, alors que 17,3 et 12,5 % des patientes considéraient leur sexualité comme dégradée après, respectivement, la pose d'une BSU par voie RP et TO. Une amélioration significative de l'incontinence urinaire coïtale en postopératoire était observée dans le groupe RP (p < 0,01) et dans le groupe TO (p < 0,02), sans diffé-rence significative entre les deux groupes (p = 0,07). Conclusion : Cette étude suggère que l'impact de la chirurgie de l'IUE par BSU sur la sexualité féminine ne diffère pas selon la route utilisée (RP ou TO), et que les deux procédures peuvent avoir un impact positif, mais aussi négatif sur la sexualité des patientes en postopératoire. Elle suggère aussi que l'incontinence urinaire coïtale soit fortement susceptible d'être améliorée ou guérie après cure d'IUE par BSU. Mos clés Incontinence coïtale · Dyspareunie · Bandelette sous-urétrale rétropubienne (BSU) et transobturatrice (TO) · Incontinence urinaire · SexualitéAbstract Objective: To compare sexual function outcome in female patients following tension-free vaginal (TVT) versus transobturator tape (TOT) for stress urinary incontinence (SUI). Materials and methods: All women who underwent TVT or TOT procedures for SUI for the first time and/or concomitant prolapse repair were sent the Lemack Questionnaire through mail. Results: Complete information available for analysis was obtained for 192 (61.9%) out of the 310 women who fulfilled the inclusion criteria. Among them 145 women were sexually active before and after TVT and TOT procedures, respectively. Sexual function outcome did not differ pre-and postoperatively for the TVT and TOT groups, and postoperatively between the two groups. Of all responders, 23 (29.5%) and 21 (32.9%) cases reported an improvement in intercourse satisfaction, in whereas 14 (17.3%) and L. Sentilhes (*) · M. Poilblanc · C. Lefebvre-Lacoeuille · L. Catala · P. Descamps Service de gynécologie-obstétrique, centre hospitalier universitaire d'Angers, 8 (12.5%) complained of sexual function deterioration after TVT and TOT procedure, respectively (P = 0.43). There was a significant improvement of coital inc...

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Sexual Function after Tension-Free Vaginal Tape Procedure

Cited by 33 publications

References 21 publications

Sexual Impairment in Women Undergoing Laparoscopic Surgery for Genital Prolapse: A Hospital-Based Cohort Study

Sexual Impairment in Women Undergoing Laparoscopic Surgery for Genital Prolapse: A Hospital-Based Cohort Study

Impact of gynecological surgery on female sexual function

Sexualité après bandelette sous-urétrale par voie rétropubienne et transobturatrice: étude comparative

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