Sexual function among women with stress incontinence after using transobturator vaginal tape, and its correlation with patient’s expectations

El-Enen, Mohamed Abo; Ragb, Maged; Gamasy, A.; Elashry, Osama M.; Elsharaby, M.; Elbadawy, Adel; N, Fayed

doi:10.1111/j.1464-410x.2009.08505.x

Cited by 19 publications

(9 citation statements)

References 23 publications

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“…[31], Pace and Vicentini [28], and El Enen et al. [23] appear to show more significant improvement in sexual function compared with other studies. However, all three studies are well conducted, use a validated questionnaire for assessment of sexual function, and have appropriate follow‐up of greater than 3 months.…”

Section: Discussionmentioning

confidence: 67%

Impact of Incontinence Surgery on Sexual Function: A Systematic Review and Meta-Analysis

Jha

Ammenbal

Metwally

2012

The Journal of Sexual Medicine

102

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Introduction Urinary incontinence has an adverse impact on sexual function. The reports on sexual function following the treatment of urinary incontinence are confusing. Aim To investigate the impact of surgery for stress incontinence on coital incontinence and overall sexual function. Methods Cochrane Incontinence Group Specialized Register of Controlled Trials, The Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE were searched for trials of incontinence surgery assessing sexual function and coital incontinence before and after surgery. Observational studies and randomized controlled trials investigating the impact of surgical correction of stress urinary incontinence on sexual function were included. Surgical interventions included tension-free vaginal tape (TVT), Tension Free Vaginal Tape-Obturator (TVT-O), transobturator tape (TOT), Burch, and autologous fascial sling (AFS). Studies that included patients undergoing concurrent prolapse surgery were excluded from the analysis. Data extraction and analysis was performed independently by two authors. Coital incontinence was analyzed separately and odds ratios (ORs) with 95% confidence intervals (CI) calculated. The data were analyzed in Review Manager 5 software. Main Outcome Measure Changes in sexual function and coital incontinence following surgery for urinary incontinence. Results Twenty-one articles were identified, which assessed sexual function and/or coital incontinence following continence surgery in the absence of prolapse. Results suggest evidence for a significant reduction in coital incontinence post surgery (OR 0.11; 95% CI 0.07, 0.17). Conclusions Coital incontinence is significantly reduced following continence surgery. There were several methodological problems with the quality of the primary research particularly related to heterogeneity of studies, use of different outcome measures, and the absence of well-designed randomized controlled trials.

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Section: Discussionmentioning

confidence: 67%

Impact of Incontinence Surgery on Sexual Function: A Systematic Review and Meta-Analysis

Jha

Ammenbal

Metwally

2012

The Journal of Sexual Medicine

102

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“…The rate of women having 5-8 coital activities/month increased from 23% in the preoperative period to 33% in the postoperative 6 months, but the difference was not statistically significant. El-Enen et al [34] evaluated sexual functions in 62 women who underwent TOT operation. In the postoperative 6 months 57% had the same frequency of sexual activity, 31% had an increase in sexual activity, and 13% had a decrease in sexual activity.…”

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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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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“…Similarly; in a prospective study done in 2009 where 62 TOT surgery patients participated, it was noted that there were increases in 18 Zhang Z, (2016), 28 Zyczynski HM, (2012), 11 TOT FSFI total scores, sexual desire, arousal, satisfaction, and lubrication. Besides, this study indicated that after 8 weeks following the surgery, women became able to have a sexual relationship once a week (15).…”

Section: Comparing Fsfi Resultsmentioning

confidence: 69%

The Effect of Transobturator Tape Surgery on Female Sexual Functions: A Systematic Review

Yıldırım

Duman

Görkem

et al. 2020

Gynecol Obstet Reprod Med

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OBJECTIVE:Stress urinary incontinence is one of the diseases that change the quality of life of women. Although there are various medical and surgical treatment modalities exist, transobturator tape surgery is one of the current options with the least complication rates. The aim of this systematic review was to evaluate sexual functional results after the transobturator tape procedure.STUDY DESIGN: Data were taken from those cohort, case-control and cross-sectional studies that were done with human subjects in full texts, were written in the English language. RESULTS:A total of 24 clinical trials were evaluated. The most frequently administered scales were the female sexual function index and The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire -12. In total, 8 clinical studies employed female sexual function index whereas 8 clinical studies administered Prolapse/Urinary Incontinence Sexual Questionnaire -12. 4 of these studies tried to understand women's sexual functions through questions determined by the researchers (N/A). 2 of the other studies used the Sexual Impact Questionnaire and a visual analogue scale, 1 study used Nine Questions on Sexual Functioning (NSF-9) and 1 study used International Consultation on Incontinence Questionnaire Vaginal Symptoms Module (ICIQ-VS). It was found that transobturator tape surgery that is performed for incontinence produces positive results on both sexual functions and urinary functions. CONCLUSION:Maintaining urinary continence is detected to directly be correlated with sexual functions. It is of high importance that before initiating surgical treatments, clinicians should give the patients a detailed medical examination in terms of both urinary and sexual functions.

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Sexual function among women with stress incontinence after using transobturator vaginal tape, and its correlation with patient’s expectations

Cited by 19 publications

References 23 publications

Impact of Incontinence Surgery on Sexual Function: A Systematic Review and Meta-Analysis

Impact of Incontinence Surgery on Sexual Function: A Systematic Review and Meta-Analysis

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

The Effect of Transobturator Tape Surgery on Female Sexual Functions: A Systematic Review

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