Vaginal Symptoms and Sexual Function After Tension-free Vaginal Tape-obturator Placement: Minimum 12-Month Follow-up

King, Ashley; Wolters, Jeff P.; Klausner, Adam P.; Rapp, David E.

doi:10.1016/j.urology.2012.07.105

Cited by 6 publications

(3 citation statements)

References 30 publications

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“…In the second study, vaginal symptoms of 42 patients were studied using ICIQ-VS after TVT-O. All of 1 and 2-year follow-ups detected increases in scores and decreases in dyspareunia complaints (39).…”

Section: Other Sexual Function Scales and Subjective Assessmentsmentioning

confidence: 99%

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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Section: Other Sexual Function Scales and Subjective Assessmentsmentioning

confidence: 99%

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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“…Sexual function could be improved (29.5% and 32.5% for TVT and TOT, respectively), deteriorated (17.3% and 12.5%), or unchanged after the sling procedures 47 . The vast majority of patients will have improvement in their sexual life, but statements about postoperative sexual function must be included in the informed consent before the surgery [47][48][49] .…”

Section: Mesh In the Treatment Of Stress Urinary Incontinencementioning

confidence: 99%

Experimental and clinical use of meshes in urogynecology

Ignjatović

Potic

2014

VOJNOSANIT PREGL

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“… 12 The fear of mesh complications has led to new guidelines in surgical treatment of SUI in some countries, where MUS surgery is no longer first choice of treatment. 13 , 14 Some short‐term studies have shown that MUS surgery enhances sexual function 15 , 16 while other studies report a deterioration of sexual life after surgical SUI treatment. 6 , 17 Few studies have explored the long‐term impact of urinary incontinence (UI) and MUS surgery on sexual activity.…”

Section: Introductionmentioning

confidence: 99%

Long‐term sexual function after mid‐urethral slings for stress urinary incontinence in women

Solhaug,

Svenningsen,

Nyhus

et al. 2024

Acta Obstet Gynecol Scand

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IntroductionThere has been increasing concern about potential negative impact of mid‐urethral slings (MUS) on sexual life. Our aim was to study sexual activity 10–20 years after MUS surgery and changes in impact of incontinence on sexual life over time and to compare subjective cure, pain, satisfaction, and incontinence between sexually active and inactive women 10–20 years after MUS.Material and MethodsHistorical cohort study using the Norwegian Female Incontinence Registry to identify women who underwent MUS between 2001–2006 and 2011–2012. They answered validated questionnaires about sexual activity, incontinence, pain, and satisfaction with MUS. We assessed changes in urinary incontinence during intercourse and compared symptoms and satisfaction between sexually active and inactive women. The study was registered in Clinical Trials (NCT04912830).ResultsIn total, 1210/1903 (64%) responded. Of women responding to questions about sexual activity, 63% (735/1166) were sexually active. 31.3% experienced negative impact of incontinence on sexual life preoperatively, decreasing to 5.9% at 10–20 years follow‐up. A higher proportion of sexually inactive versus sexually active women had urinary incontinence (63.5% vs. 47.5%, aOR 1.60 [1.18–2.17]). In a subanalysis, only urgency and mixed urinary incontinence remained significant. A higher proportion of sexually inactive were dissatisfied with MUS (30.1% vs. 12.9%, aOR 2.53 [1.82–3.51]). Persistent pain after MUS was similar for sexually inactive and active women (4.0% vs. 3.2%, aOR 1.10 [0.55–2.19]). Furthermore, 3.4% of sexually inactive had persistent pain after MUS and stated pain as a reason for not being sexually active, whereas 1.7% of sexually active women had persistent pain after MUS and pain during intercourse.ConclusionsNegative impact of incontinence on sexual life was less prevalent at 10–20 years follow‐up after sling surgery compared to preoperative assessment. A higher proportion of sexually inactive had urgency and mixed urinary incontinence and were dissatisfied with MUS. Only 3%–4% of sexually active and inactive women had persistent pain after MUS and this was not associated with sexual activity. This indicates that incontinence has a greater negative impact on sexual activity than persisting pain after MUS at long‐term follow‐up.

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Vaginal Symptoms and Sexual Function After Tension-free Vaginal Tape-obturator Placement: Minimum 12-Month Follow-up

Cited by 6 publications

References 30 publications

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

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

Experimental and clinical use of meshes in urogynecology

Long‐term sexual function after mid‐urethral slings for stress urinary incontinence in women

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