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- Title
Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up.
- Authors
Aslan, Ergul; Gungor Ugurlucan, Funda; Bilgic, Dilek; Yalcin, Onay; Kizilkaya Beji, Nezihe
- Abstract
<bold>Aim: </bold>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.<bold>Methods: </bold>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).<bold>Results: </bold>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.<bold>Conclusions: </bold>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.
- Subjects
URINARY incontinence in women; PELVIC organ prolapse; UROGYNECOLOGY; SEXUAL intercourse; URINARY incontinence; SURGERY; ARTIFICIAL implants; LONGITUDINAL method; HEALTH outcome assessment; QUESTIONNAIRES; URINARY stress incontinence; TREATMENT of urinary stress incontinence
- Publication
Gynecologic & Obstetric Investigation, 2018, Vol 83, Issue 2, p187
- ISSN
0378-7346
- Publication type
journal article
- DOI
10.1159/000479025