Introduction:Transobturator tapes (TOT) are frequently used in the management of female stress urinary incontinence (SUI). We evaluated the effect of TOT on sexual function in Indian women with stress urinary incontinence.Materials and Methods:34 sexually active women (mean age 42.38 years) with SUI were evaluated before TOT placement for sexual function using the NSF-9 sexual scoring system questionnaire. The evaluation was repeated at the 3rd, 6th and 12th months post surgery and then yearly.Results:There was significant improvement in scores in all domains of sexual function post-surgery. The frequency improved in 24 (70.5%) patients, lubricacy improved in 12 (57.1%) patients, orgasm improved in 21 (67.1%) patients, pain improved in 14 (70%) patients and, in leaking patients, sexual satisfaction improved in 85.7% while in non-leaking patients improvement was seen in 40%. Sexual relation was not satisfactory in 26 (76.4%) of the patients before surgery; of them, 21 (80%) patients had improved sexual satisfaction after surgery. De novo urgency and dyspareunia developed in one and two patients, respectively.Conclusions:The TOT procedure has no significant negative impact on sexual function and it significantly improves female sexual function and overall sexual satisfaction in majority of the patients with SUI.
Renal pyelic fusion anomalies are rare and detected incidentally on imaging. Most cases of pyelic fusion anomalies reported are in patients with horseshoe kidney. We report a rare case of pyelic fusion anomaly in normally located kidneys, which has not been reported so far.
Retinoblastoma patients have excellent survival following primary treatment by enucleation, radiotherapy or chemotherapy. Patients receiving chemotherapy or radiotherapy may develop second malignancies years later due to DNA damage or genetic mutations. Urinary bladder leiomyosarcoma is one among them and most such cases have been reported after chemotherapy. We report the third case occurring after isolated radiotherapy.
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