Evaluation of Sexual Function and Quality of Life in Women Treated for Stress Urinary Incontinence: Tension-Free Transobturator Suburethral Tape Versus Single-Incision Sling

Pastore, Antonio Luigi; Palleschi, Giovanni; Salhi, Yazan Al; Riganelli, Lucia; Fuschi, Andrea; Autieri, Domenico; Petrozza, Vincenzo; Carbone, Antonio

doi:10.1089/jwh.2015.5416

Cited by 19 publications

(16 citation statements)

References 23 publications

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“…After 12 months of follow-up, the FSFI total score in the SIS group improved from baseline 22.7 ± 3.8 to 26.2 ± 4.0. Similarly, Pastore et al [41] in their prospective randomized study evaluating the effect of tension-free TOT versus single-incision sling found improvement in sexual functions in all the 6 FSFI domains, with no statistically significant difference between the 2 treatment groups. Further studies are needed to evaluate the effects of various sling operations on sexual functions.…”

Section: Discussionmentioning

confidence: 79%

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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Section: Discussionmentioning

confidence: 79%

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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“…Pastore et al used FSFI questionnaire to evaluate sexual function in 48 women who underwent TVT-O and SIS procedures. The postoperative FSFI scores were reported to improve significantly (p<0.001) in both groups, with high rate of continence ( 15 ). Naumann et al assessed sexual function six months after TVT and SIS surgeries and reported that, in comparison to preoperative scores, all postoperative domain scores and total FSFI score increased significantly in both surgical groups ( 16 ).…”

Section: Discussionmentioning

confidence: 92%

Female sexual function following a novel transobturator sling procedure without paraurethral dissection (modified-TOT)

et al. 2017

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Purpose To determine whether there is a difference in sexual function after modified and classical TOT procedures.Materials and Methods Of the 80 sexually active women with SUI, 36 underwent an original outside-in TOT as described by Delorme, and 44 underwent modified TOT procedure, between 2011 and 2015. The severity of incontinence and sexual function were evaluated using International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and Female Sexual Function Index (FSFI) questionnaires preoperatively and 3 months after surgery.Results The postoperative ICIQ-SF score was significantly lower than the preoperative ICIQ-SF score in both groups (p=0.004 for modified TOT and p=0.002 for classical TOT). There was no significant difference in the ICIQ-SF score reduction between the two groups (14.1±2.1 vs. 14.4±1.9; p=0.892). Complication rates according to the Clavien-Dindo classification were also similar in both groups. In both groups, difference between preoperative and postoperative FSFI scores revealed a statistically significant improvement in all domains. Comparison of postoperative 3-month FSFI scores of modified and classical TOT groups showed statistically significant differences in arousal, lubrication and orgasm domains. Desire, satisfaction, pain and total FSFI scores did not differ significantly between two groups.Conclusion The modified TOT technique is a simple, reliable and minimal invasive procedure. The cure rate of incontinence and complication rates are the same as those of the classical TOT technique. However, due to the positive effects of minimal tissue damage on sexual arousal and orgasmic function, modified TOT has an advantage over the classical TOT.

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“…Thus, the social QoL of women is negatively affected. Despite the high prevalence and negative impact on life, very few women affected by UI seek treatment (28). In developing countries, the frequency of unspoken UI is high.…”

Section: Discussionmentioning

confidence: 99%

Women with Hidden Urinary Incontinence Waiting to Be Discovered: A Snapshot From a Developing Country

Aynacı¹

2020

J Basic Clin Health Sci

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Purpose: Urinary incontinence (UI), is a public health problem that has an increasing frequency and has an impact on the quality of life (QoL) of women worldwide. In this study, in which we focus on the general approach to risk factors associated with urinary incontinence, we aim to address the importance of transferring between practical healthcare services and screening programs.Methods: Our study was conducted between December 2018-August 2019 with patients who admitted to Trakya University Medical Hospital with different gynecologic symptoms. This study investigated the relationship between menopause, incontinence, type of delivery, socioeconomic status, and risk factors. A modular inquiry form-short form (ICIQ-SF) was used for the research in all aspects of urinary incontinence and its impact on the quality of life. Our aim was to increase the awareness of clinics about urinary incontinence.Results: Of the 622 participants, 176 had urinary incontinence symptoms. There was a significant relationship between menopause, age, medical treatment for uriner infection, body mass index, living in rural / urban areas, normal birth rate, education level and urinary incontinence.Conclusion: It's important to assess the effects of urinary incontinence symptoms on women's QoL appropriately in UI-related research and clinical studies. Women with urinary incontinence symptoms should ensure that their body mass index is within the ideal range. In every period, quality of women's life can be improved with the necessary cares. Building awareness about urinary incontinence can help improve treatment-seeking behaviour. Improving the quality of life of women will help to increase the desired levels of quality health and welfare in the management of public health, especially in developing countries.

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Evaluation of Sexual Function and Quality of Life in Women Treated for Stress Urinary Incontinence: Tension-Free Transobturator Suburethral Tape Versus Single-Incision Sling

Abstract: In our study, both slings showed a high rate of continence without any major complications. The sexual function also improved sharply in all the six FSFI domains, with no statistically significant difference between the two treatment groups.

Cited by 19 publications

References 23 publications

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

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

Female sexual function following a novel transobturator sling procedure without paraurethral dissection (modified-TOT)

Women with Hidden Urinary Incontinence Waiting to Be Discovered: A Snapshot From a Developing Country

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