Incontinence-related quality of life and sexual function following the tension-free vaginal tape versus the “inside–out” tension-free vaginal tape obturator

Murphy, Miles; Raalte, Heather van; Mercurio, Eduardo; Haff, Robin; Wiseman, Barbara; Lucente, Vincent

doi:10.1007/s00192-007-0482-x

Cited by 51 publications

(38 citation statements)

References 35 publications

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“…Murphy et al [27] obtained similar results in a study assessing the impact of TVT versus TVT-O on sexual function in 329 women. Of the initial 329 patients, 239 (73%) with a mean follow-up of 14.7 months completed the PISQ-12.…”

Section: Impact Of Treatment For Stress Urinary Incontinence On Femalsupporting

confidence: 59%

The Impact of Urinary Incontinence and Its Treatment on Female Sexual Function

Moore

2010

Curr Urol Rep

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Urinary incontinence is a prevalent disorder that negatively impacts not only women's overall quality of life but also female sexual function. Most of the literature suggests that women with urge urinary incontinence are more likely to report sexual complaints and dissatisfaction than women with stress urinary incontinence. Successful treatment of both stress urinary incontinence and urge urinary incontinence have been shown to improve overall female sexual function scores.

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Section: Impact Of Treatment For Stress Urinary Incontinence On Femalsupporting

confidence: 59%

The Impact of Urinary Incontinence and Its Treatment on Female Sexual Function

Moore

2010

Curr Urol Rep

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“…While some workers may consider this outcome less important than 'objective' outcome, many studies of female stress incontinence have found subjective cure to be a more rigorous definition of success than objective cure [20] . Questionnaire-based assessment at 17 months showed a cure rate of 53% and an improvement rate of only 5%, but 42% of procedures failed to improve continence.…”

Section: Discussionmentioning

confidence: 99%

Repeat Transobturator Tape after Failed Mid-Urethral Sling Procedure: Follow-Up with Questionnaire-Based Assessment

Baelen

Delaere²

2009

Urol Int

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Objective: To determine if repeat transobturator tape (TOT) is feasible after failed initial synthetic mid-urethral sling (MUS) for stress urinary incontinence, and to ascertain objective physician-determined outcome as well as subjective questionnaire-based outcome for this procedure. Patients and Methods: Between February 2005 and February 2008, a total of 21 patients underwent repeat TOT procedure after failed sling treatment. Initial sling procedures were all synthetic MUS, i.e. tension-free vaginal tape in 5 cases and TOT in 16 cases. Results: At a mean follow-up of 16 months, physician-determined cure was achieved in 55% of patients, improvement in 15% and failure in 30%. Outcome deduced from the International Consultation on Incontinence Questionnaire at a mean follow-up of 17 months showed 53% of patients to be cured and 5% of patients to be improved, but failure was noted in 42% of patients. Conclusions: Repeat TOT after failed synthetic MUS treatment is a feasible procedure with minor morbidity. Repeat TOT provides a reasonable physician-determined success rate, but a lower patient self-reported success rate can be deduced from questionnaires. The transobturator approach seems to show poorer outcomes than the retropubic approach in repeat sling surgery.

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“…56,8 Several authors have therefore assessed the impact of stress urinary incontinence repair on subsequent sexual function using prospective (Table 1) and retrospective designs. [57][58][59][60][61][62] The results of most studies suggest that sexual symptoms, sexual activity and sexual function either improve or are unchanged following surgery for stress incontinence. Physical improvements of coital incontinence, urinary frequency and interference with sexual activity may be responsible for most benefit.…”

Section: Gynecological Surgery and Female Sexual Function Rn Paulsmentioning

confidence: 99%

Impact of gynecological surgery on female sexual function

Pauls

2010

Int J Impot Res

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Sexual function is complex and involves interaction of many factors, including emotional connection, body image, intact physical response and partner sexual function. Disease processes such as abnormal uterine bleeding, endometriosis, urinary incontinence and pelvic organ prolapse may have a negative impact on various parameters of sexual health. Gynecological surgery to address these common complaints may correct the pathological process. However, despite improvements in symptoms related to the disease, improvements in sexuality are not guaranteed and occasionally there may be deteriorations. This review will summarize the current literature assessing sexual symptoms following benign gynecological surgery, including hysterectomy, and bilateral salpingo-oophorectomy, tubal ligation, anti-incontinence surgery and pelvic organ prolapse reconstruction with and without mesh. In the majority of cases, sexual function and quality of life benefit from these surgical interventions. However, it is critical that physicians remain aware of the potential for negative outcomes. Subjects who experience worsening should undergo thorough evaluation early in the postoperative period in order to mitigate symptoms. Treatment modalities for sexual dysfunction following surgery should be the focus of future research.

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Incontinence-related quality of life and sexual function following the tension-free vaginal tape versus the “inside–out” tension-free vaginal tape obturator

Cited by 51 publications

References 35 publications

The Impact of Urinary Incontinence and Its Treatment on Female Sexual Function

The Impact of Urinary Incontinence and Its Treatment on Female Sexual Function

Repeat Transobturator Tape after Failed Mid-Urethral Sling Procedure: Follow-Up with Questionnaire-Based Assessment

Impact of gynecological surgery on female sexual function

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