The effect of tension‐free vaginal tape on coital incontinence concomitant with stress urinary incontinence

Atılgan, Adeviye Elçi; Eren, Elif Ciler

doi:10.1111/luts.12342

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…[ 5 , 6 ] There are many factors influencing the occurrence of SUI reported in previous studies, including body mass index (BMI), family history, pelvic floor muscle exercise, etc. [ 7 ] However, existing studies [ 8 , 9 ] mostly focus on postpartum or middle-aged and elderly urinary incontinence. The influencing factors of SUI in the population of primipara still need to be further explored.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of postpartum stress urinary incontinence in primiparas

et al. 2021

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Stress urinary incontinence (SUI) is a common clinical postpartum complication. It is necessary to explore the risk factors of postpartum SUI in primiparas to provide evidence support for preventing and reducing the occurrence of SUI. Primiparas who were delivered in our hospital from March 2019 to October 2020 were identified, the personal information and related treatment details of SUI and no-SUI primiparas were collected and analyzed. Logistic regression analyses were conducted to identify the risk factors of postpartum SUI in primiparas. A total of 612 primiparas were included, the incidence of SUI in primiparas was 32.03%. There were significant differences in the body mass index (BMI) before pregnancy, diabetes, abortion, delivery method, newborn's weight, epidural anesthesia, and duration of second stage of labor (all P < .05) between SUI and no-SUI group, and there were no significant differences in the age, BMI at admission, hypertension and hyperlipidemia SUI and no-SUI group (all P > .05). Logistic regression analyses indicated that BMI before pregnancy ≥24 kg/m 2 (odds ratio [OR]: 2.109, 95% confidence interval [CI]: 1.042–4.394), diabetes (OR: 2.250, 95% CI: 1.891–3.544), abortion history (OR: 3.909, 95% CI: 1.187–5.739), vaginal delivery (OR: 2.262, 95% CI: 1.042–4.011), newborn's weight ≥3 kg (OR: 1.613, 95% CI: 1.095–2.316), epidural anesthesia (OR: 2.015, 95% CI: 1.226–3.372), and duration of second stage of labor ≥90 minutes (OR: 1.726, 95% CI: 1.084–2.147) were the risk factors of postpartum SUI in primiparas (all P < .05). The clinical incidence of SUI in primiparas is relatively high. In clinical practice, medical staff should conduct individualized early screening for those risk factors, and take prevention measures to reduce the occurrence of SUI.

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Section: Introductionmentioning

confidence: 99%

Risk factors of postpartum stress urinary incontinence in primiparas

et al. 2021

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“…A significant decrease by nearly 6-fold in the post-operative coital UI was also observed [33], being only based on 998 patients and 7 studies which assessed coital UI before and after surgery. A recent publication [34] specifically analysed the effect of retropubic tension-free midurethral sling for stress UI on coital UI. It was a prospective observational study conducted in women with urodynamic stress UI and concomitant coital UI.…”

Section: Stress Urinary Incontinence Surgical Treatment and Sexualitymentioning

confidence: 99%

Impact of Urinary Incontinence on Women’s Sexuality

Sancho¹,

Ribera-Torres²,

Castelo-Branco³

et al. 2022

Clin. Exp. Obstet. Gynecol.

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Objective: Globally, the prevalence of urinary incontinence (UI) in women is estimated to be in the range of 25% to 45%. Different types of UI exist, being the most frequent ones stress UI, urgency UI and mixed UI. Being affected by UI is associated with a higher risk of sexual inactivity, regardless of its type. Mechanism: It is estimated that 5-38% patients with UI are sexually inactive due to UI, whereas 25-38% sexually active women would restrict their sexual activity due to UI. The prevalence of sexual dysfunction within sexually active women with UI is 23-56%. Findings in brief: In patients with UI, the most frequent sexual dysfunctions are dyspareunia (44%), female sexual interest/arousal disorder (34%) and orgasmic disorder (11%). Therefore, UI has a negative impact on the sexual function of sexually active women with UI. Coital incontinence is defined as the complaint of involuntary loss of urine during or after intercourse. UI with penetration represents any complaint of involuntary loss of urine with vaginal stimulation (either with a sexual toy, manually or with penetration). Orgasmic UI refers to any complaint of involuntary loss of urine occurring at orgasm, regardless of the sexual behaviour that has triggered it. Due to the high prevalence of coital UI (50-60%) in the female population and its strongly negative impact on women's sexuality, patients should be specifically asked for coital UI in the gynecologic visits. Conclusions: UI affects between one in four and one in two women and had a negative impact on quality of life. Not only UI has an impact on female sexuality, but also different treatments which are offered to treat it can play a role. The reduction of sexual problems with pelvic floor muscle training in women with stress UI has been proved, being the rate of sexual activity doubled. A significant improvement of the overactive bladder associated to urgency UI and female sexual function has been described after the pharmacological treatment or botulinum toxin. Finally, significant improvement of the sexual function has also been found after midurethral slings for stress UI, as well as for coital UI.

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