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Female sexual function after surgery for stress urinary incontinence: transobturator suburethral tape vs. tension-free vaginal tape obturator.
J Sex Med. 2008 Feb; 5(2):400-6.JS

Abstract

INTRODUCTION

The transobturator suburethral tape (TOT) and tension-free vaginal tape obturator (TVT-O) procedures are relatively new incontinence treatment procedures. Studies on the influence on sexual function as a result of these procedures are limited.

AIM

The influence of TOT or TVT-O for the surgical treatment of stress urinary incontinence (SUI) on female sexual function.

METHODS

We evaluated 77 sexually active patients after TVT-O (N = 34, mean age 53.2 years) and TOT (OB-TAPE, Porges) (N = 44, mean age 52.0 years) placement for SUI based on the responses to a mailed questionnaire 3 months after the operation.

MAIN OUTCOME MEASURE

Difference in postoperative sexual complaints related to the TVT-O (inside-out) and TOT (outside-in) procedure.

RESULTS

Postoperative TOT and TVT-O: There was almost no difference in frequency of sexual intercourse and an improvement of the continence during intercourse; continence was reported in 33 patients (42.3%) before and 67 patients (78.4%) after operation. The appreciation of sexual intercourse was improved in 15 patients (19.2%) and worsened in eight patients (10.3%). Postoperative TVT-O vs. TOT: No difference was seen in lost of lubrication, clitoral tumescence reduction, and clitoral sensibility reduction between both procedures. Pain because of vaginal narrowing was seen significantly more in the TOT procedure group.

CONCLUSION

Overall, in this study, the technique of TOT gave rise to more sexual dysfunction than TVT-O. However, because of the successful outcome on incontinence, both procedures had, overall, a positive effect on sexual function. The cause of significant more pain during intercourse as a result of vaginal narrowing in the TOT procedure requires further investigation. Like other studies, this study demonstrated that incontinence surgery can have a positive and negative outcome on sexual function. It is important to put this issue in the informed consent.

Authors+Show Affiliations

Leiden University Medical Center--Urology, Leiden, The Netherlands. h.w.elzevier@lumc.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18042216

Citation

Elzevier, Henk Willem, et al. "Female Sexual Function After Surgery for Stress Urinary Incontinence: Transobturator Suburethral Tape Vs. Tension-free Vaginal Tape Obturator." The Journal of Sexual Medicine, vol. 5, no. 2, 2008, pp. 400-6.
Elzevier HW, Putter H, Delaere KP, et al. Female sexual function after surgery for stress urinary incontinence: transobturator suburethral tape vs. tension-free vaginal tape obturator. J Sex Med. 2008;5(2):400-6.
Elzevier, H. W., Putter, H., Delaere, K. P., Venema, P. L., Lycklama à Nijeholt, A. A., & Pelger, R. C. (2008). Female sexual function after surgery for stress urinary incontinence: transobturator suburethral tape vs. tension-free vaginal tape obturator. The Journal of Sexual Medicine, 5(2), 400-6.
Elzevier HW, et al. Female Sexual Function After Surgery for Stress Urinary Incontinence: Transobturator Suburethral Tape Vs. Tension-free Vaginal Tape Obturator. J Sex Med. 2008;5(2):400-6. PubMed PMID: 18042216.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Female sexual function after surgery for stress urinary incontinence: transobturator suburethral tape vs. tension-free vaginal tape obturator. AU - Elzevier,Henk Willem, AU - Putter,Hein, AU - Delaere,Karl P J, AU - Venema,Pieter L, AU - Lycklama à Nijeholt,A A B, AU - Pelger,Rob C M, Y1 - 2007/11/27/ PY - 2007/11/29/pubmed PY - 2008/5/23/medline PY - 2007/11/29/entrez SP - 400 EP - 6 JF - The journal of sexual medicine JO - J Sex Med VL - 5 IS - 2 N2 - INTRODUCTION: The transobturator suburethral tape (TOT) and tension-free vaginal tape obturator (TVT-O) procedures are relatively new incontinence treatment procedures. Studies on the influence on sexual function as a result of these procedures are limited. AIM: The influence of TOT or TVT-O for the surgical treatment of stress urinary incontinence (SUI) on female sexual function. METHODS: We evaluated 77 sexually active patients after TVT-O (N = 34, mean age 53.2 years) and TOT (OB-TAPE, Porges) (N = 44, mean age 52.0 years) placement for SUI based on the responses to a mailed questionnaire 3 months after the operation. MAIN OUTCOME MEASURE: Difference in postoperative sexual complaints related to the TVT-O (inside-out) and TOT (outside-in) procedure. RESULTS: Postoperative TOT and TVT-O: There was almost no difference in frequency of sexual intercourse and an improvement of the continence during intercourse; continence was reported in 33 patients (42.3%) before and 67 patients (78.4%) after operation. The appreciation of sexual intercourse was improved in 15 patients (19.2%) and worsened in eight patients (10.3%). Postoperative TVT-O vs. TOT: No difference was seen in lost of lubrication, clitoral tumescence reduction, and clitoral sensibility reduction between both procedures. Pain because of vaginal narrowing was seen significantly more in the TOT procedure group. CONCLUSION: Overall, in this study, the technique of TOT gave rise to more sexual dysfunction than TVT-O. However, because of the successful outcome on incontinence, both procedures had, overall, a positive effect on sexual function. The cause of significant more pain during intercourse as a result of vaginal narrowing in the TOT procedure requires further investigation. Like other studies, this study demonstrated that incontinence surgery can have a positive and negative outcome on sexual function. It is important to put this issue in the informed consent. SN - 1743-6109 UR - https://www.unboundmedicine.com/medline/citation/18042216/Female_sexual_function_after_surgery_for_stress_urinary_incontinence:_transobturator_suburethral_tape_vs__tension_free_vaginal_tape_obturator_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(15)31925-1 DB - PRIME DP - Unbound Medicine ER -