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Female sexual function evaluation of the tension-free vaginal tape (TVT) and transobturator suburethral tape (TOT) incontinence surgery: results of a prospective study.
J Sex Med. 2008 Feb; 5(2):387-93.JS

Abstract

INTRODUCTION

Significantly more women reporting stress urinary incontinence (SUI) or low urinary tract symptoms complained of sexual dysfunction than a general healthy female population. The use of a tension-free vaginal tape (TVT), placed transvaginally under the mid-urethra, ensures to reacquire continence but could affect sexual function.

AIM

This study aimed to determine if a suburethral tape for the correction of SUI could interfere with sexual activity.

METHODS

Of 108 patients, 37 underwent positioning of a tension free vaginal tape through a retropubic approach (TVT), and 71 through a transobturator approach from outside to inside (TOT).

MAIN OUTCOME MEASURES

All patients enrolled had a complete urodynamic study and were invited to answer the Female Sexual Function Index questionnaire and our personal questionnaire, before surgery, after 1 month, and then at 3-month intervals.

RESULTS

Of the 108 patients, 67% of the women experienced incontinence during intercourse, 96% during penetration, and 4% on orgasm. The cure rate for SUI was 97.1%. Sixty-two women (87%) with TOT placement and 31 (84%) with TVT were satisfied with the operation as regards sexual function, 68 (96%) and 29 (78%), respectively, with TOT and TVT had an improvement of urinary symptoms with resolution of urinary leakage during intercourse, after a 12.3-month follow-up. Just one patient treated with a TOT approach and two with the TVT complained of low grade of leakage. Of the 101 sexually active women, 90.1% reported a significant improvement in their sexual life, 9.9% referred a poor sexual activity not due to surgical intervention.

CONCLUSIONS

In the surgical treatment of SUI, it is important to think about the patients' future sexual life and inform them that the great part of women can expect to improve their quality of life.

Authors+Show Affiliations

Universty of L'Aquila-Surgery, L'Aquila, Italy. pacegianna@beactive.itNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article

Language

eng

PubMed ID

18237371

Citation

Pace, Gianna, and Carlo Vicentini. "Female Sexual Function Evaluation of the Tension-free Vaginal Tape (TVT) and Transobturator Suburethral Tape (TOT) Incontinence Surgery: Results of a Prospective Study." The Journal of Sexual Medicine, vol. 5, no. 2, 2008, pp. 387-93.
Pace G, Vicentini C. Female sexual function evaluation of the tension-free vaginal tape (TVT) and transobturator suburethral tape (TOT) incontinence surgery: results of a prospective study. J Sex Med. 2008;5(2):387-93.
Pace, G., & Vicentini, C. (2008). Female sexual function evaluation of the tension-free vaginal tape (TVT) and transobturator suburethral tape (TOT) incontinence surgery: results of a prospective study. The Journal of Sexual Medicine, 5(2), 387-93. https://doi.org/10.1111/j.1743-6109.2007.00708.x
Pace G, Vicentini C. Female Sexual Function Evaluation of the Tension-free Vaginal Tape (TVT) and Transobturator Suburethral Tape (TOT) Incontinence Surgery: Results of a Prospective Study. J Sex Med. 2008;5(2):387-93. PubMed PMID: 18237371.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Female sexual function evaluation of the tension-free vaginal tape (TVT) and transobturator suburethral tape (TOT) incontinence surgery: results of a prospective study. AU - Pace,Gianna, AU - Vicentini,Carlo, PY - 2008/2/2/pubmed PY - 2008/5/23/medline PY - 2008/2/2/entrez SP - 387 EP - 93 JF - The journal of sexual medicine JO - J Sex Med VL - 5 IS - 2 N2 - INTRODUCTION: Significantly more women reporting stress urinary incontinence (SUI) or low urinary tract symptoms complained of sexual dysfunction than a general healthy female population. The use of a tension-free vaginal tape (TVT), placed transvaginally under the mid-urethra, ensures to reacquire continence but could affect sexual function. AIM: This study aimed to determine if a suburethral tape for the correction of SUI could interfere with sexual activity. METHODS: Of 108 patients, 37 underwent positioning of a tension free vaginal tape through a retropubic approach (TVT), and 71 through a transobturator approach from outside to inside (TOT). MAIN OUTCOME MEASURES: All patients enrolled had a complete urodynamic study and were invited to answer the Female Sexual Function Index questionnaire and our personal questionnaire, before surgery, after 1 month, and then at 3-month intervals. RESULTS: Of the 108 patients, 67% of the women experienced incontinence during intercourse, 96% during penetration, and 4% on orgasm. The cure rate for SUI was 97.1%. Sixty-two women (87%) with TOT placement and 31 (84%) with TVT were satisfied with the operation as regards sexual function, 68 (96%) and 29 (78%), respectively, with TOT and TVT had an improvement of urinary symptoms with resolution of urinary leakage during intercourse, after a 12.3-month follow-up. Just one patient treated with a TOT approach and two with the TVT complained of low grade of leakage. Of the 101 sexually active women, 90.1% reported a significant improvement in their sexual life, 9.9% referred a poor sexual activity not due to surgical intervention. CONCLUSIONS: In the surgical treatment of SUI, it is important to think about the patients' future sexual life and inform them that the great part of women can expect to improve their quality of life. SN - 1743-6109 UR - https://www.unboundmedicine.com/medline/citation/18237371/Female_sexual_function_evaluation_of_the_tension_free_vaginal_tape__TVT__and_transobturator_suburethral_tape__TOT__incontinence_surgery:_results_of_a_prospective_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(15)31951-2 DB - PRIME DP - Unbound Medicine ER -