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Sexual function improvement following surgery for stress incontinence: the relevance of coital incontinence.
J Sex Med. 2009 Nov; 6(11):3208-13.JS

Abstract

INTRODUCTION

Little is known about the impact of surgery for stress urinary incontinence (SUI) on female sexual function, and results are conflicting.

AIMS

We aimed to clarify the impact of surgery for SUI on female sexual function.

METHODS

We analyzed data collected from two studies evaluating sexual function in women after placement of the tension-free vaginal tape, tension-free vaginal tape obturator, or transobturator suburethral tape. A nonvalidated sexual questionnaire developed by Lemack, translated into Dutch, was mailed to all patients 3-12 months after the procedure.

MAIN OUTCOME MEASURES

Pre- and postoperative results of a nonvalidated sexual questionnaire.

RESULTS

A total of 136 sexually active women completed the questionnaires. Compared with preoperative responses, we observed no significant changes postsurgical regarding frequency of sexual intercourse or satisfaction of sexual intercourse, although a significant postoperative decrease in urinary coital incontinence (P < or = 0.001) was found. Postoperatively, 29 women (21.3%) reported improved sexual intercourse, and eight women (5.9%) complained of a worsening. There was a significant higher rate of preoperative coital incontinence (86.2% women with coital incontinence) in the group of women who reported improved intercourse (P = 0.01).

CONCLUSION

Women with coital incontinence show a significant higher improvement in sexual function after surgery for SUI compared to women without coital incontinence. Our results suggest that improvement in coital incontinence results in improvement of sexual function. Therefore, coital incontinence is a prognostic factor for improvement of sexual function following incontinence surgery.

Authors+Show Affiliations

Department of Urology, Leiden University Medical Center, PO Box 9600, Leiden 2300 RC, The Netherlands. M.D.Bekker@lumc.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

19627468

Citation

Bekker, Milou, et al. "Sexual Function Improvement Following Surgery for Stress Incontinence: the Relevance of Coital Incontinence." The Journal of Sexual Medicine, vol. 6, no. 11, 2009, pp. 3208-13.
Bekker M, Beck J, Putter H, et al. Sexual function improvement following surgery for stress incontinence: the relevance of coital incontinence. J Sex Med. 2009;6(11):3208-13.
Bekker, M., Beck, J., Putter, H., Venema, P., Lycklama à Nijeholt, A., Pelger, R., & Elzevier, H. (2009). Sexual function improvement following surgery for stress incontinence: the relevance of coital incontinence. The Journal of Sexual Medicine, 6(11), 3208-13. https://doi.org/10.1111/j.1743-6109.2009.01395.x
Bekker M, et al. Sexual Function Improvement Following Surgery for Stress Incontinence: the Relevance of Coital Incontinence. J Sex Med. 2009;6(11):3208-13. PubMed PMID: 19627468.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual function improvement following surgery for stress incontinence: the relevance of coital incontinence. AU - Bekker,Milou, AU - Beck,Jacky, AU - Putter,Hein, AU - Venema,Pieter, AU - Lycklama à Nijeholt,August, AU - Pelger,Rob, AU - Elzevier,Henk, Y1 - 2009/07/21/ PY - 2009/7/25/entrez PY - 2009/7/25/pubmed PY - 2010/4/9/medline SP - 3208 EP - 13 JF - The journal of sexual medicine JO - J Sex Med VL - 6 IS - 11 N2 - INTRODUCTION: Little is known about the impact of surgery for stress urinary incontinence (SUI) on female sexual function, and results are conflicting. AIMS: We aimed to clarify the impact of surgery for SUI on female sexual function. METHODS: We analyzed data collected from two studies evaluating sexual function in women after placement of the tension-free vaginal tape, tension-free vaginal tape obturator, or transobturator suburethral tape. A nonvalidated sexual questionnaire developed by Lemack, translated into Dutch, was mailed to all patients 3-12 months after the procedure. MAIN OUTCOME MEASURES: Pre- and postoperative results of a nonvalidated sexual questionnaire. RESULTS: A total of 136 sexually active women completed the questionnaires. Compared with preoperative responses, we observed no significant changes postsurgical regarding frequency of sexual intercourse or satisfaction of sexual intercourse, although a significant postoperative decrease in urinary coital incontinence (P < or = 0.001) was found. Postoperatively, 29 women (21.3%) reported improved sexual intercourse, and eight women (5.9%) complained of a worsening. There was a significant higher rate of preoperative coital incontinence (86.2% women with coital incontinence) in the group of women who reported improved intercourse (P = 0.01). CONCLUSION: Women with coital incontinence show a significant higher improvement in sexual function after surgery for SUI compared to women without coital incontinence. Our results suggest that improvement in coital incontinence results in improvement of sexual function. Therefore, coital incontinence is a prognostic factor for improvement of sexual function following incontinence surgery. SN - 1743-6109 UR - https://www.unboundmedicine.com/medline/citation/19627468/Sexual_function_improvement_following_surgery_for_stress_incontinence:_the_relevance_of_coital_incontinence_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(15)32318-3 DB - PRIME DP - Unbound Medicine ER -