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Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up.
Int Neurourol J. 2010 Oct; 14(3):170-6.IN

Abstract

PURPOSE

It is known that 50% to 68% of women with stress urinary incontinence (SUI) have sexual function impairment and avoid sexual intercourse. Reports of sexual function after SUI surgery vary, with reports of both improved function and deteriorated function. The goal of this study was to evaluate the impact of midurethral sling procedures on the sexual function of women suffering from SUI preoperatively and 36 months postoperatively.

MATERIALS AND METHODS

Among 75 patients who were diagnosed with SUI and underwent the midurethral procedure, 47 patients who answered the Korean version of the Female Sexual Function Index (FSFI) Questionnaire were analyzed prospectively. The retropubic route (RPR) was used in 26 patients, whereas the transobturator route (TOR) was used in 21 patients. Fifteen patients underwent concomitant posterior colporrhaphy. The FSFI was completed before surgery and 36 months after surgery.

RESULTS

The patients' mean age was 44.9 years (range, 30-59 years) and their mean parity was 2.8 (range, 0-6). There were no significant differences in the individual FSFI domain scores between before surgery and 36 months (36.8±4.57) after surgery. There were no significant differences in sexual satisfaction between the patients with concomitant posterior colporrhaphy and patients with the midurethral sling procedure only. There were no significant differences in domain score between the TOR and the RPR, but patients experienced less pain after the RPR than after the TOR.

CONCLUSION

There was no significant change in overall sexual function in women undergoing the midurethral sling procedure. Attention must be paid when performing the TOR procedure because it can cause pain during intercourse.

Authors+Show Affiliations

Department of Urology, College of Medicine, Daegu Catholic University, Daegu, Korea.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21179335

Citation

Jang, Hyeon Chan, et al. "Changes in Sexual Function After the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up." International Neurourology Journal, vol. 14, no. 3, 2010, pp. 170-6.
Jang HC, Jeon JH, Kim DY. Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up. International neurourology journal. 2010;14(3):170-6.
Jang, H. C., Jeon, J. H., & Kim, D. Y. (2010). Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up. International Neurourology Journal, 14(3), 170-6. https://doi.org/10.5213/inj.2010.14.3.170
Jang HC, Jeon JH, Kim DY. Changes in Sexual Function After the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up. International neurourology journal. 2010;14(3):170-6. PubMed PMID: 21179335.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up. AU - Jang,Hyeon Chan, AU - Jeon,Jong Ho, AU - Kim,Duk Yoon, Y1 - 2010/10/31/ PY - 2010/10/11/received PY - 2010/10/27/accepted PY - 2010/12/24/entrez PY - 2010/12/24/pubmed PY - 2010/12/24/medline KW - Sexuality KW - Stress urinary incontinence KW - Suburethral slings KW - Tape KW - Urologic surgical procedure SP - 170 EP - 6 JF - International neurourology journal VL - 14 IS - 3 N2 - PURPOSE: It is known that 50% to 68% of women with stress urinary incontinence (SUI) have sexual function impairment and avoid sexual intercourse. Reports of sexual function after SUI surgery vary, with reports of both improved function and deteriorated function. The goal of this study was to evaluate the impact of midurethral sling procedures on the sexual function of women suffering from SUI preoperatively and 36 months postoperatively. MATERIALS AND METHODS: Among 75 patients who were diagnosed with SUI and underwent the midurethral procedure, 47 patients who answered the Korean version of the Female Sexual Function Index (FSFI) Questionnaire were analyzed prospectively. The retropubic route (RPR) was used in 26 patients, whereas the transobturator route (TOR) was used in 21 patients. Fifteen patients underwent concomitant posterior colporrhaphy. The FSFI was completed before surgery and 36 months after surgery. RESULTS: The patients' mean age was 44.9 years (range, 30-59 years) and their mean parity was 2.8 (range, 0-6). There were no significant differences in the individual FSFI domain scores between before surgery and 36 months (36.8±4.57) after surgery. There were no significant differences in sexual satisfaction between the patients with concomitant posterior colporrhaphy and patients with the midurethral sling procedure only. There were no significant differences in domain score between the TOR and the RPR, but patients experienced less pain after the RPR than after the TOR. CONCLUSION: There was no significant change in overall sexual function in women undergoing the midurethral sling procedure. Attention must be paid when performing the TOR procedure because it can cause pain during intercourse. SN - 2093-6931 UR - https://www.unboundmedicine.com/medline/citation/21179335/Changes_in_Sexual_Function_after_the_Midurethral_Sling_Procedure_for_Stress_Urinary_Incontinence:_Long_term_Follow_up_ L2 - https://dx.doi.org/10.5213/inj.2010.14.3.170 DB - PRIME DP - Unbound Medicine ER -
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