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Sexual activity and function in women more than 2 years after midurethral sling placement.
Am J Obstet Gynecol. 2012 Nov; 207(5):421.e1-6.AJ

Abstract

OBJECTIVE

The purpose of this study was to assess prospectively the effects of midurethral sling surgery on sexual function and activity.

STUDY DESIGN

Sexual activity and function was assessed in 597 women with stress urinary incontinence who were enrolled in a randomized equivalence trial of retropubic compared with transobturator midurethral slings. Repeated measures analysis of variance was used to assess changes in Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire scores over a 2-year period.

RESULTS

Significant, similar improvements in sexual function were seen in both midurethral sling groups. Mean Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire scores increased from 32.8 at baseline to 37.6 at 6 months and 37.3 at 24 months (P < .0001). Dyspareunia, incontinence during sex, and fear of incontinence during sex each significantly improved after surgery. Preoperative urge incontinence was associated with abstinence after surgery (P = .02); postoperative urge incontinence negatively impacted sexual function (P = .047).

CONCLUSION

Midurethral sling surgery for stress urinary incontinence significantly improves sexual function, although coexistent urge incontinence has a negative impact.

Authors+Show Affiliations

Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, School of Medicine, Pittsburgh, PA, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

22840975

Citation

Zyczynski, Halina M., et al. "Sexual Activity and Function in Women More Than 2 Years After Midurethral Sling Placement." American Journal of Obstetrics and Gynecology, vol. 207, no. 5, 2012, pp. 421.e1-6.
Zyczynski HM, Rickey L, Dyer KY, et al. Sexual activity and function in women more than 2 years after midurethral sling placement. Am J Obstet Gynecol. 2012;207(5):421.e1-6.
Zyczynski, H. M., Rickey, L., Dyer, K. Y., Wilson, T., Stoddard, A. M., Gormley, E. A., Hsu, Y., Kusek, J. W., & Brubaker, L. (2012). Sexual activity and function in women more than 2 years after midurethral sling placement. American Journal of Obstetrics and Gynecology, 207(5), e1-6. https://doi.org/10.1016/j.ajog.2012.06.053
Zyczynski HM, et al. Sexual Activity and Function in Women More Than 2 Years After Midurethral Sling Placement. Am J Obstet Gynecol. 2012;207(5):421.e1-6. PubMed PMID: 22840975.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual activity and function in women more than 2 years after midurethral sling placement. AU - Zyczynski,Halina M, AU - Rickey,Leslie, AU - Dyer,Keisha Y, AU - Wilson,Tracey, AU - Stoddard,Anne M, AU - Gormley,E Ann, AU - Hsu,Yvonne, AU - Kusek,John W, AU - Brubaker,Linda, AU - ,, Y1 - 2012/06/29/ PY - 2012/01/10/received PY - 2012/05/17/revised PY - 2012/06/27/accepted PY - 2012/7/31/entrez PY - 2012/7/31/pubmed PY - 2013/1/23/medline SP - 421.e1 EP - 6 JF - American journal of obstetrics and gynecology JO - Am. J. Obstet. Gynecol. VL - 207 IS - 5 N2 - OBJECTIVE: The purpose of this study was to assess prospectively the effects of midurethral sling surgery on sexual function and activity. STUDY DESIGN: Sexual activity and function was assessed in 597 women with stress urinary incontinence who were enrolled in a randomized equivalence trial of retropubic compared with transobturator midurethral slings. Repeated measures analysis of variance was used to assess changes in Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire scores over a 2-year period. RESULTS: Significant, similar improvements in sexual function were seen in both midurethral sling groups. Mean Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire scores increased from 32.8 at baseline to 37.6 at 6 months and 37.3 at 24 months (P < .0001). Dyspareunia, incontinence during sex, and fear of incontinence during sex each significantly improved after surgery. Preoperative urge incontinence was associated with abstinence after surgery (P = .02); postoperative urge incontinence negatively impacted sexual function (P = .047). CONCLUSION: Midurethral sling surgery for stress urinary incontinence significantly improves sexual function, although coexistent urge incontinence has a negative impact. SN - 1097-6868 UR - https://www.unboundmedicine.com/medline/citation/22840975/Sexual_activity_and_function_in_women_more_than_2_years_after_midurethral_sling_placement_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(12)00667-9 DB - PRIME DP - Unbound Medicine ER -