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Evaluation of Sexual Function and Quality of Life in Women Treated for Stress Urinary Incontinence: Tension-Free Transobturator Suburethral Tape Versus Single-Incision Sling.
J Womens Health (Larchmt). 2016 Apr; 25(4):355-9.JW

Abstract

OBJECTIVE

The aim of this study is to investigate the change in quality of life (QoL) and sexual function in women treated for pure stress urinary incontinence (SUI) using tension-free transobturator suburethral tape (TVT-O) and single-incision sling (SIS) procedures.

MATERIALS AND METHODS

From December 2013 to January 2015, a total of 48 female patients with pure SUI and normotonic urethra were consecutively enrolled and randomized into two treatment groups: TVT-O versus SIS. Both groups were homogeneous in the preoperative evaluation of age, body mass index, comorbidities, and pregnancies. Exclusion criteria included urge urinary incontinence, neurogenic bladder, previous surgery for incontinence, and mental or neurological disorders. The female sexual function and QoL were assessed preoperatively and postoperatively (3-12 months follow-up), using the Female Sexual Function Index (FSFI) and the International Consultation on Incontinence Questionnaire.

RESULTS

A total of 42 patients completed both the questionnaires (21 patients in the TVT-O group and 21 patients in the SIS group, whereas 6 patients were lost to follow-up). Of the 19/21 (90.4%) of patients who successfully underwent the SIS procedure, 17 (80.9%) reported a complete resolution of SUI, whereas 2 (9.5%) reported an improvement in urinary incontinence at follow-up. In the TVT-O group, 18/21 (85.7%) of patients reported complete recovery, whereas 4.1% patients reported an improvement in the incontinence. The FSFI score increased significantly in both the SIS groups (from 23:51 ± 3.78 to 27.42 ± 3.34; p < 0.001) and TVT-O group (from 23.96 ± 5:56 to 28.09 ± 3.62) with no statistically significant differences between the two treatment groups.

CONCLUSION

In our study, both slings showed a high rate of continence without any major complications. The sexual function also improved sharply in all the six FSFI domains, with no statistically significant difference between the two treatment groups.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Pastore AL
1 Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Urology Unit ICOT, Sapienza University of Rome , Latina, Italy . 2 Uroresearch Association , Non-Profit Research, Latina, Italy .
Palleschi G
1 Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Urology Unit ICOT, Sapienza University of Rome , Latina, Italy . 2 Uroresearch Association , Non-Profit Research, Latina, Italy .
Al Salhi Y
1 Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Urology Unit ICOT, Sapienza University of Rome , Latina, Italy .
Riganelli L
3 Department of Gynecology and Urology Sciences, Faculty of Medicine and Dentistry, Sapienza University of Rome , Rome, Italy .
Fuschi A
1 Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Urology Unit ICOT, Sapienza University of Rome , Latina, Italy .
Autieri D
1 Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Urology Unit ICOT, Sapienza University of Rome , Latina, Italy .
Petrozza V
4 Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Histopathology Unit, Sapienza University of Rome , Latina, Italy .
Carbone A
1 Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Urology Unit ICOT, Sapienza University of Rome , Latina, Italy . 2 Uroresearch Association , Non-Profit Research, Latina, Italy .

MeSH

AdultAgedDyspareuniaFemaleFollow-Up StudiesHumansMiddle AgedPatient SatisfactionPostoperative ComplicationsProspective StudiesQuality of LifeSexual Dysfunction, PhysiologicalSuburethral SlingsSurveys and QuestionnairesTreatment OutcomeUrinary Incontinence, StressUrologic Surgical Procedures

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

26886509

Citation

Pastore, Antonio Luigi, et al. "Evaluation of Sexual Function and Quality of Life in Women Treated for Stress Urinary Incontinence: Tension-Free Transobturator Suburethral Tape Versus Single-Incision Sling." Journal of Women's Health (2002), vol. 25, no. 4, 2016, pp. 355-9.
Pastore AL, Palleschi G, Al Salhi Y, et al. Evaluation of Sexual Function and Quality of Life in Women Treated for Stress Urinary Incontinence: Tension-Free Transobturator Suburethral Tape Versus Single-Incision Sling. J Womens Health (Larchmt). 2016;25(4):355-9.
Pastore, A. L., Palleschi, G., Al Salhi, Y., Riganelli, L., Fuschi, A., Autieri, D., Petrozza, V., & Carbone, A. (2016). Evaluation of Sexual Function and Quality of Life in Women Treated for Stress Urinary Incontinence: Tension-Free Transobturator Suburethral Tape Versus Single-Incision Sling. Journal of Women's Health (2002), 25(4), 355-9. https://doi.org/10.1089/jwh.2015.5416
Pastore AL, et al. Evaluation of Sexual Function and Quality of Life in Women Treated for Stress Urinary Incontinence: Tension-Free Transobturator Suburethral Tape Versus Single-Incision Sling. J Womens Health (Larchmt). 2016;25(4):355-9. PubMed PMID: 26886509.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of Sexual Function and Quality of Life in Women Treated for Stress Urinary Incontinence: Tension-Free Transobturator Suburethral Tape Versus Single-Incision Sling. AU - Pastore,Antonio Luigi, AU - Palleschi,Giovanni, AU - Al Salhi,Yazan, AU - Riganelli,Lucia, AU - Fuschi,Andrea, AU - Autieri,Domenico, AU - Petrozza,Vincenzo, AU - Carbone,Antonio, Y1 - 2016/02/17/ PY - 2016/2/18/entrez PY - 2016/2/18/pubmed PY - 2016/12/15/medline SP - 355 EP - 9 JF - Journal of women's health (2002) JO - J Womens Health (Larchmt) VL - 25 IS - 4 N2 - OBJECTIVE: The aim of this study is to investigate the change in quality of life (QoL) and sexual function in women treated for pure stress urinary incontinence (SUI) using tension-free transobturator suburethral tape (TVT-O) and single-incision sling (SIS) procedures. MATERIALS AND METHODS: From December 2013 to January 2015, a total of 48 female patients with pure SUI and normotonic urethra were consecutively enrolled and randomized into two treatment groups: TVT-O versus SIS. Both groups were homogeneous in the preoperative evaluation of age, body mass index, comorbidities, and pregnancies. Exclusion criteria included urge urinary incontinence, neurogenic bladder, previous surgery for incontinence, and mental or neurological disorders. The female sexual function and QoL were assessed preoperatively and postoperatively (3-12 months follow-up), using the Female Sexual Function Index (FSFI) and the International Consultation on Incontinence Questionnaire. RESULTS: A total of 42 patients completed both the questionnaires (21 patients in the TVT-O group and 21 patients in the SIS group, whereas 6 patients were lost to follow-up). Of the 19/21 (90.4%) of patients who successfully underwent the SIS procedure, 17 (80.9%) reported a complete resolution of SUI, whereas 2 (9.5%) reported an improvement in urinary incontinence at follow-up. In the TVT-O group, 18/21 (85.7%) of patients reported complete recovery, whereas 4.1% patients reported an improvement in the incontinence. The FSFI score increased significantly in both the SIS groups (from 23:51 ± 3.78 to 27.42 ± 3.34; p < 0.001) and TVT-O group (from 23.96 ± 5:56 to 28.09 ± 3.62) with no statistically significant differences between the two treatment groups. CONCLUSION: In our study, both slings showed a high rate of continence without any major complications. The sexual function also improved sharply in all the six FSFI domains, with no statistically significant difference between the two treatment groups. SN - 1931-843X UR - https://www.unboundmedicine.com/medline/citation/26886509/Evaluation_of_Sexual_Function_and_Quality_of_Life_in_Women_Treated_for_Stress_Urinary_Incontinence:_Tension_Free_Transobturator_Suburethral_Tape_Versus_Single_Incision_Sling_ DB - PRIME DP - Unbound Medicine ER -
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