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Effect on Sexual Function of Patients and Patients' Spouses After Midurethral Sling Procedure for Stress Urinary Incontinence: A Prospective Single Center Study.
Low Urin Tract Symptoms. 2016 Sep; 8(3):182-5.LU

Abstract

OBJECTIVES

To evaluate the effect on sexual function of patients and their spouses after transobturator tape (TOT) procedure, prospectively. Midurethral sling procedure has been widely performed for treatment of urinary incontinence; however, little has been reported regarding sexual function after surgery.

METHODS

Between September 2012 and June 2013, 65 patients undergoing TOT and their sexual partners were enrolled. An investigation was conducted using validated, self-administered questionnaires, Female Sexual Function Index (FSFI) and satisfaction domain on Male Sexual Health Questionnaire (MSHQ) for evaluation of couple's sexual function. They completed the research on preoperative and postoperative visits at 3, 6, and 12 months.

RESULTS

Of 65 couples, 56 couples completed this study. The mean age of patients and their partners were 46.7 ± 5.7 and 49.1 ± 6.2 years, respectively. The mean follow-up period was 16.5 ± 2.9 months. A significant loss of total FSFI score was observed at postoperative 3 months (P = 0.003), which was regained after postoperative 6 months. In comparison with baseline and postoperative 12 months, total FSFI score showed significant improvement (P < 0.001). There were significant improvements in desire, arousal, orgasm, and satisfaction on FSFI domain (P = 0.018, 0.012, 0.014, and 0.008, respectively). In male counterparts, significant improvements were observed in MSHQ satisfaction domain regarding sexual relationship, quality of sex life, partner's affection during sex, and communication about sex (P = 0.007, <0.001, <0.001, and <0.001, respectively).

CONCLUSION

Improvement of incontinence by TOT can improve not only female sexual function but also sexual satisfaction of partners.

Authors+Show Affiliations

Department of Urology, College of Medicine, Yeungnam University, Daegu, Korea.Department of Anatomy and Histology, College of Korean Medicine, Daegu Haany University, Gyeongsan, Korea.Department of Urology, College of Medicine, Yeungnam University, Daegu, Korea.Department of Urology, College of Medicine, Yeungnam University, Daegu, Korea.Department of Urology, College of Medicine, Yeungnam University, Daegu, Korea. sph04@hanmail.net.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27619784

Citation

Ko, Young Hwii, et al. "Effect On Sexual Function of Patients and Patients' Spouses After Midurethral Sling Procedure for Stress Urinary Incontinence: a Prospective Single Center Study." Lower Urinary Tract Symptoms, vol. 8, no. 3, 2016, pp. 182-5.
Ko YH, Song CH, Choi JW, et al. Effect on Sexual Function of Patients and Patients' Spouses After Midurethral Sling Procedure for Stress Urinary Incontinence: A Prospective Single Center Study. Low Urin Tract Symptoms. 2016;8(3):182-5.
Ko, Y. H., Song, C. H., Choi, J. W., Jung, H. C., & Song, P. H. (2016). Effect on Sexual Function of Patients and Patients' Spouses After Midurethral Sling Procedure for Stress Urinary Incontinence: A Prospective Single Center Study. Lower Urinary Tract Symptoms, 8(3), 182-5. https://doi.org/10.1111/luts.12097
Ko YH, et al. Effect On Sexual Function of Patients and Patients' Spouses After Midurethral Sling Procedure for Stress Urinary Incontinence: a Prospective Single Center Study. Low Urin Tract Symptoms. 2016;8(3):182-5. PubMed PMID: 27619784.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect on Sexual Function of Patients and Patients' Spouses After Midurethral Sling Procedure for Stress Urinary Incontinence: A Prospective Single Center Study. AU - Ko,Young Hwii, AU - Song,Chang-Hyun, AU - Choi,Ji Woong, AU - Jung,Hee Chang, AU - Song,Phil Hyun, Y1 - 2015/03/19/ PY - 2015/01/06/received PY - 2015/01/21/revised PY - 2015/02/01/accepted PY - 2016/9/14/entrez PY - 2016/9/14/pubmed PY - 2017/6/1/medline KW - sexual dysfunction KW - suburethral slings KW - urinary incontinence SP - 182 EP - 5 JF - Lower urinary tract symptoms JO - Low Urin Tract Symptoms VL - 8 IS - 3 N2 - OBJECTIVES: To evaluate the effect on sexual function of patients and their spouses after transobturator tape (TOT) procedure, prospectively. Midurethral sling procedure has been widely performed for treatment of urinary incontinence; however, little has been reported regarding sexual function after surgery. METHODS: Between September 2012 and June 2013, 65 patients undergoing TOT and their sexual partners were enrolled. An investigation was conducted using validated, self-administered questionnaires, Female Sexual Function Index (FSFI) and satisfaction domain on Male Sexual Health Questionnaire (MSHQ) for evaluation of couple's sexual function. They completed the research on preoperative and postoperative visits at 3, 6, and 12 months. RESULTS: Of 65 couples, 56 couples completed this study. The mean age of patients and their partners were 46.7 ± 5.7 and 49.1 ± 6.2 years, respectively. The mean follow-up period was 16.5 ± 2.9 months. A significant loss of total FSFI score was observed at postoperative 3 months (P = 0.003), which was regained after postoperative 6 months. In comparison with baseline and postoperative 12 months, total FSFI score showed significant improvement (P < 0.001). There were significant improvements in desire, arousal, orgasm, and satisfaction on FSFI domain (P = 0.018, 0.012, 0.014, and 0.008, respectively). In male counterparts, significant improvements were observed in MSHQ satisfaction domain regarding sexual relationship, quality of sex life, partner's affection during sex, and communication about sex (P = 0.007, <0.001, <0.001, and <0.001, respectively). CONCLUSION: Improvement of incontinence by TOT can improve not only female sexual function but also sexual satisfaction of partners. SN - 1757-5672 UR - https://www.unboundmedicine.com/medline/citation/27619784/Effect_on_Sexual_Function_of_Patients_and_Patients'_Spouses_After_Midurethral_Sling_Procedure_for_Stress_Urinary_Incontinence:_A_Prospective_Single_Center_Study_ L2 - https://doi.org/10.1111/luts.12097 DB - PRIME DP - Unbound Medicine ER -