Tags

Type your tag names separated by a space and hit enter

Female sexual function following a novel transobturator sling procedure without paraurethral dissection (modified-TOT).
Int Braz J Urol. 2017 Jan-Feb; 43(1):142-149.IB

Abstract

PURPOSE

To determine whether there is a difference in sexual function after modified and classical TOT procedures.

MATERIALS AND METHODS

Of the 80 sexually active women with SUI, 36 underwent na original outside-in TOT as described by Delorme, and 44 underwent modified TOT procedure, between 2011 and 2015. The severity of incontinence and sexual function were evaluated using International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and Female Sexual Function Index (FSFI) questionnaires preoperatively and 3 months after surgery.

RESULTS

The postoperative ICIQ-SF score was significantly lower than the preoperative ICIQ-SF score in both groups (p=0.004 for modified TOT and p=0.002 for classical TOT). There was no significant difference in the ICIQ-SF score reduction between the two groups (14.1±2.1 vs. 14.4±1.9; p=0.892). Complication rates according to the Clavien-Dindo classification were also similar in both groups. In both groups, difference between preoperative and postoperative FSFI scores revealed a statistically significant improvement in all domains. Comparison of postoperative 3-month FSFI scores of modified and classical TOT groups showed statistically significant differences in arousal, lubrication and orgasm domains. Desire, satisfaction, pain and total FSFI scores did not differ significantly between two groups.

CONCLUSION

The modified TOT technique is a simple, reliable and minimal invasive procedure. The cure rate of incontinence and complication rates are the same as those of the classical TOT technique. However, due to the positive effects of minimal tissue damage on sexual arousal and orgasmic function, modified TOT has an advantage over the classical TOT.

Authors+Show Affiliations

Department of Urology, Istanbul Taksim Training and Research Hospital, Turkey.Department of Urology, Istanbul Taksim Training and Research Hospital, Turkey.Department of Urology, Istanbul Taksim Training and Research Hospital, Turkey.Department of Urology, Istanbul Taksim Training and Research Hospital, Turkey.Department of Urology, Istanbul Taksim Training and Research Hospital, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28124537

Citation

Arslan, Burak, et al. "Female Sexual Function Following a Novel Transobturator Sling Procedure Without Paraurethral Dissection (modified-TOT)." International Braz J Urol : Official Journal of the Brazilian Society of Urology, vol. 43, no. 1, 2017, pp. 142-149.
Arslan B, Onuk O, Eroglu A, et al. Female sexual function following a novel transobturator sling procedure without paraurethral dissection (modified-TOT). Int Braz J Urol. 2017;43(1):142-149.
Arslan, B., Onuk, O., Eroglu, A., Gezmis, T. C., & Aydin, M. (2017). Female sexual function following a novel transobturator sling procedure without paraurethral dissection (modified-TOT). International Braz J Urol : Official Journal of the Brazilian Society of Urology, 43(1), 142-149. https://doi.org/10.1590/S1677-5538.IBJU.2016.0270
Arslan B, et al. Female Sexual Function Following a Novel Transobturator Sling Procedure Without Paraurethral Dissection (modified-TOT). Int Braz J Urol. 2017 Jan-Feb;43(1):142-149. PubMed PMID: 28124537.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Female sexual function following a novel transobturator sling procedure without paraurethral dissection (modified-TOT). AU - Arslan,Burak, AU - Onuk,Ozkan, AU - Eroglu,Ali, AU - Gezmis,Tugrul Cem, AU - Aydin,Memduh, PY - 2016/05/18/received PY - 2016/07/28/accepted PY - 2017/1/27/entrez PY - 2017/1/27/pubmed PY - 2017/8/2/medline KW - Dyspareunia KW - Suburethral Slings KW - Urinary Incontinence, Stress SP - 142 EP - 149 JF - International braz j urol : official journal of the Brazilian Society of Urology JO - Int Braz J Urol VL - 43 IS - 1 N2 - PURPOSE: To determine whether there is a difference in sexual function after modified and classical TOT procedures. MATERIALS AND METHODS: Of the 80 sexually active women with SUI, 36 underwent na original outside-in TOT as described by Delorme, and 44 underwent modified TOT procedure, between 2011 and 2015. The severity of incontinence and sexual function were evaluated using International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and Female Sexual Function Index (FSFI) questionnaires preoperatively and 3 months after surgery. RESULTS: The postoperative ICIQ-SF score was significantly lower than the preoperative ICIQ-SF score in both groups (p=0.004 for modified TOT and p=0.002 for classical TOT). There was no significant difference in the ICIQ-SF score reduction between the two groups (14.1±2.1 vs. 14.4±1.9; p=0.892). Complication rates according to the Clavien-Dindo classification were also similar in both groups. In both groups, difference between preoperative and postoperative FSFI scores revealed a statistically significant improvement in all domains. Comparison of postoperative 3-month FSFI scores of modified and classical TOT groups showed statistically significant differences in arousal, lubrication and orgasm domains. Desire, satisfaction, pain and total FSFI scores did not differ significantly between two groups. CONCLUSION: The modified TOT technique is a simple, reliable and minimal invasive procedure. The cure rate of incontinence and complication rates are the same as those of the classical TOT technique. However, due to the positive effects of minimal tissue damage on sexual arousal and orgasmic function, modified TOT has an advantage over the classical TOT. SN - 1677-6119 UR - https://www.unboundmedicine.com/medline/citation/28124537/Female_sexual_function_following_a_novel_transobturator_sling_procedure_without_paraurethral_dissection__modified_TOT__ L2 - http://www.intbrazjurol.com.br/pdf/vol43n01/Arslan_142_149.pdf DB - PRIME DP - Unbound Medicine ER -