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Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up.
Gynecol Obstet Invest. 2018; 83(2):187-197.GO

Abstract

AIM

To evaluate sexual functions of women having stress urinary incontinence (SUI) preoperatively and 6 months and 12 months after undergoing a transobturator tape (TOT) ± pelvic organ prolapse (POP) surgery.

METHODS

One hundred-ninety-five women with SUI ± POP were recruited and 150 sexually active women who had clinical ± urodynamic SUI and underwent TOT ± POP surgery were included in this prospective study. Urogynecologic symptoms were evaluated preoperatively, at 6 months, and 12 months by Female Sexual Function Index (FSFI).

RESULTS

One hundred fifty women completed the study. Seventy-four underwent TOT-only and 76 underwent TOT + concomitant surgery. Mean total scores of FSFI were 21.7 ± 7.8, 22 ± 8.7, and 22.1 ± 8 in the preoperative period, postoperative 6, and 12 months, respectively. There was significant improvement in desire and total scores in the TOT-only group, whereas there was no significant difference in the TOT + concomitant surgery group except for significant worsening in the lubrication domain. The frequency of sexual intercourse increased while that of coital incontinence decreased after surgery.

CONCLUSIONS

In our study, TOT was associated with decrease in coital incontinence and significant improvement in desire. In addition, there was significant improvement in FSFI desire and total scores in the TOT-only group, whereas no significant difference was observed in the TOT + concomitant surgery group except for the worsening of lubrication.

Authors+Show Affiliations

Department of Women Health and Diseases Nursing, Florence Nightingale Faculty of Nursing, Istanbul University, Istanbul, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28746921

Citation

Aslan, Ergul, et al. "Effects of Transobturator Midurethral Sling Surgery On Sexual Functions: One-Year Follow-Up." Gynecologic and Obstetric Investigation, vol. 83, no. 2, 2018, pp. 187-197.
Aslan E, Gungor Ugurlucan F, Bilgic D, et al. Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up. Gynecol Obstet Invest. 2018;83(2):187-197.
Aslan, E., Gungor Ugurlucan, F., Bilgic, D., Yalcin, O., & Kizilkaya Beji, N. (2018). Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up. Gynecologic and Obstetric Investigation, 83(2), 187-197. https://doi.org/10.1159/000479025
Aslan E, et al. Effects of Transobturator Midurethral Sling Surgery On Sexual Functions: One-Year Follow-Up. Gynecol Obstet Invest. 2018;83(2):187-197. PubMed PMID: 28746921.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up. AU - Aslan,Ergul, AU - Gungor Ugurlucan,Funda, AU - Bilgic,Dilek, AU - Yalcin,Onay, AU - Kizilkaya Beji,Nezihe, Y1 - 2017/07/27/ PY - 2016/08/31/received PY - 2017/06/27/accepted PY - 2017/7/27/pubmed PY - 2018/9/11/medline PY - 2017/7/27/entrez KW - Midurethral sling KW - Pelvic organ prolapse KW - Sexual function KW - Stress urinary incontinence KW - Transobturator tape KW - Urinary incontinence SP - 187 EP - 197 JF - Gynecologic and obstetric investigation JO - Gynecol. Obstet. Invest. VL - 83 IS - 2 N2 - AIM: To evaluate sexual functions of women having stress urinary incontinence (SUI) preoperatively and 6 months and 12 months after undergoing a transobturator tape (TOT) ± pelvic organ prolapse (POP) surgery. METHODS: One hundred-ninety-five women with SUI ± POP were recruited and 150 sexually active women who had clinical ± urodynamic SUI and underwent TOT ± POP surgery were included in this prospective study. Urogynecologic symptoms were evaluated preoperatively, at 6 months, and 12 months by Female Sexual Function Index (FSFI). RESULTS: One hundred fifty women completed the study. Seventy-four underwent TOT-only and 76 underwent TOT + concomitant surgery. Mean total scores of FSFI were 21.7 ± 7.8, 22 ± 8.7, and 22.1 ± 8 in the preoperative period, postoperative 6, and 12 months, respectively. There was significant improvement in desire and total scores in the TOT-only group, whereas there was no significant difference in the TOT + concomitant surgery group except for significant worsening in the lubrication domain. The frequency of sexual intercourse increased while that of coital incontinence decreased after surgery. CONCLUSIONS: In our study, TOT was associated with decrease in coital incontinence and significant improvement in desire. In addition, there was significant improvement in FSFI desire and total scores in the TOT-only group, whereas no significant difference was observed in the TOT + concomitant surgery group except for the worsening of lubrication. SN - 1423-002X UR - https://www.unboundmedicine.com/medline/citation/28746921/Effects_of_Transobturator_Midurethral_Sling_Surgery_on_Sexual_Functions:_One_Year_Follow_Up_ L2 - https://www.karger.com?DOI=10.1159/000479025 DB - PRIME DP - Unbound Medicine ER -