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Impact of the mid-urethral sling for stress urinary incontinence on female sexual function and their partners' sexual activity.
Taiwan J Obstet Gynecol. 2018 Dec; 57(6):853-857.TJ

Abstract

OBJECTIVE

To assess the impact of the transobturator mid-urethral sling (MUS) procedure on female sexual function and their partners' sexual activity.

MATERIALS AND METHODS

Sexually active women with stress urinary incontinence who underwent a transobturator MUS procedure at the Department of Obstetrics and Gynecology of two medical centers were prospectively enrolled. All participants and their partners were required to complete questionnaires before surgery and 3 months after surgery.

RESULTS

Eighteen women undergoing both the transobturator tape (TOT) procedure (n = 14) and the tension-free vaginal tape obturator (TVT-O) procedure (n = 4) were enrolled. The female sexual function index scores did not differ between the baseline and postoperative data. However, the overactive bladder symptom scores improved significantly 3 months after surgery. Patients also had an improvement in their arousal score after TOT procedures; however, there was no between-group difference in the post-treatment changes in the arousal scores. Thirteen partners completed their questionnaires at both the baseline and postoperative phases. Fifty-four percent (7/13) of partners stated that sexual intercourse improved after surgery, and 46% (6/13) described no change after surgery. In addition, no change in pain level due to vaginal narrowing or dryness after surgery was observed. Only one partner noticed the tape during intercourse and complained of pain due to the tape.

CONCLUSION

Although most female sexual function remains unchanged after the transobturator MUS procedure, a significant percentage of partners in the study felt that their sexual activity improved after surgery.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei, Taiwan; Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and the Hospital, Taipei, Taiwan; Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan, Taiwan.Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei, Taiwan; Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and the Hospital, Taipei, Taiwan. Electronic address: hhlin@ntuh.gov.tw.

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

30545540

Citation

Hsiao, Sheng-Mou, and Ho-Hsiung Lin. "Impact of the Mid-urethral Sling for Stress Urinary Incontinence On Female Sexual Function and Their Partners' Sexual Activity." Taiwanese Journal of Obstetrics & Gynecology, vol. 57, no. 6, 2018, pp. 853-857.
Hsiao SM, Lin HH. Impact of the mid-urethral sling for stress urinary incontinence on female sexual function and their partners' sexual activity. Taiwan J Obstet Gynecol. 2018;57(6):853-857.
Hsiao, S. M., & Lin, H. H. (2018). Impact of the mid-urethral sling for stress urinary incontinence on female sexual function and their partners' sexual activity. Taiwanese Journal of Obstetrics & Gynecology, 57(6), 853-857. https://doi.org/10.1016/j.tjog.2018.10.015
Hsiao SM, Lin HH. Impact of the Mid-urethral Sling for Stress Urinary Incontinence On Female Sexual Function and Their Partners' Sexual Activity. Taiwan J Obstet Gynecol. 2018;57(6):853-857. PubMed PMID: 30545540.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of the mid-urethral sling for stress urinary incontinence on female sexual function and their partners' sexual activity. AU - Hsiao,Sheng-Mou, AU - Lin,Ho-Hsiung, PY - 2018/08/01/accepted PY - 2018/12/15/entrez PY - 2018/12/14/pubmed PY - 2019/2/2/medline KW - Mid-urethral sling procedure KW - Sexual function KW - Stress urinary incontinence KW - Transobturator route SP - 853 EP - 857 JF - Taiwanese journal of obstetrics & gynecology JO - Taiwan J Obstet Gynecol VL - 57 IS - 6 N2 - OBJECTIVE: To assess the impact of the transobturator mid-urethral sling (MUS) procedure on female sexual function and their partners' sexual activity. MATERIALS AND METHODS: Sexually active women with stress urinary incontinence who underwent a transobturator MUS procedure at the Department of Obstetrics and Gynecology of two medical centers were prospectively enrolled. All participants and their partners were required to complete questionnaires before surgery and 3 months after surgery. RESULTS: Eighteen women undergoing both the transobturator tape (TOT) procedure (n = 14) and the tension-free vaginal tape obturator (TVT-O) procedure (n = 4) were enrolled. The female sexual function index scores did not differ between the baseline and postoperative data. However, the overactive bladder symptom scores improved significantly 3 months after surgery. Patients also had an improvement in their arousal score after TOT procedures; however, there was no between-group difference in the post-treatment changes in the arousal scores. Thirteen partners completed their questionnaires at both the baseline and postoperative phases. Fifty-four percent (7/13) of partners stated that sexual intercourse improved after surgery, and 46% (6/13) described no change after surgery. In addition, no change in pain level due to vaginal narrowing or dryness after surgery was observed. Only one partner noticed the tape during intercourse and complained of pain due to the tape. CONCLUSION: Although most female sexual function remains unchanged after the transobturator MUS procedure, a significant percentage of partners in the study felt that their sexual activity improved after surgery. SN - 1875-6263 UR - https://www.unboundmedicine.com/medline/citation/30545540/Impact_of_the_mid_urethral_sling_for_stress_urinary_incontinence_on_female_sexual_function_and_their_partners'_sexual_activity_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1028-4559(18)30239-0 DB - PRIME DP - Unbound Medicine ER -