Female Sexuel Function After Trans Obturator Tape Placement for Stress Urinary Incontinance

Authors

  • Suleyman Yesil
  • Onur Dede
  • Goksel Hasan Nedim Goktug
  • Ismail Nalbant
  • Ufuk Ozturk
  • Abdurrahim Muhammet Imamoglu

Abstract

  1. Objective: To assess the effectiveness of trans obturator tape (TOT) for the surgical treatment of stress urinary incontinance (SUI) on female sexuel function.

    Methods: We evaluated 34 sexualy  active patients, who had stress urinary incontinance. Patients sexuel function evaluated preoperative and 6 months after operation with Female Sexuel Function Index (FSFI) scores.

    Results: Statistically significant improvements were seen in daily pad use from 2.4±1.1 to 0.2±0.4 (p value <0.001) and incontinence episodes daily number from 3.3±1.3 to 0.5±0.7 (p value <0.001).  FSFI and pain score were compared and results were smiliar (from 4.8 ± 0.7 to 4.6±0.8 p value 0.52). Preoperative Female Sexuel Function Index was compared with after the six months results and significant imporovement was carried (from 15.4±2.5 to 19.4±5.5 p value:0.02).

    Conclusions: TOT sling placement was associated with improvements in validated measures of sexual function.

References

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A. The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Am J Obstet Gynecol 2002; 187: 116-26.

Melville JL, Katon W, Delaney K, Newton K. Urinary incontinence in US women: a population based study. Arch Int Med 2005; 165: 537-42.

Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia fortreatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1996; 7: 81-5.

Giuseppe PG, Pace G,Vicentini C. Sexual function in women with urinary incontinence treated bypelvic floor transvaginal electrical stimulation. J Sex Med 2007; 4: 702-7.

Rosenbaum TY. Pelvic floor involvement in male and female sexual dysfunction and the role of pelvic floor rehabilitation in treatment: A literature review. J Sex Med 2007; 4: 4-13.

Kaelin-Gambirasio I, Jacob S, Boulvain M, Dubuisson JB, Dällenbach P. Complications associated with transobturator sling procedures: analysis of 233 consecutive cases with a 27 month follow-up. BMC Womens Health 2009; 9: 28.

Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 2001;11: 1306-13.

Novara G, Artibani W, Barber MD, Chapple CR, Costantini E, Ficarra V, Hilton P, Nilsson CG, Waltregny D. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol 2010; 58: 218-38.

Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in four European countries. BJU Int 2004; 93: 324-30.

Ghielmetti T, Kuhn P, Dreher EF, Kuhn A. Gynaecological operations: Do they improve sexual life? Eur J Obstet Gynecol Reprod Biol 2006; 129: 104-10.

Elzevier HW, Nieuwkamer BB, Pelger RC, Nijeholt AA. Female sexual function and activity following cystectomy and continent urinary tract diversion for benign indications: A clinical pilot study and review of literature. J Sex Med 2007; 4: 406-16.

Abdel-fattah M, Ramsay I, Pringle S, Hardwick C, Ali H. Randomised prospective single-blinded study comparing “inside-out” versus “outside-in” transobturator tapes in the management of urodynamic stress incontinence: 1-year outcomes from the E-TOT study. BJOG 2010;117: 870-8.

Bekker M, Beck J, Putter H, Venema P, Lycklama à Nijeholt A, Pelger R, Elzevier H. Sexual function improvement following surgery for stress incontinence: the relevance of coital incontinence. J Sex Med 2009; 6: 3208-13.

Achtari C, McKenzie BJ, Hiscock R, Rosamilia A, Schierlitz L, Briggs CA, Dwyer PL. Anatomical study of the obturator foramen and dorsal nerve ofthe clitoris and their relationship to minimally invasive slings. Int Urogynecol J Pelvic Floor Dysfunct 2006;17: 330-4.

Bonnet P, Waltregny D, Reul O, de Leval J. Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence: Anatomical considerations. J Urol 2005;173: 1223-8.

Lukban JC. Suburethral sling using the transobturator approach: A quality-of-life analysis. Am J Obstet Gynecol 2005; 193: 2138-43.

Latthe P, Singh P, Foon R, Toozs-Hobson P. Two routes of transobturator tape procedures in stress urinary incontinence: a meta-analysis with direct and indirect comparison of randomized trials. BJU Int 2010;106: 68-76.

Jang HC, Jeon JH, Kim DY. Changes in sexual function after the midurethral sling procedure for stress urinary incontinence: long term follow-up. Int Neurourol J 2010;14: 170-6.

Wadie BS, Mansour A, El-Hefnawy AS, Nabeeh A, Khair AA. Minimum 2-year follow-up of mid-urethral slings, effect on quality of life, incontinence impact and sexual function. Int Urogynecol J Pelvic Floor Dysfunct 2010; 21: 1485-1490.

Arts-de Jong M, van Altena AM, Aalders CI, Dijkhuizen FP, van Balken MR. Improvement of sexual function after transobturator tape procedure in women with stress urinary incontinence. Gynecol Surg 2011;8: 315-9.

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Published

29.12.2013

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Original Research

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