Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up

Aslan E., Ugurlucan F. G., BİLGİÇ D., Yalcin O., Beji N. K.

GYNECOLOGIC AND OBSTETRIC INVESTIGATION, vol.83, no.2, pp.187-197, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 83 Issue: 2
  • Publication Date: 2018
  • Doi Number: 10.1159/000479025
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.187-197
  • Keywords: Urinary incontinence, Sexual function, Stress urinary incontinence, Midurethral sling, Transobturator tape, Pelvic organ prolapse, STRESS URINARY-INCONTINENCE, FREE VAGINAL TAPE, MINIMALLY-INVASIVE PROCEDURE, QUALITY-OF-LIFE, SUBURETHRAL TAPE, WOMEN, IMPACT, METAANALYSIS, DYSFUNCTION, IMPAIRMENT
  • Dokuz Eylül University Affiliated: Yes


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. (C) 2017 S. Karger AG, Basel