Akademik Veri Yönetim Sistemi
JOURNAL OF UROLOGICAL SURGERY, cilt.2, sa.12, ss.87-93, 2025 (ESCI)
Objective: Sexual desire is considered to be the sum of positive and negative components of sexuality. The aim of our study was to compare the effects of anterior colporrhaphy and transobturator tape (TOT) surgery on urinary incontinence and sexual function. Materials and Methods: One hundred and eighty-eight patients who were admitted to our hospital between January 2018 and October 2023, diagnosed with stress urinary incontinence (SUI) and pelvic organ prolapse and who were then operated on, were evaluated retrospectively. The patients were divided into two groups: anterior colporrhaphy and TOT, and the presurgery and postsurgery the Female Sexual Functıon index (FSFI) and Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ) scores of the two groups were evaluated retrospectively. Results: No significant difference was found between the groups when PISQ scores were compared in the pre-surgery and post-surgery periods according to surgery type (p>0.05). No significant difference was found between the groups when FSFI scores were compared in the pre-surgery and post-surgery periods, according to surgery type, (p>0.05). When the presurgery and postsurgery periods were compared within both groups, a significant increase in the PISQ score was found in the postsurgery period (p<0.05). A significant increase in sexual satisfaction score was found in the TOT group in the post-surgery period (p=0.016). Conclusion: It has been found that anterior colporrhaphy and TOT surgeries are effective in the treatment of stress urinary incontinence, and have significant effects on urinary incontinence complaints during sexual intercourse. Sexual function is multifactorial, and anatomical corrections made with surgical methods alone are not sufficient to correct different aspects of sexual function such as orgasm, sexual desire, sexual problems in the partner, and satisfaction. PISQ and FSFI measurements may provide insight into the evaluation of sexual function after SUI and pelvic organ prolapse surgery