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Impact of transobturator vaginal tape on female stress urinary incontinence and sexual function.
- Source :
-
Arab journal of urology [Arab J Urol] 2017 Aug 31; Vol. 15 (4), pp. 380-386. Date of Electronic Publication: 2017 Aug 31 (Print Publication: 2017). - Publication Year :
- 2017
-
Abstract
- Objective: To evaluate the effect of vaginal transobturator tape (TOT) on female stress urinary incontinence (SUI) and sexual function.<br />Patients and Methods: In all, 145 patients with SUI underwent TOT repair using the 'outside-in' technique. All patients had been sexually active in the previous 6 months. Patients were evaluated by history, routine laboratory investigations, cough stress test, abdominopelvic ultrasonography, and full urodynamic studies. The preoperative data assessed included: age, parity, body mass index, menopausal status, and Stamey grade of SUI. The intraoperative data assessed included: operative time, blood loss, and hospital stay; intra- and postoperative complications were also assessed. At 2 weeks after discharge, patients were followed-up with a routine examination and cough stress test. After 6 months' patients were assessed by urodynamic studies, maximum urinary flow rate, post-void residual urine volume. The following questionnaires were completed before and at 6 months after TOT insertion: International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), Urogenital Distress Inventory-Short Form (UDI-6), and Female Sexual Function Index (FSFI).<br />Results: All sociodemographic data of the 145 patients were collected. According to ICIQ-SF scores, 122 patients were cured, 19 had improved, and four failed. There were significant improvements in the UDI-6 and FSFI scores, indicating that the women had significant improvement in their sexual life. There were six cases of urinary tract infection, five cases had a fever, and eight patients complained of groin or thigh pain postoperatively.<br />Conclusions: Correction of SUI using TOT appears to have a positive effect on female sexual function.
Details
- Language :
- English
- ISSN :
- 2090-598X
- Volume :
- 15
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Arab journal of urology
- Publication Type :
- Academic Journal
- Accession number :
- 29234544
- Full Text :
- https://doi.org/10.1016/j.aju.2017.07.002