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ULTIMO FASCICOLOMINERVA GINECOLOGICA

Rivista di Ostetricia e Ginecologia


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Minerva Ginecologica 2014 Agosto;66(4):355-63

lingua: Inglese

Sexual function in patients who underwent surgery for stress urinary incontinence

Schettino M. T. 1, Gallo P. 2, Rappa C. 3, Coppola F. 1, Tormettino B. 1, Del Deo F. 1, Grimaldi A. 1, Torella M. 1

1 Department of Woman, Child and of General and Specialized Surgery, Second University of Studies of Naples, Naples, Italy;
2 Azienda Ospedaliera di Treviglio, Treviglio, Bergamo, Italy;
3 Ospedale Buon Consiglio Fatebenefratelli, Naples, Italy


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AIM: Stress urinary incontinence (SUI) has been reported to have a negative impact on sexual relations in up to 68% of women. The effect of suburethral sling on sexual functioning has been studies, but the results are still inhomogeneous. This study was undertaken to assess the effect of the transvaginal tension free vaginal tape (TVT), transvaginal tension free vaginal tape - obturate (TVT-O) and minisling procedures (SIS) on sexual function and to also evaluate the male experience respect to sexual activity before and after surgery of partners of women underwent surgery.
METHODS: We enrolled 150 patients underwent a TVT/TVT-O or SIS for female stress urinary incontinence. All patients enrolled were invited to fill out the Female Sexual Function Index (FSFI) Questionnaire, before surgery and 12 months after surgery. We also evaluate the male experience, through questionnaire, respect to sexual activity before and after surgery of female partner.
RESULTS: At month 12, the mean follow-up FSFI total score in SIS group improved from baseline 22.7±3.83 to 26.2±4.01 (P=0.001), in the TVT group from baseline 22.5±4.11 to 28.5±3.87 (P=0.001) and in the TVT-O group from baseline 23.5±4.48 to 27.7±3.68. The male questionnaires reported an improvement of the sexual function of 84% for TVT group, 82.9% for SIS group and 80,9% for TVT-O group.
CONCLUSION: In our present study, patients underwent TVT, TVT-O or SIS showed comparable significant improvement of sexual function after sling procedure as evaluated by FSFI.

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