OBJECTIVE: To evaluate sexual function in women before and after tension-free vaginal tape (TVT) operation for stress urinary incontinence.
DESIGN: Prospective study.
SETTING: Aalborg University Hospital, department of gynecology and obstetrics between November 2008 and June 2010.
POPULATION: A total of 63 patients who had a TVT operation performed.
METHODS: Patients completed the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire-12 (PISQ-12) and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) before undergoing surgery and 6 months postoperatively.
MAIN OUTCOME MEASURES: Differences in PISQ-12 measures 6 months after the TVT operation.
RESULTS: Twelve patients were excluded because of non-completed questionnaires. Preoperatively the PISQ-12 score was 33.7 and postoperatively 36.7 giving a significant difference of 3.0 (p< 0.05). Forty patients (78%) scored higher postoperatively, five (10%) scored the same and six (12%) reported lower scores postoperatively. Only PISQ-12 questions in the physical domain were significantly improved. These values were elevated close to the maximum score. Preoperatively 18 patients (35%) experienced coital incontinence always, often or sometimes. Postoperatively this was only the case in two patients.
CONCLUSION: Most women experience an improvement in sexual life after a TVT procedure mainly because of absence of incontinence during sexual activity or absence of fear of incontinence during sexual activity.
Written by:
Glavind K, Larsen T, Lindquist SA. Are you the author?
Department of Gynecology and Obstetrics, Aalborg University Hospital, Aalborg, Denmark.
Reference: Acta Obstet Gynecol Scand. 2014 Aug 21. Epub ahead of print.
doi: 10.1111/aogs.12475
PubMed Abstract
PMID: 25145855
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