Short-term Impact of Tension-free Vaginal Tape Obturator Procedure on Sexual Function in Women with Stress Urinary Incontinence

Authors

  • Hui-Hsuan Lau MD,

    1. Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan;
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  • Tsung-Hsien Su MD, PhD,

    Corresponding author
    1. Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan;
    2. Mackay Medicine, Nursing and Management College, Taipei, Taiwan;
    3. Taipei Medical University, Taipei, Taiwan;
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  • Chin-Hui Su MD,

    1. Department of Otorhinolaryngology, Mackay Memorial Hospital, Taipei, Taiwan;
    2. Department of Pharmacy & Graduate Institute of Pharmaceutical Technology, National Yang-Ming University, Yen-Pou, Taipei, Taiwan;
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  • Mei-Yu Lee MS,

    1. Mackay Medicine, Nursing and Management College, Taipei, Taiwan;
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  • Fang-Ju Sun MS

    1. Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan
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Tsung-Hsien Su, MD, 92, Chung-San North Road, Section 2, Taipei 104, Taiwan. Tel: 886-2-2543-3535; Fax: 886-2-2754-3769; Email: drthsu@mail.itrip.com.tw

ABSTRACT

Introduction.  The tension-free vaginal tape obturator (TVT-O) procedure is one of the most commonly used anti-incontinence surgeries, but little is known about its impact on sexual function.

Aim.  To evaluate sexual function after the TVT-O procedure at 6 months postoperatively.

Methods.  Fifty-six sexually active women who underwent the TVT-O procedure for severe stress urinary incontinence (SUI) were evaluated using the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) before and 6 months after surgery. The perception of incontinence-related quality-of-life were also evaluated by the short form of the Urogenital Distress Inventory (UDI-6) and the Incontinence Impact Questionnaire (IIQ-7) to assess the effect of surgery on incontinence.

Main Outcome Measures.  Total score and score for each PISQ-12 item.

Results.  The mean total PISQ-12 score did not differ significantly before (24.0 ± 12.2) and after (23.0 ± 13.2) (P = 0.194) the TVT-O procedure. Scores for individual items on the PISQ-12 varied, with incontinence-related items improving but others, such as the frequency of achieving orgasm deteriorating for some women. The scores of UDI-6 and IIQ-7 were significantly improved by 6-month follow-up, indicating that the operation successfully resolved the incontinence.

Conclusion.  Despite successful amelioration of SUI by the TVT-O procedure, sexual function does not necessarily improve in the first 6 months after surgery. Lau H-H, Su T-H, Su C-H, Lee M-Y, and Sun FJ. Short-term Impact of tension-free vaginal tape obturator procedure on sexual function in women with stress urinary incontinence. J Sex Med 2010;7:1578–1584.

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