Short-term Impact of Tension-free Vaginal Tape Obturator Procedure on Sexual Function in Women with Stress Urinary Incontinence
Article first published online: 25 JAN 2010
© 2010 International Society for Sexual Medicine
The Journal of Sexual Medicine
Volume 7, Issue 4pt1, pages 1578–1584, April 2010
How to Cite
Lau, H.-H., Su, T.-H., Su, C.-H., Lee, M.-Y. and Sun, F.-J. (2010), Short-term Impact of Tension-free Vaginal Tape Obturator Procedure on Sexual Function in Women with Stress Urinary Incontinence. Journal of Sexual Medicine, 7: 1578–1584. doi: 10.1111/j.1743-6109.2009.01688.x
- Issue published online: 7 APR 2010
- Article first published online: 25 JAN 2010
- Anti-incontinence Surgery;
- Urinary Incontinence;
- Sexual Function;
- Transobturator Suburethral Tape;
- Quality of Life;
- Tension-free Vaginal Tape Obturator Procedure
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.