title: Incontinence-related quality of life and sexual function following the tension-free vaginal tape versus the "inside-out" tension-free vaginal tape obturator.
abstract: The objective of this cohort study was to compare morbidity, quality of life, and sexual function in stress-incontinent women treated with tension-free vaginal tape (TVT) versus tension-free vaginal tape obturator (TVT-O) in a group of 329. Preoperative scores of the Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7) were compared to those from a mailed, postoperative questionnaire. The Pelvic Organ Prolapse/Incontinence Sexual Questionnaire (PISQ-12) and three additional questions were also included in the mailing. Of the initial 329 patients, 239 (73%) completed the questionnaire with a mean follow-up of 14.7 months. Complications, return to normal voiding, and operative time were less in the TVT-O group. Postoperative PISQ-12 scores and improvements in the UDI-6 and IIQ-7 were comparable between groups. The TVT-O procedure appears to be as effective in improving incontinence-related quality of life as the TVT. No differences in sexual function were demonstrated between groups.
authors.affiliation: Section of Urogynecology, Department of Obstetrics and Gynecology, Abington Memorial Hospital, Abington, PA 19001, USA. milesmurphy@comcast.net
authors.forename: Miles
authors.initials: M
authors.lastname: Murphy
authors.forename: Heather
authors.initials: H
authors.lastname: van Raalte
authors.forename: Eduardo
authors.initials: E
authors.lastname: Mercurio
authors.forename: Robin
authors.initials: R
authors.lastname: Haff
authors.forename: Barbara
authors.initials: B
authors.lastname: Wiseman
authors.forename: Vincent R
authors.initials: VR
authors.lastname: Lucente
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D012725:Sexual Behavior; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods