title: Female sexual function following surgery for stress urinary incontinence: tension-free vaginal versus transobturator tape procedure.
abstract: The aim of this study was to compare sexual function outcome following tension-free vaginal (TVT) versus transobturator tape (TOT) for stress urinary incontinence (SUI). All women who underwent TVT or TOT procedures for SUI with no concomitant prolapse repair between January 2002 and July 2007 were sent a retrospective pre-post questionnaire. Eighty-one and 64 women were sexually active before and after TVT and TOT procedures, respectively. Sexual function outcome did not differ pre- and postoperatively for the TVT and TOT groups, and postoperatively between the two groups. Responders reported an improvement of intercourse satisfaction in 23 (29.5%) and 21 (32.9%) cases, whereas 14 (17.3%) and eight (12.5%) complained of sexual function deterioration after TVT and TOT procedure, respectively (p = 0.43). This study suggests that anti-incontinence surgery can have a positive and negative outcome on sexual function, with no significant differences between the TVT and TOT procedures.
authors.affiliation: Department of Gynecology, Rouen University Hospital, Rouen, France. loicsentilhes@hotmail.com
authors.forename: Loïc
authors.initials: L
authors.lastname: Sentilhes
authors.forename: Aurélien
authors.initials: A
authors.lastname: Berthier
authors.forename: Cécile
authors.initials: C
authors.lastname: Loisel
authors.forename: Philippe
authors.initials: P
authors.lastname: Descamps
authors.forename: Loïc
authors.initials: L
authors.lastname: Marpeau
authors.forename: Philippe
authors.initials: P
authors.lastname: Grise
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012725:Sexual Behavior / Q000502:physiology* / Q000523:psychology; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery*