title: Sexual function following retropubic TVT and transobturator Monarc sling in women with intrinsic sphincter deficiency: a multicentre prospective study.
abstract: OBJECTIVE
  A prospective study comparing the effect of the tension-free vaginal tape (TVT) to the Monarc sling on sexual function in women with urodynamic stress incontinence (USI) and intrinsic sphincter deficiency (ISD) is presented.
  
  
  METHODS
  Eighty-seven sexually active women with USI and ISD were enrolled. Sexual function was assessed pre-operatively and at 6 and 12 months post-operatively by history, PISQ-12, UDI-6 and IIQ-7 questionnaires.
  
  
  RESULTS
  A significant increase was detected in PISQ-12 score following both TVT and Monarc insertion. This score was greater in the TVT group at 6 months but not at 12 months when compared to the Monarc group. A significant decrease in UDI-6 and IIQ-7 score was detected. Specifically, coital incontinence and fear of leakage were reduced in both groups, and no change in dyspareunia or orgasm intensity was found.
  
  
  CONCLUSIONS
  Sexual function improves 6 months after TVT or Monarc sling, and this benefit is maintained at 12 months.
authors.affiliation: Department of Urogynaecology, Mercy Hospital for Women, Melbourne University, 163 Studley Rd, Heidelberg, Melbourne, Victoria 3084, Australia. adesouza@mercy.com.au
authors.forename: Alison
authors.initials: A
authors.lastname: De Souza
authors.forename: Peter L
authors.initials: PL
authors.lastname: Dwyer
authors.forename: Anna
authors.initials: A
authors.lastname: Rosamilia
authors.forename: Richard
authors.initials: R
authors.lastname: Hiscock
authors.forename: Yik N
authors.initials: YN
authors.lastname: Lim
authors.forename: Christine
authors.initials: C
authors.lastname: Murray
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Thomas
authors.forename: Christine
authors.initials: C
authors.lastname: Conway
authors.forename: Lore
authors.initials: L
authors.lastname: Schierlitz
mesh_terms: D000328:Adult; D000368:Aged; D004414:Dyspareunia / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009948:Orgasm; D011446:Prospective Studies; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*; D019529:Sexuality / Q000502:physiology* / Q000523:psychology; D053825:Suburethral Slings / Q000009:adverse effects*; D011795:Surveys and Questionnaires; D001743:Urinary Bladder / Q000503:physiopathology / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*