title: Changes in sexual function and quality of life after single-incision mid-urethral sling for treatment of female stress urinary incontinence.
abstract: OBJECTIVE
  To evaluate the effectiveness and assess the changes in sexual function and quality of life after placement of a single-incision sling for the treatment of female stress urinary incontinence.
  
  
  METHODS
  A prospective study of women diagnosed with stress urinary incontinence. The single-incision sling was implanted and patients were followed postoperatively for 6 months. The postoperative rate of continence, complications, changes in sexual function, and patient-reported quality of life were evaluated. Female Sexual Function in sexually active patients was evaluated before and after the single-incision sling procedure using the Female Sexual Function Index. From January 2009 to November 2011, 73 patients were enrolled and underwent the procedure to implant the MiniArc® or Ajust® single-incision sling.
  
  
  RESULTS
  Overall, 93.2% of the patients who successfully received a single-incision sling demonstrated total restoration of continence (83.6%) or improved continence (9.6%) at the 6-month postoperative visit. Improvements were seen in the quality of life scores related to global bladder feeling (87.7%) and the Female Sexual Function Index (preoperative score 23.86±5.67 vs postoperative score 27.25±4.66 [P<0.0001]).
  
  
  CONCLUSIONS
  Single-incision sling treatment for stress urinary incontinence led to improvements in continence and sexual function at 6 months of postoperative follow-up.
authors.affiliation: Department of Obstetrics and Gynecology, Johannes Gutenberg University Mainz, Mainz, Germany. gnaumann@uni-mainz.de
authors.forename: Gert
authors.initials: G
authors.lastname: Naumann
authors.forename: Joscha
authors.initials: J
authors.lastname: Steetskamp
authors.forename: Mira
authors.initials: M
authors.lastname: Meyer
authors.forename: Rosa
authors.initials: R
authors.lastname: Laterza
authors.forename: Christine
authors.initials: C
authors.lastname: Skala
authors.forename: Stefan
authors.initials: S
authors.lastname: Albrich
authors.forename: Heinz
authors.initials: H
authors.lastname: Koelbl
mesh_terms: D000328:Adult; D000368:Aged; D017281:Cost of Illness; D005260:Female; D005500:Follow-Up Studies; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D017698:Postmenopause; D011183:Postoperative Complications / Q000453:epidemiology* / Q000503:physiopathology / Q000517:prevention & control / Q000523:psychology; D017697:Premenopause; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012720:Severity of Illness Index; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology / Q000517:prevention & control; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control / Q000523:psychology; D053825:Suburethral Slings / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*