title: Sexual function in patients who underwent surgery for stress urinary incontinence.
abstract: OBJECTIVE
  Stress urinary incontinence (SUI) has been reported to have a negative impact on sexual relations in up to 68% of women. The effect of suburethral sling on sexual functioning has been studies, but the results are still inhomogeneous. This study was undertaken to assess the effect of the transvaginal tension free vaginal tape (TVT), transvaginal tension free vaginal tape - obturate (TVT-O) and minisling procedures (SIS) on sexual function and to also evaluate the male experience respect to sexual activity before and after surgery of partners of women underwent surgery.
  
  
  METHODS
  We enrolled 150 patients underwent a TVT/TVT-O or SIS for female stress urinary incontinence. All patients enrolled were invited to fill out the Female Sexual Function Index (FSFI) Questionnaire, before surgery and 12 months after surgery. We also evaluate the male experience, through questionnaire, respect to sexual activity before and after surgery of female partner.
  
  
  RESULTS
  At month 12, the mean follow-up FSFI total score in SIS group improved from baseline 22.7±3.83 to 26.2±4.01 (P=0.001), in the TVT group from baseline 22.5±4.11 to 28.5±3.87 (P=0.001) and in the TVT-O group from baseline 23.5±4.48 to 27.7±3.68. The male questionnaires reported an improvement of the sexual function of 84% for TVT group, 82.9% for SIS group and 80,9% for TVT-O group.
  
  
  CONCLUSIONS
  In our present study, patients underwent TVT, TVT-O or SIS showed comparable significant improvement of sexual function after sling procedure as evaluated by FSFI.
authors.affiliation: Department of Woman, Child and of General and Specialized Surgery Second University of Studies of Naples, Naples, Italy - mt.s76@libero.it.
authors.forename: M T
authors.initials: MT
authors.lastname: Schettino
authors.forename: P
authors.initials: P
authors.lastname: Gallo
authors.forename: C
authors.initials: C
authors.lastname: Rappa
authors.forename: F
authors.initials: F
authors.lastname: Coppola
authors.forename: B
authors.initials: B
authors.lastname: Tormettino
authors.forename: F
authors.initials: F
authors.lastname: Del Deo
authors.forename: A
authors.initials: A
authors.lastname: Grimaldi
authors.forename: M
authors.initials: M
authors.lastname: Torella
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012725:Sexual Behavior / Q000523:psychology*; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*