Sexual function in women with stress urinary incontinence treated with the SPARC sling system.
OBJECTIVE
To evaluate the impact of SPARC on female sexual function.


METHODS
151 women with a mean age of 60 ± 11.90 and SUI had a complete urodynamic investigation and underwent SPARC operation. 98 women completed the validated female sexual function index questionnaire (FSFI) at baseline and 94 women at follow-up. A minimum follow-up of 12 months was required for study inclusion.


RESULTS
52/98 women were sexually active at baseline. Postoperatively only 33 patients were sexually active. The FSFI score of all 33 pre- and postoperative sexually active women increased from 25.3 ± 5.7 at baseline to 27.4 ± 4.8 at follow-up (P = 0.1). Scores of women with reduced sexual function at baseline increased significantly in the domains desire, arousal, and lubrication as well as orgasm and satisfaction and total FSFI-score (P = 0.002) postoperatively.


CONCLUSIONS
Our results suggest that the SPARC-sling procedure for SUI did not negatively interfere with female sexual function.
Department of Urology, Medical University of Graz (MUG), Graz, Austria. bader1971@gmx.at
Badereddin Mohamad
BM
Al-Ali
Rany
R
Shamloul
Georg C
GC
Hutterer
Erika
E
Puchwein
Karl
K
Pummer
Alexander
A
Avian
Günter
G
Primus
D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D009948:Orgasm / Q000502:physiology*; D012725:Sexual Behavior / Q000523:psychology; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*