title: Sexual function in women before and after tension-free vaginal tape operation for stress urinary incontinence.
abstract: OBJECTIVE
  To evaluate sexual function in women before and after tension-free vaginal tape operation for stress urinary incontinence.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Aalborg University Hospital, Department of Gynecology and Obstetrics between November 2008 and June 2010.
  
  
  METHODS
  Sixty-three women who had a tension-free vaginal tape operation performed.
  
  
  METHODS
  Patients completed the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire-12 (PISQ-12) and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) before undergoing surgery and 6 months postoperatively.
  
  
  METHODS
  Differences in PISQ-12 measures 6 months after the tension-free vaginal tape operation.
  
  
  RESULTS
  Twelve women were excluded because of non-completed questionnaires. Preoperatively the PISQ-12 score was 33.7 and postoperatively 36.7, giving a significant difference of 3.0 (p < 0.05). Forty women (78%) scored higher postoperatively, five (10%) scored the same and six (12%) reported lower scores postoperatively. Only PISQ-12 questions in the physical domain were significantly improved. These values were elevated close to the maximum score. Preoperatively 18 women (35%) experienced coital incontinence always, often or sometimes. Postoperatively this was only the case in two women.
  
  
  CONCLUSIONS
  Most women experience an improvement in sexual life after a tension-free vaginal tape procedure mainly because of absence of incontinence during sexual activity or absence of fear of incontinence during sexual activity.
authors.affiliation: Department of Gynecology and Obstetrics, Aalborg University Hospital, Aalborg, Denmark.
authors.forename: Karin
authors.initials: K
authors.lastname: Glavind
authors.forename: Thomas
authors.initials: T
authors.lastname: Larsen
authors.forename: Anna S I
authors.initials: AS
authors.lastname: Lindquist
mesh_terms: D003075:Coitus / Q000523:psychology; D003718:Denmark / Q000453:epidemiology; D005239:Fear / Q000502:physiology; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011184:Postoperative Period; D011446:Prospective Studies; D011788:Quality of Life; D012107:Research Design; D012725:Sexual Behavior / Q000502:physiology / Q000523:psychology; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology / Q000601:surgery
keywords: TVT operation; coital incontinence; prospective study; sexual function; urinary incontinence