title: Female sexual function after transobturator tape in women with urodynamic stress urinary incontinence.
abstract: We evaluate quality of life and sexual function before and after transobturator tape procedure (TOT) using the International Consultation on Incontinence Questionnaire (ICIQ -SF) and Female Sexual Function Index (FSFI). Between 2008 and 2013, 92 patients with stress urinary incontinence (SUI) underwent TOT procedure. A total of 81 patients were sexual active and enrolled in the study. All patients completed the Turkish translation ICIQ -SF and FSFI forms before and 1, 3, 6, 12 months after surgery. To evaluate the impact of incontinence and TOT success on sexual function, we compared patients that were dry after surgery and patients still incontinent and/or facing complication. All 81 patients completed the study protocol. The total FSFI score was 21.3 ± 7.9 and statistically significant when compare with preoperative total FSFI score (16.2 ± 7.9). The mean postoperative ICIQ -SF score (2 ± 2.9) was also significantly lower than the mean preoperative ICIQ -SF score (17.3 ± 1.8). Complications were encountered in 13 patients, including vaginal erosion (4 patients), de novo urge incontinence (4 patients), vesico-vaginal fistula (1 case), cysto-rectocele (1 case) and high postoperative residue requiring mesh excision (3 patients). Continent (n = 68) patients had a significantly better postoperative total FSFI and ICIQ -SF score against patients who had urine loss. Our study found a significant improvement of FSFI score and ICIQ -SF score after TOT operation in women with SUI. Additionally, urine loss due to complications was related with worsened FSFI score and ICIQ score compare with healthy patient's scores.
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Abdulmuttalip
authors.initials: A
authors.lastname: Simsek
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Faruk
authors.initials: F
authors.lastname: Ozgor
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul University, School of Medicine, Istanbul, Turkey.
authors.forename: Bahar
authors.initials: B
authors.lastname: Yuksel
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Onur
authors.initials: O
authors.lastname: Kucuktopcu
authors.affiliation: Department of Urology, Sisli Etfal Research and Training Hospital, Istanbul, Turkey.
authors.forename: Sinan Levent
authors.initials: SL
authors.lastname: Kirecci
authors.affiliation: Department of Anesthesiology and Reanimation, Haseki Research and Training Hospital, Istanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Toptas
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Omer
authors.initials: O
authors.lastname: Sarılar
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Ahmet Yalcin
authors.initials: AY
authors.lastname: Berberoglu
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Zafer Gokhan
authors.initials: ZG
authors.lastname: Gurbuz
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Saban
authors.initials: S
authors.lastname: Mimaroglu
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Akbulut
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Baykal
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Burak
authors.initials: B
authors.lastname: Arslan
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Savun
authors.affiliation: Department of Urology, Haseki Research and Training Hospital, Millet Cad. No: 11, Fatih, Istanbul 34098 Turkey.
authors.forename: Burak
authors.initials: B
authors.lastname: Ucpinar
keywords: FSFI; Sexual function; Stress urinary incontinence; TOT