Obstet Gynecol Sci.  2019 Mar;62(2):120-126. 10.5468/ogs.2019.62.2.120.

Assessment of the effect of transobturator tape surgery on women's sexual function using a validated questionnaire

• Joo E
• Kang MH
• Yoo EH
• Kim D

• KMID: 2471684
• DOI: http://doi.org/10.5468/ogs.2019.62.2.120

Abstract

OBJECTIVE
Women with pelvic floor disorders and urinary incontinence (UI) are at an increased risk of sexual dysfunction. The purpose of this study was to investigate the effect of surgery for UI on sexual function.
METHODS
We retrospectively reviewed the charts of 82 women who underwent mid-urethral transobturator tape (TOT) surgery between March 2010 and December 2014. The Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12 (PISQ-12) were administered pre- and postoperatively.
RESULTS
We observed a significant increase in the total postoperative PISQ-12 scores compared to the preoperative scores (from 27.1±7.3 to 30.5±6.8, P < 0.001). Improved sexual function was confirmed in the physical (13.3±4.5 vs. 15.8±3.5, P < 0.001) and partner-related domains (6.7±2.6 vs. 7.4±2.4, P=0.001). Coital incontinence and preoperative urinary distress inventory score were significant factors influencing postoperative sexual function in women undergoing TOT surgery for UI after adjusting for age, body mass index, menopause, and preoperative PISQ-12 score in multivariate regression analysis.
CONCLUSION
TOT surgery for UI correction resulted in significant improvement in sexual function.

Keyword

Physiological sexual dysfunction; Urinary incontinence; Suburethral slings

MeSH Terms

Body Mass Index
Female
Humans
Menopause
Pelvic Floor
Pelvic Floor Disorders
Retrospective Studies
Sexual Dysfunction, Physiological
Suburethral Slings*
Urinary Incontinence

Figure

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  Fig. 1 Plot of paired profiles for pre- and postoperative Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12 scores. PISQ-12, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12.

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  Fig. 2 Linear relationship between the pre- and postoperative Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12 scores. DF, degrees of freedom; MSE, mean squared error.

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