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Sexual Function Before and After Mid-Urethral Sling Procedure for Stress Urinary Incontinence

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Abstract

Purpose

We aimed to assess the effect of TOT procedure on sexual function and quality of life in sexually active patients.

Materials and Methods

Forty-one patients with SUI aged 18–70 years participated in this study during 2015–2019. Sexual function was evaluated by Female Sexual Function Index (FSFI), Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory Questionnaire (UDI-6) prior to TOT surgery and six months after surgery.

Results

The mean IIQ-7 and UDI-6 scores were significant lower after surgery (P < 0.001). The mean FSFI score was 22.69 ± 5.48 prior to surgery and 29.79 ± 4.12 in the sixth month after surgery (P < 0.001). We found significant changes in all FSFI domains except for pain. Two patients complained of new dyspareunia after surgery. There was also a direct significant correlation between education and sexual function improvement in terms of desire (P = 0.031).

Conclusion

TOT can significantly enhance sexual function with low rate of complications in patients with SUI.

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Acknowledgements

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Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Men’s Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Farzad Allameh (MD-MPH)

  2. Clinical Research Development Center, Mahdiyeh Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Shahrzad Zadeh Modarres (MD)

  3. Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Parham Pooladgar (MD), Sam Alahyari (MD) & Melika Alaedini (MD)

  4. Department of Biostatics, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Malihe Nasiri

Authors
  1. Farzad Allameh
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  2. Shahrzad Zadeh Modarres
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  4. Sam Alahyari
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  5. Melika Alaedini
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by SA, MA and PP. The first draft of the manuscript was written by SA and PP, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Sam Alahyari.

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Conflict of interest

The authors declare that they have no conflict of interest.

Research Involving Human Participants and/or Animals

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Shahid Beheshti University of Medical Sciences (IR.SBMU.RETECH.REC.1399.246).

Informed Consent

The research process was completely explained to the patients, and informed consent was obtained.

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Farzad Allameh is a MD-MPH, Men’s Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Shahrzad Zadeh Modarres is an MD, Clinical Research Development Center, Mahdiyeh Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Parham Pooladgar is an MD, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Sam Alahyari is an MD, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Melika Alaedini is an MD, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Malihe Nasiri is Department of Biostatics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

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Allameh, F., Zadeh Modarres, S., Pooladgar, P. et al. Sexual Function Before and After Mid-Urethral Sling Procedure for Stress Urinary Incontinence. J Obstet Gynecol India 71, 609–614 (2021). https://doi.org/10.1007/s13224-021-01485-y

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  • DOI: https://doi.org/10.1007/s13224-021-01485-y

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