Abstract
One of the rarely cited complications of the use of alloplastic materials in pelvic floor surgery is dyspareunia of the partner caused by prominence or vaginal exposure of the sling material. Even though this entity is real and an important problem, it is rarely reported in literature. We report six cases of partner dyspareunia, in which there were two incidences of partner penile injury, occurring as a complication of synthetic midurethral sling surgery. There were three tension-free vaginal tapes, two transobturator tapes and one anterior intravaginal sling in the series. Time interval between tape insertion and the presentation of complications ranged from 3 to 48 months. Vaginal exposure was seen in five of the six cases and in one patient prominence of sling material without exposure was noted. Recognizing partner dyspareunia as an important complication of the vaginal use of alloplastic prosthesis is not only important in preoperative counseling of patients but also to avoid legal implications.
References
Novara G, Artibani W, Barber MD et al (2010) Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol 58(2):218–238
Marszalek M, Roehlich M, Racz U et al (2007) Sexual function after tension-free vaginal tape procedure. Urol Int 78(2):126–129
Roth TM (2009) An unexpected cause of dyspareunia and partner dyspareunia following TVT-Secur. Int Urogynecol J Pelvic Floor Dysfunct 20(11):1391–1392
Kuschel S, Schuessler B (2008) Results on function and safety of the Safyre-t, a hybrid transobturator vaginal sling for the treatment of stress urinary incontinence. Neurourol Urodyn 27(5):403–406
Deng DY, Rutman M, Raz S, Rodriguez LV (2007) Presentation and management of major complications of midurethral slings: are complications under-reported? Neurourol Urodyn 26(1):46–52
Brubaker L (2006) Editorial: partner dyspareunia (hispareunia). Int Urogynecol J Pelvic Floor Dysfunct 17(4):311
Acknowledgment
This project was made possible through IUGA fellowship award funding 2010 to Dr. Kiran Ashok.
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Petri, E., Ashok, K. Partner dyspareunia—a report of six cases. Int Urogynecol J 23, 127–129 (2012). https://doi.org/10.1007/s00192-011-1498-9
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DOI: https://doi.org/10.1007/s00192-011-1498-9