Abstract
Aim
To assess the impact of transobturator tape (TOT) procedure on female sexual function as well as their male partners.
Materials and methods
Sexually active 28 women and their partners included for the study. Before TOT operation, the patients completed incontinence impact questionnaire (IIQ-7) and urogenital distress inventory (UDI-6) to assess the effect of surgery on incontinence. Also the women and their partners completed a self-administered questionnaire evaluating the female sexual function index (FSFI) and international index of erectile function (IIEF-5), respectively. Three months after TOT surgery, the women were asked to complete IIQ-7 and UDI-6 questionnaires to measure the success of TOT procedure. Also, FSFI and IIEF forms were completed by the women and their partners to assess TOT-related sexual life change.
Results
After TOT procedure, the mean value of IIQ-7 and UDI-6 questionnaires was lower than the mean scores that measured before treatment (p < 0.001). The mean values of FSFI scores before and 3 months after the operation were 23.15 ± 8.21 vs. 30.01 ± 9.13, respectively (p < 0.001). The mean values of IIEF before and 3 months after the operation were 50.14 ± 5.21 vs. 60.96 ± 10.03, respectively (p < 0.001).
Conclusion
According to our results, both women and their partners’ sexual life improved after TOT surgery for incontinence.
Similar content being viewed by others
References
Melville JL, Katon W, Delaney K, Newton K (2005) Urinary incontinence in US women: a populationbased study. Arch Int Med 165:537–542
Salonia A, Zanni G, Nappi RE et al (2004) Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study. Eur Urol 45:642–648
Tennstedt SL, Fitzgerald MP, Nager CW et al (2007) Quality of life in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 18:543–549
Liang CC, Tseng LH, Lo TS, Lin YH, Lin JR, Chang SD (2012) Sexual function following outside-in transobturator midurethral sling procedures: a prospective study. Int Urogynecol J 23:1693–1698
Witek A, Drosdzol-Cop A, Nowosielski K, Solecka A, Mikus K (2012) Long-term impact of surgical repair for stress urinary incontinence on female sexual functions, distress and behaviours. J Clin Nurs 22:1591–1598
Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29(1):75–82
De Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 44(6):724–730
Elzevier HW, Putter H, Delaere KPJ et al (2008) Female sexual function after surgery for stress urinary incontinence: transobturator suburethral tape vs. tension-free vaginal tape obturator. J Sex Med 5:400–406
Berthier A, Sentilhes L, Taibi S, Loisel C, Grise P, Marpeau L (2008) Sexual function in women following the transvaginal tension-free tape procedure for incontinence. Int J Gynecol Obstet 102:105–109
Bekker M, Beck J, Putte H et al (2009) Sexual function improvement following surgery for stress incontinence: the relevance of- coital incontinence. J Sex Med 6:3208–3213
Jha S, Moran P, Greenham H, Ford C (2007) Sexual function following surgery for urodynamic stress incontinence. Int Urogynecol J 18:845–850
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A (2002) Standardisation sub-committee of the International Continence Society. The standardisation of terminology of lower urinary tract function: report from the Standardisation sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178
Pace G, Vicentini C (2008) Female sexual function evaluation of the tension-free vaginal tape (TVT) and transobturator suburethral tape (TOT) incontinence surgery: results of a prospective study. J Sex Med 5:387–393
Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA (1995) Short form to assess life quality and symptom distress for urinary incontinence in women: the incontinence impact questionnaire and the urogenital distress inventory. Continence program for women research group. Neurourol Urodyn 14:131–139
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R Jr (2000) The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 26(2):191–208
Rosen R, Riley A, Wagner G, Osteroh I, Kirkpatrick J, Mishra A (1997) The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 49:822–830
Sentilhes L, Berthier A, Caremel R, Loisel C, Marpeau L, Grise P (2008) Sexual function after transobturator tape procedure for stress urinary incontinence. Urology 71:1074–1079
Lemack GE, Zimmern PE (2000) Sexual function after vaginal surgery for stress incontinence: results of a mailed questionnaire. Urology 56:223–227
Sentilhes L, Berthier A, Loisel C, Descamps P, Marpeau L, Grise P (2009) Female sexual function following surgery for stress urinary incontinence: tension-free vaginal versus transobturator tape procedure. Int Urogynecol J 20:393–399
Caruso S, Rugolo S, Bandiera S, Mirabella D, Cavallaro A, Cianci A (2007) Clitoral blood flow changes after surgery for stress urinary incontinence: pilot study on TVT versus TOT procedures. Urology 70:554–557
Battaglia C, Nappi RE, Mancini F, Alvisi S, Del Forno S, Battaglia B, Venturoli S (2010) 3D volumetric and vascular analysis of the urethrovaginal space in young women with or without vaginal orgasm. J Sex Med 7:1445–1453
Serati M, Salvatore S, Uccella S, Zanirato M, Cattoni E, Nappi RE, Bolis P (2009) The impact of the mid-urethral slings for the treatment of stress urinary incontinence on female sexuality. J Sex Med 6:1534–1542
Yang SH, Yang JM, Wang KH, Huang WC (2008) Biologic correlates of sexual function in women with stress urinary incontinence. J Sex Med 5:2871–2879
Basson R, Wierman ME, van Lankveld J, Brotto L (2010) Summary of the recommendations on sexual dysfunctions in women. J Sex Med 7:314–326
Jang HC, Jeon JH, Kim DY (2010) Changes in sexual function after the midurethral sling procedure for stress urinary incontinence: longterm follow-up. Int Neurourol J 14:170–176
Cholhan HJ, Hutchings TB, Rooney KE (2010) Dyspareunia associated with paraurethral banding in the transobturator sling. Am J Obstet Gynecol 202(5):481.e1–481.e5
Elzevier HW, Bekker MD (2010) Dyspareunia associated with paraurethral banding in the transobturator sling. Am J Obstet Gynecol 203(6):e10–e11
Latthe P, Singh P, Foon R et al (2010) Two routes of transobturator tape procedures in stress urinary incontinence: a meta-analysis with direct and indirect comparison of randomized trials. BJU Int 106:68–76
Conflict of interest
All authors have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Narin, R., Attar, R., Narin, M.A. et al. Impact of transobturator tape procedure on female and their partner sexual function: it improves sexual function of couples. Arch Gynecol Obstet 290, 913–917 (2014). https://doi.org/10.1007/s00404-014-3259-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-014-3259-8