İstanbul Medical Journal (Jun 2018)
Evaluation of the Effect of Transobturator Tape Operation Used in Urinary Incontinence Therapy on Sexual Function
Abstract
Introduction: To investigate the effect of surgery on sexual function in the preoperative and postoperative period in patients with stress urinary incontinence, who are planned for the transobturator tape (TOT) operation alone.Methods: The study was prospectively planned. Overall, 33 patients with urinary incontinence, who were diagnosed with stress/mixt urinary incontinence and planned to undergo TOT operation at the Istanbul Education Research Hospital Obstetrics and Gynecology Department and Urology Clinic between January 1, 2010 and January 1, 2015, were enrolled in the study. FSFI scoring was performed before the operation and at least 1 month after the first sexual activity following the operation.Results: The mean age of the patients was 48.9±6 years. The incidence of sexual dysfunction before and after the operation was 42.4% (n=14). There was no statistically significant difference in the total FSFI score, desire, arousal, orgasm, sexual success, and pain scores between the preoperative and postoperative periods in patients. A statistically significant decrease was found only in the lubrication subscale.Conclusion: No statistically significant sexual dysfunction was found in women after the TOT operation except for decreased lubrication.
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