Aslan E, et al. – Sexual functions of women having stress urinary incontinence (SUI) preoperatively and 6 months and 12 months after undergoing a transobturator tape (TOT) ± pelvic organ prolapse (POP) surgery was assessed in this study. It was concluded that the TOT was related to decrease in coital incontinence and significant improvement in desire. In addition, a significant improvement was seen in FSFI desire and total scores in the TOT–only group, whereas no significant difference was seen in the TOT + concomitant surgery group except for the worsening of lubrication.

Methods

• For this research, they designed a prospective study.
• In this study, 195 women with SUI ± POP were selected and 150 sexually active women who had clinical ± urodynamic SUI and underwent TOT ± POP surgery were incorporated.
• Urogynecologic symptoms were assessed preoperatively, at 6 months, and 12 months by Female Sexual Function Index (FSFI).

Results

• They observed total 150 women completed the study.
• 74 underwent TOT–only and 76 underwent TOT + concomitant surgery.
• Mean total scores of FSFI were 21.7 ± 7.8, 22 ± 8.7, and 22.1 ± 8 in the preoperative period, postoperative 6, and 12 months, respectively.
• There was significant improvement in desire and total scores in the TOT–only group, whereas there was no major difference in the TOT + concomitant surgery group except for significant worsening in the lubrication domain.
• The frequency of sexual intercourse increased while that of coital incontinence reduced after surgery.