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

Farzad Allameh; Shahrzad Zadeh Modarres; Parham Pooladgar; Sam Alahyari; Melika Alaedini; Malihe Nasiri

doi:10.1007/s13224-021-01485-y

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

J Obstet Gynaecol India. 2021 Dec;71(6):609-614. doi: 10.1007/s13224-021-01485-y. Epub 2021 Jun 17.

Authors

Farzad Allameh¹, Shahrzad Zadeh Modarres², Parham Pooladgar³, Sam Alahyari³, Melika Alaedini³, Malihe Nasiri⁴

Affiliations

¹ Men's Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
² Clinical Research Development Center, Mahdiyeh Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
³ Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
⁴ Department of Biostatics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

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.

Keywords: Mid-urethral sling; Sexual function; Stress urinary incontinence; Trans-obturator tape; Urinary incontinence.