Top

Published in:

01-12-2003 | Original Article

The effect of tension-free vaginal tape (TVT) procedure on sexual function in women with stress urinary incontinence

Authors: Ercan Yeni, Doğan Unal, Ayhan Verit, Hasan Kafali, Halil Ciftci, Mehmet Gulum

Published in: International Urogynecology Journal | Issue 6/2003

Abstract

The aim of this study was to evaluate the effects of tension-free vaginal tape (TVT) on sexual function in women with stress urinary incontinence (SUI) by questionnaire. Thirty-two sexually active and married women who were planned for TVT to treat SUI constituted the patient group, and 25 women who were healthy, sexually active and married, were selected as the control group; the ages of both groups matched. Sexual functions (desire, arousal, orgasm, pain and satisfaction) were evaluated with the Index of Female Sexual Function (IFSF), and continence status during sexual intercourse was asked about both preoperatively and postoperatively in the 6th month. The mean domain scores of sexual functions such as desire, arousal, orgasm, pain and overall satisfaction preoperatively and postoperatively were 3.37±0.69, 3.82±0.62, 3.40±0.95, 3.41±0.98, 3.16±1.09 and 3.32±0.79, 3.71±0.53, 3.06±1.04, 2.75±1.29, 2.88±0.63, respectively, and postoperative scores insignificantly decreased. Also, these scores in the control group were 3.64±0.66, 3.96±0.73, 4.12±0.78, 3.96±1.14 and 3.68±0.92. In comparison with the control group, whereas all of the preoperative domain scores were found to be decreased but were statistically insignificant except orgasmic function, postoperative scores significantly worsened, except for desire and arousal. However, preoperatively nine patients explained that they had incontinence during sexual intercourse, and this problem persisted in twopostoperatively (p = 0.043). This study shows that both SUI and the TVT procedure negatively affect sexual function in women.

Basson R, Berman J, Burnett A et al. (2000) Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 163:888–893PubMed

Laumann E, Paik A, Rosen R (1999) Sexual dysfunction in the United States: prevalence and predictors. JAMA 281:537–544PubMed

Berman JR, Bassuk J (2002) Physiology and pathophysiology of female sexual function and dysfunction. World J Urol 20:111–118CrossRefPubMed

Walters MD (1993) Epidemiology and social impact of urinary incontinence. In: Walters MD, Karram MM (eds) Clinical urogynecology.Mosby-Year Book, Missouri, pp. 3:29–39

Shaw C (2002) A systematic review of the literature on the prevalence of sexual impairment in women with urinary incontinence and the prevalence of urinary leakage during sexual activity. Eur Urol 42:432–440CrossRefPubMed

Rogers GR, Villarreal A, Kammerer-Doak D, Qualls C (2001) Sexual function in women with and without urinary incontinence and/or pelvic organ prolapse. Int Urogynecol J 12:361–365CrossRef

Haase P, Skibsted L (1988) Influence of operations for stress incontinence and/or genital descensus on sexual life. Acta Obstet Gynecol Scand 67:659–662PubMed

Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 7:81–85

Soulie M, Cuvillier X, Benaissa A et al. (2001) The tension-free transvaginal tape procedure in the treatment of female urinary stress incontinence: a French prospective multicentre study. Eur Urol 39:709–714CrossRefPubMed

10.

Lalos O, Berglund AL, Lalos A (2001) Impact of urinary and climacteric symptoms on social and sexual life after surgical treatment of stress urinary incontinence in women: a long-term outcome. J Adv Nurs 33:316–327CrossRefPubMed

11.

Roe B, May C (1999) Incontinence and sexuality: Findings from a qualitative perspective. J Adv Nurs 30:573–579CrossRefPubMed

12.

Black NA, Bowling A, Griffiths JM et al. (1998) Impact of surgery for stress incontinence on the social lives of women. Br J Obstet Gynaecol 105:605–612PubMed

13.

Iosif CS (1988) Sexual function after colpo-urethrocystopexy in middle-aged women. Urol Int 43:231–233PubMed

14.

Berglund AL, Fugl-Meyer KS (1996) Some sexological characteristics of stress incontinent women. Scand J Urol Nephrol 30:207–212PubMed

15.

Maaita M, Bhaumik J, Davies AE (2002) Sexual function after using tension-free vaginal tape for the surgical treatment of genuine stress incontinence. BJU Int 90:540–543CrossRefPubMed

16.

Kaplan SA, Reis RB, Kohn IJ et al. (1999) Safety and efficacy of sildenafil in postmenopausal women with sexual dysfunction. Urology 53:481–486PubMed

17.

Baden WF, Walker T (1992) Fundamentals, symptoms, and classification. In: Baden WF, Walker T (eds) Surgical repair of vaginal defects. JB Lippincott, Philadelphia, pp 9–23

18.

Goldstein I, Berman JR (1998) Vasculogenic female sexual dysfunction: vaginal engorgement and clitoral erectile insufficiency syndromes. Int J Impot Res 10:84–90

19.

Sommer F, Caspers HP, Esders K, Klotz T, Engelmann U (2001) Measurement of vaginal and minor labial oxygen tension for the evaluation of female sexual function. J Urol 165:1181–1184PubMed

20.

Jones le RA (2002) The use of validated questionnaires to assess female sexual dysfunction. World J Urol 20:89–92CrossRefPubMed

21.

Rosen RC (2002) Assessment of female sexual dysfunction: review of validated methods. Fertil Steril 77:89–93CrossRef

22.

Erol B, Tefekli A, Ozbey I et al. (2002) Sexual dysfunction in type II diabetic females: a comparative study. J Sex Marital Ther 28:55–62CrossRefPubMed

23.

Meston CM, Frohlich PF (2001) Update on female sexual function. Curr Opin Urol 11:603–609CrossRefPubMed

24.

Berman LA, Berman JR, Chhabra S, Goldstein I (2001) Novel approaches to female sexual dysfunction. Expert Opin Investig Drugs 10:85–95PubMed

25.

Gungor T, Ekin M, Dogan M, Mungan T, Ozcan U, Gokmen O (1997) Influence of anterior colporrhaphy with colpoperineoplasty operations for stress incontinence and/or genital descent on sexual life. J Pak Med Assoc 47:248–250PubMed

26.

Amarenco G, Le Cocquen A, Bosc S (1996) Stress urinary incontinence and genito-sexual conditions. Study of 35 cases. Prog Urol 6:913–919PubMed

27.

Barber MD, Visco AG, Wyman JF, Fantl JA, Bump RC (2002) Continence Program for Women Research Group. Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstet Gynecol 99:281–289CrossRefPubMed

28.

Sharp HT, Doucette RC, Norton PA (2000) Dyspareunia and recurrent stress urinary incontinence after laparoscopic colposuspension with mesh and staples. A case report. J Reprod Med 45:947–949PubMed

29.

Lemack GE, Zimmern PE. Sexual function after vaginal surgery for stress incontinence: results of a mailed questionnaire. Urology 56:223–227

30.

Barrington JW, Arunkalaivanan AS, Swart M (2002) Post-colposuspension syndrome following a tension-free vaginal tape procedure. Int Urogynecol J 13:187–188

31.

Vierhout ME, Gianotten WL (1993) Mechanisms of urine loss during sexual activity. Eur J Obstet Gynecol Reprod Biol 52:45–47PubMed

Title: The effect of tension-free vaginal tape (TVT) procedure on sexual function in women with stress urinary incontinence
Authors: Ercan Yeni
Doğan Unal
Ayhan Verit
Hasan Kafali
Halil Ciftci
Mehmet Gulum
Publication date: 01-12-2003
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2003
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-003-1100-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The effect of tension-free vaginal tape (TVT) procedure on sexual function in women with stress urinary incontinence

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2003

The use and misuse of prosthetic materials in reconstructive pelvic surgery: does the evidence support our surgical practice?

Vaginal wind – a new pelvic symptom

Effect of a new guideline on outcome following third-degree perineal tears: results of a 3-year audit

Transurethral delivery of radiofrequency energy for tissue micro-remodeling in the treatment of stress urinary incontinence

The impact of hysterectomy on lower urinary tract symptoms

How does tension-free vaginal tape correct stress incontinence? Investigation by perineal ultrasound