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International Urogynecology Journal
Published in: International Urogynecology Journal 2/2012

01-02-2012 | Original Article

Sexual function following retropubic TVT and transobturator Monarc sling in women with intrinsic sphincter deficiency: a multicentre prospective study

Authors: Alison De Souza, Peter L. Dwyer, Anna Rosamilia, Richard Hiscock, Yik N. Lim, Christine Murray, Elizabeth Thomas, Christine Conway, Lore Schierlitz

Published in: International Urogynecology Journal | Issue 2/2012

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Abstract

Introduction and hypothesis

A prospective study comparing the effect of the tension-free vaginal tape (TVT) to the Monarc sling on sexual function in women with urodynamic stress incontinence (USI) and intrinsic sphincter deficiency (ISD) is presented.

Methods

Eighty-seven sexually active women with USI and ISD were enrolled. Sexual function was assessed pre-operatively and at 6 and 12 months post-operatively by history, PISQ-12, UDI-6 and IIQ-7 questionnaires.

Results

A significant increase was detected in PISQ-12 score following both TVT and Monarc insertion. This score was greater in the TVT group at 6 months but not at 12 months when compared to the Monarc group. A significant decrease in UDI-6 and IIQ-7 score was detected. Specifically, coital incontinence and fear of leakage were reduced in both groups, and no change in dyspareunia or orgasm intensity was found.

Conclusions

Sexual function improves 6 months after TVT or Monarc sling, and this benefit is maintained at 12 months.
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Metadata
Title
Sexual function following retropubic TVT and transobturator Monarc sling in women with intrinsic sphincter deficiency: a multicentre prospective study
Authors
Alison De Souza
Peter L. Dwyer
Anna Rosamilia
Richard Hiscock
Yik N. Lim
Christine Murray
Elizabeth Thomas
Christine Conway
Lore Schierlitz
Publication date
01-02-2012
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 2/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1461-9

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