Top

International Urogynecology Journal

Published in:

01-10-2016 | Original Article

Long-term follow-up of sexual function in women before and after tension-free vaginal tape operation for stress urinary incontinence

Authors: Anna Sofie Inger Lindquist, Karin Glavind

Published in: International Urogynecology Journal | Issue 10/2016

Abstract

Introduction

This prospective study investigates sexual function in women after a tension-free vaginal tape (TVT) operation and compares short-term and long-term effects.

Methods

Sixty-three women had a TVT operation performed at Aalborg University Hospital, Department of Gynecology and Obstetrics, between November 2008 and June 2010. Patients completed the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire-12 (PISQ-12) and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) before undergoing surgery, 6 months postoperatively, and at the long-term follow-up (mean 4 years and 9 months).

Results

Forty-four women completed the two questionnaires all three times. Preoperatively, mean PISQ-12 was 33.8 [95% confidence interval (CI) 28.9-38.6] and the ICIQ-UI SF was 15.2 (14.4-16.0). Postoperatively the PISQ-12 increased significantly and the ICIQ-UI-SF decreased significantly, to 36.7 (31.5-41.9) and 2.5 (1.3-3.8), respectively, at the 6-months follow-up and 35.8 (33.6-38.1) and 4.9 (3.4-6.3), respectively, at the long-term follow-up. The greates improvement was in the physical domain of the PISQ-12. Women experienced less negative emotional reactions during intercourse, less coital incontinence, and less fear of being incontinent during intercourse after the TVT operation.

Conclusion

This study shows that a woman’s sex life does not deteriorate after a TVT operation, that their sexual function improves somewhat, and that results are sustained over time.

Naumann G, Steetskamp J, Meyer M, Laterza R, Skala C, Albrich S, Koelbl H (2013) Changes in sexual function and quality of life after single-incision mid-urethral sling for treatment of female stress urinary incontinence. Eur J Obstet Gynecol Reprod Biol 168(2):231–235CrossRefPubMed

Jha S, Ammenbal M, Metwally M (2012) Impact of incontinence surgery on sexual function: a systematic review and metaanalysis. J Sex Med 9:34–43CrossRefPubMed

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

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

De Souza A, Dwyer PL, Rosamilia A, Hiscock R, Lim YN, Murray C, Thomas E, Conway C, Schierlitz L (2012) Sexual function following retropubic TVT and transobturator Monarc sling in women with intrinsicsphincter deficiency: a multicentre prospective study. Int Urogynecol J 23:153–158CrossRefPubMed

Yeni E1, Unal D, Verit A, Kafali H, Ciftci H, Gulum M (2003) The effect of tension-free vaginal tape (TVT) procedure on sexual function in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 14(6):390-4. Epub 2003 Nov 25

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

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 7:81–86CrossRef

Rogers RG, Kammerer-Doak D, Villarreal A, Coates K, Qualls C (2001) A new instrument to measure sexual function in women with urinary incontinence or pelvic organ prolapse. Am J Obstet Gynecol 184:552–558CrossRefPubMed

10.

Rogers RG, Coates KW, Kammerer-Doak D, Khalsa S, Qualls C (2003) A short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Int Urogynecol J Pelvic Floor Dysfunct 14:164–168CrossRefPubMed

11.

Abrams P, Avery K, Gardener N, Donovan J (2006) ICIQ Advisory Board. The International Consultation on Incontinence Modular Questionnaire: www.iciq.net. J Urol 175:1063–1066CrossRefPubMed

12.

Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P (2004) ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 23:322–330CrossRefPubMed

13.

Glavind K, Larsen T, Lindquist ASI (2014) Sexual function in women before and after tension-free vaginal tape operation for stress urinary incontinence. Acta Obstet Gynecol Scand 93:986–990CrossRefPubMed

14.

Mamik MM, Rogers RG, Qualls CR, Morrow JD (2014) The minimum important difference for the Pelvic Organ Prolapse- Urinary Incontinence Sexual Function Questionnaire. Int Urogynecol J 25:1321–1326CrossRefPubMed

15.

Rogers RG, Rockwood TH, Constantine ML, Thakar R, Kammerer-Doak DN, Pauls RN et al (2013) A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR). Int Urogynecol J 24(7):1091–1103CrossRefPubMed

16.

Jha S, Moran P, Greenham H, Ford C (2007) Sexual function following surgery for urodynamic stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 18(8):845–850, Epub 2006 Nov 18CrossRefPubMed

17.

Lemack GE, Zimmern PE (2000) Sexual function after vaginal surgery for stress incontinence: results of a mailed questionnaire. Urology 1;56(2):223–227CrossRef

18.

Kasyan G, Abramyan K, Popov AA, Gvozdev M, Pushkar D (2014) Mesh-related and intraoperative complications of pelvic organ prolapse repair. Cent Eur J Urol 67(3):296–301

19.

Rogers RG, Kammerer-Doak D, Darrow A, Murray K, Qualls C, Olsen A, Barber M (2006) Does sexual function change after surgery for stress urinary incontinence and/or pelvic organ prolapse? A multicenter prospective study. Am J Obstet Gynecol 195(5):e1-4CrossRefPubMed

Title: Long-term follow-up of sexual function in women before and after tension-free vaginal tape operation for stress urinary incontinence
Authors: Anna Sofie Inger Lindquist
Karin Glavind
Publication date: 01-10-2016
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 10/2016
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-016-3004-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Long-term follow-up of sexual function in women before and after tension-free vaginal tape operation for stress urinary incontinence

Abstract

Introduction

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 10/2016

Methods for a multicenter randomized trial for mixed urinary incontinence: rationale and patient-centeredness of the ESTEEM trial

Risk of venous thromboembolism in patients undergoing surgery for pelvic organ prolapse

Comment on “Cauda equina syndrome: an uncommon cause of urinary retention in a young woman”

Obturator nerve injury: a rare complication of retropubic tension-free vaginal sling

Author’s reply to letter from Matthes and Zucca-Matthes on “Quantitative analyses of variability in normal vaginal shape and dimension on MR images”

Intravesical endometriosis mimicking bladder cancer