Impact of transobturator vaginal tape on female stress urinary incontinence and sexual function

Objective: To evaluate the effect of vaginal transobturator tape (TOT) on female stress urinary incontinence (SUI) and sexual function. Patients and methods: In all, 145 patients with SUI underwent TOT repair using the âoutsideâinâ technique. All patients had been sexually active in the previous 6 ...

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Autores principales: Tarek Soliman, Hammouda Sherif, Abdallah Fathi, Wael Kandeel, Osama Abdelwahab
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Lenguaje:EN
Publicado: Taylor & Francis Group 2017
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Acceso en línea:https://doaj.org/article/95827f2555fb4d83bd7e32b1bac5b291
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spelling oai:doaj.org-article:95827f2555fb4d83bd7e32b1bac5b2912021-12-02T10:12:19ZImpact of transobturator vaginal tape on female stress urinary incontinence and sexual function2090-598X10.1016/j.aju.2017.07.002https://doaj.org/article/95827f2555fb4d83bd7e32b1bac5b2912017-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300943https://doaj.org/toc/2090-598XObjective: To evaluate the effect of vaginal transobturator tape (TOT) on female stress urinary incontinence (SUI) and sexual function. Patients and methods: In all, 145 patients with SUI underwent TOT repair using the âoutsideâinâ technique. All patients had been sexually active in the previous 6 months. Patients were evaluated by history, routine laboratory investigations, cough stress test, abdominopelvic ultrasonography, and full urodynamic studies. The preoperative data assessed included: age, parity, body mass index, menopausal status, and Stamey grade of SUI. The intraoperative data assessed included: operative time, blood loss, and hospital stay; intra- and postoperative complications were also assessed. At 2 weeks after discharge, patients were followed-up with a routine examination and cough stress test. After 6 monthsâ patients were assessed by urodynamic studies, maximum urinary flow rate, post-void residual urine volume. The following questionnaires were completed before and at 6 months after TOT insertion: International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), Urogenital Distress Inventory-Short Form (UDI-6), and Female Sexual Function Index (FSFI). Results: All sociodemographic data of the 145 patients were collected. According to ICIQ-SF scores, 122 patients were cured, 19 had improved, and four failed. There were significant improvements in the UDI-6 and FSFI scores, indicating that the women had significant improvement in their sexual life. There were six cases of urinary tract infection, five cases had a fever, and eight patients complained of groin or thigh pain postoperatively. Conclusions: Correction of SUI using TOT appears to have a positive effect on female sexual function. Keywords: TOT, Stress urinary incontinence, Female sexual function, FSFI, MenopauseTarek SolimanHammouda SherifAbdallah FathiWael KandeelOsama AbdelwahabTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 4, Pp 380-386 (2017)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the genitourinary system. Urology
RC870-923
spellingShingle Diseases of the genitourinary system. Urology
RC870-923
Tarek Soliman
Hammouda Sherif
Abdallah Fathi
Wael Kandeel
Osama Abdelwahab
Impact of transobturator vaginal tape on female stress urinary incontinence and sexual function
description Objective: To evaluate the effect of vaginal transobturator tape (TOT) on female stress urinary incontinence (SUI) and sexual function. Patients and methods: In all, 145 patients with SUI underwent TOT repair using the âoutsideâinâ technique. All patients had been sexually active in the previous 6 months. Patients were evaluated by history, routine laboratory investigations, cough stress test, abdominopelvic ultrasonography, and full urodynamic studies. The preoperative data assessed included: age, parity, body mass index, menopausal status, and Stamey grade of SUI. The intraoperative data assessed included: operative time, blood loss, and hospital stay; intra- and postoperative complications were also assessed. At 2 weeks after discharge, patients were followed-up with a routine examination and cough stress test. After 6 monthsâ patients were assessed by urodynamic studies, maximum urinary flow rate, post-void residual urine volume. The following questionnaires were completed before and at 6 months after TOT insertion: International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), Urogenital Distress Inventory-Short Form (UDI-6), and Female Sexual Function Index (FSFI). Results: All sociodemographic data of the 145 patients were collected. According to ICIQ-SF scores, 122 patients were cured, 19 had improved, and four failed. There were significant improvements in the UDI-6 and FSFI scores, indicating that the women had significant improvement in their sexual life. There were six cases of urinary tract infection, five cases had a fever, and eight patients complained of groin or thigh pain postoperatively. Conclusions: Correction of SUI using TOT appears to have a positive effect on female sexual function. Keywords: TOT, Stress urinary incontinence, Female sexual function, FSFI, Menopause
format article
author Tarek Soliman
Hammouda Sherif
Abdallah Fathi
Wael Kandeel
Osama Abdelwahab
author_facet Tarek Soliman
Hammouda Sherif
Abdallah Fathi
Wael Kandeel
Osama Abdelwahab
author_sort Tarek Soliman
title Impact of transobturator vaginal tape on female stress urinary incontinence and sexual function
title_short Impact of transobturator vaginal tape on female stress urinary incontinence and sexual function
title_full Impact of transobturator vaginal tape on female stress urinary incontinence and sexual function
title_fullStr Impact of transobturator vaginal tape on female stress urinary incontinence and sexual function
title_full_unstemmed Impact of transobturator vaginal tape on female stress urinary incontinence and sexual function
title_sort impact of transobturator vaginal tape on female stress urinary incontinence and sexual function
publisher Taylor & Francis Group
publishDate 2017
url https://doaj.org/article/95827f2555fb4d83bd7e32b1bac5b291
work_keys_str_mv AT tareksoliman impactoftransobturatorvaginaltapeonfemalestressurinaryincontinenceandsexualfunction
AT hammoudasherif impactoftransobturatorvaginaltapeonfemalestressurinaryincontinenceandsexualfunction
AT abdallahfathi impactoftransobturatorvaginaltapeonfemalestressurinaryincontinenceandsexualfunction
AT waelkandeel impactoftransobturatorvaginaltapeonfemalestressurinaryincontinenceandsexualfunction
AT osamaabdelwahab impactoftransobturatorvaginaltapeonfemalestressurinaryincontinenceandsexualfunction
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