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

被引:27
作者
De Souza, Alison [1 ]
Dwyer, Peter L. [1 ]
Rosamilia, Anna [2 ]
Hiscock, Richard [1 ]
Lim, Yik N. [1 ]
Murray, Christine [1 ]
Thomas, Elizabeth [1 ]
Conway, Christine [1 ]
Schierlitz, Lore [1 ]
机构
[1] Univ Melbourne, Mercy Hosp Women, Dept Urogynaecol, Melbourne, Vic 3084, Australia
[2] Monash Univ, Monash Med Ctr, Dept Urogynaecol, Melbourne, Vic 3004, Australia
关键词
Sexual function; Incontinence; Coital incontinence; Intrinsic sphincter deficiency; TVT; Monarc; FREE VAGINAL TAPE; STRESS URINARY-INCONTINENCE; QUALITY-OF-LIFE; SURGERY; IMPACT; DYSFUNCTION;
D O I
10.1007/s00192-011-1461-9
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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.
引用
收藏
页码:153 / 158
页数:6
相关论文
共 25 条
[1]   Anatomical study of the obturator foramen and dorsal nerve of the clitoris and their relationship to minimally invasive slings [J].
Achtari, Chahin ;
Mckenzie, Bayden J. ;
Hiscock, Richard ;
Rosamilia, Anna ;
Schierlitz, Lore ;
Briggs, Chris A. ;
Dwyer, Peter L. .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2006, 17 (04) :330-334
[2]   Sexual function in women with urinary incontinence and pelvic organ prolapse [J].
Barber, MD ;
Visco, AG ;
Wyman, JF ;
Fantl, JA ;
Bump, RG .
OBSTETRICS AND GYNECOLOGY, 2002, 99 (02) :281-289
[3]   Impact of surgery for stress incontinence on the social lives of women [J].
Black, NA ;
Bowling, A ;
Griffiths, JM ;
Pope, C ;
Abel, PD .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1998, 105 (06) :605-612
[4]   Urge incontinence: New health-related quality of life measures [J].
Brown, JS ;
Posner, SF ;
Stewart, AL .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1999, 47 (08) :980-988
[5]   Coital urinary incontinence: impact on quality of life as measured by the King's Health Questionnaire [J].
Espuna Pons, Montserrat ;
Puig Clota, Montserrat .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2008, 19 (05) :621-625
[6]   Impact of tension-free vaginal tape on sexual function: results of a prospective study [J].
Ghezzi, F ;
Serati, M ;
Cromi, A ;
Uccella, S ;
Triacca, P ;
Bolis, P .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2006, 17 (01) :54-59
[7]   Sexual function in women before and after suburethral sling operation for stress urinary incontinence: a retrospective questionnaire study [J].
Glavind, K ;
Tetsche, MS .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2004, 83 (10) :965-968
[8]  
Griffiths D, 2005, INCONTINENCE, VOLS 1 AND 2, P585
[9]   Sexual function following surgery for urodynamic stress incontinence [J].
Jha, Swati ;
Moran, Paul ;
Greenham, Helen ;
Ford, Caroline .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2007, 18 (08) :845-850
[10]  
Korda A, 1989, Asia Oceania J Obstet Gynaecol, V15, P313