Sexual function in women before and after tension-free vaginal tape operation for stress urinary incontinence

作者：Glavind Karin^*; Larsen Thomas; Lindquist Anna S I

来源：Acta Obstetricia et Gynecologica Scandinavica, 2014, 93(10): 986-990.

DOI：10.1111/aogs.12475

• TVT operation
• sexual function
• urinary incontinence
• prospective study
• coital incontinence

ObjectiveTo evaluate sexual function in women before and after tension-free vaginal tape operation for stress urinary incontinence. %26lt;br%26gt;DesignProspective study. %26lt;br%26gt;SettingAalborg University Hospital, Department of Gynecology and Obstetrics between November 2008 and June 2010. %26lt;br%26gt;PopulationSixty-three women who had a tension-free vaginal tape operation performed. %26lt;br%26gt;MethodsPatients 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 and 6months postoperatively. %26lt;br%26gt;Main outcome measuresDifferences in PISQ-12 measures 6months after the tension-free vaginal tape operation. %26lt;br%26gt;ResultsTwelve women were excluded because of non-completed questionnaires. Preoperatively the PISQ-12 score was 33.7 and postoperatively 36.7, giving a significant difference of 3.0 (p%26lt;0.05). Forty women (78%) scored higher postoperatively, five (10%) scored the same and six (12%) reported lower scores postoperatively. Only PISQ-12 questions in the physical domain were significantly improved. These values were elevated close to the maximum score. Preoperatively 18 women (35%) experienced coital incontinence always, often or sometimes. Postoperatively this was only the case in two women. %26lt;br%26gt;ConclusionMost women experience an improvement in sexual life after a tension-free vaginal tape procedure mainly because of absence of incontinence during sexual activity or absence of fear of incontinence during sexual activity.

• 出版日期2014-10