Sexual activity and function in women more than 2 years after midurethral sling placement

作者：Zyczynski Halina M^*; Rickey Leslie; Dyer Keisha Y; Wilson Tracey; Stoddard Anne M; Gormley E Ann; Hsu Yvonne; Kusek John W; Brubaker Linda

来源：American Journal of Obstetrics and Gynecology, 2012, 207(5): 421.e1.

DOI：10.1016/j.ajog.2012.06.053

• mesh
• midurethral sling
• sexual function
• surgery
• urinary incontinence

OBJECTIVE: The purpose of this study was to assess prospectively the effects of midurethral sling surgery on sexual function and activity. %26lt;br%26gt;STUDY DESIGN: Sexual activity and function was assessed in 597 women with stress urinary incontinence who were enrolled in a randomized equivalence trial of retropubic compared with transobturator midurethral slings. Repeated measures analysis of variance was used to assess changes in Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire scores over a 2-year period. %26lt;br%26gt;RESULTS: Significant, similar improvements in sexual function were seen in both midurethral sling groups. Mean Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire scores increased from 32.8 at baseline to 37.6 at 6 months and 37.3 at 24 months (P %26lt; .0001). Dyspareunia, incontinence during sex, and fear of incontinence during sex each significantly improved after surgery. Preoperative urge incontinence was associated with abstinence after surgery (P = .02); postoperative urge incontinence negatively impacted sexual P = .047). %26lt;br%26gt;CONCLUSION: Midurethral sling surgery for stress urinary incontinence significantly improves sexual function, although coexistent urge incontinence has a negative impact.

• 出版日期2012-11