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Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence

Stress urinary incontinence (SUI) negatively influences sexual functions. However, the available data on sexual activity of patients who underwent midurethral sling (MUS) implantation are inconsistent. Our aim was to evaluate the impact of MUS implantation on sexual functions of women with SUI. We e...

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Autores principales: Horosz, Edyta, Zwierzchowska, Aneta, Pomian, Andrzej, Majkusiak, Wojciech, Tomasik, Paweł, Barcz, Ewa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290326/
https://www.ncbi.nlm.nih.gov/pubmed/32443682
http://dx.doi.org/10.3390/jcm9051538
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author Horosz, Edyta
Zwierzchowska, Aneta
Pomian, Andrzej
Majkusiak, Wojciech
Tomasik, Paweł
Barcz, Ewa
author_facet Horosz, Edyta
Zwierzchowska, Aneta
Pomian, Andrzej
Majkusiak, Wojciech
Tomasik, Paweł
Barcz, Ewa
author_sort Horosz, Edyta
collection PubMed
description Stress urinary incontinence (SUI) negatively influences sexual functions. However, the available data on sexual activity of patients who underwent midurethral sling (MUS) implantation are inconsistent. Our aim was to evaluate the impact of MUS implantation on sexual functions of women with SUI. We enrolled 171 patients undergoing the MUS procedure. Preoperative examination included the cough test, 1 h pad test and the Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA Revised (PISQ-IR). All patients had the retropubic sling implanted. Follow-up visits were performed 6–12 months after surgery. Objective cure rate was obtained in 90.98% of patients. Coital incontinence was reported by 56% of women before the surgery, and 8.6% afterwards. Among women who gained continence, significant improvement in sexual function was observed in the majority of the domains. In women who were not objectively cured (9.02%), we did not observe improvement in sexual life. All these patients indicated fear of leaking urine during sexual activity as the main cause of avoiding sex, similarly as before operation. To conclude, successful treatment of SUI with MUS significantly improves the quality of sexual life. On the other hand, persistent incontinence appears to be the most probable cause of lack of improvement in the quality of sexual life.
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spelling pubmed-72903262020-06-15 Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence Horosz, Edyta Zwierzchowska, Aneta Pomian, Andrzej Majkusiak, Wojciech Tomasik, Paweł Barcz, Ewa J Clin Med Article Stress urinary incontinence (SUI) negatively influences sexual functions. However, the available data on sexual activity of patients who underwent midurethral sling (MUS) implantation are inconsistent. Our aim was to evaluate the impact of MUS implantation on sexual functions of women with SUI. We enrolled 171 patients undergoing the MUS procedure. Preoperative examination included the cough test, 1 h pad test and the Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA Revised (PISQ-IR). All patients had the retropubic sling implanted. Follow-up visits were performed 6–12 months after surgery. Objective cure rate was obtained in 90.98% of patients. Coital incontinence was reported by 56% of women before the surgery, and 8.6% afterwards. Among women who gained continence, significant improvement in sexual function was observed in the majority of the domains. In women who were not objectively cured (9.02%), we did not observe improvement in sexual life. All these patients indicated fear of leaking urine during sexual activity as the main cause of avoiding sex, similarly as before operation. To conclude, successful treatment of SUI with MUS significantly improves the quality of sexual life. On the other hand, persistent incontinence appears to be the most probable cause of lack of improvement in the quality of sexual life. MDPI 2020-05-20 /pmc/articles/PMC7290326/ /pubmed/32443682 http://dx.doi.org/10.3390/jcm9051538 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Horosz, Edyta
Zwierzchowska, Aneta
Pomian, Andrzej
Majkusiak, Wojciech
Tomasik, Paweł
Barcz, Ewa
Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence
title Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence
title_full Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence
title_fullStr Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence
title_full_unstemmed Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence
title_short Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence
title_sort impact of midurethral sling implantation on sexual function in women with stress urinary incontinence
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290326/
https://www.ncbi.nlm.nih.gov/pubmed/32443682
http://dx.doi.org/10.3390/jcm9051538
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