Cargando…
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...
Autores principales: | , , , , , |
---|---|
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 |
_version_ | 1783545650060722176 |
---|---|
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. |
format | Online Article Text |
id | pubmed-7290326 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT horoszedyta impactofmidurethralslingimplantationonsexualfunctioninwomenwithstressurinaryincontinence AT zwierzchowskaaneta impactofmidurethralslingimplantationonsexualfunctioninwomenwithstressurinaryincontinence AT pomianandrzej impactofmidurethralslingimplantationonsexualfunctioninwomenwithstressurinaryincontinence AT majkusiakwojciech impactofmidurethralslingimplantationonsexualfunctioninwomenwithstressurinaryincontinence AT tomasikpaweł impactofmidurethralslingimplantationonsexualfunctioninwomenwithstressurinaryincontinence AT barczewa impactofmidurethralslingimplantationonsexualfunctioninwomenwithstressurinaryincontinence |