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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| Format: | Article |
| Language: | English |
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MDPI AG
2020-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/5/1538 |
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| author | Edyta Horosz Aneta Zwierzchowska Andrzej Pomian Wojciech Majkusiak Paweł Tomasik Ewa Barcz |
| author_facet | Edyta Horosz Aneta Zwierzchowska Andrzej Pomian Wojciech Majkusiak Paweł Tomasik Ewa Barcz |
| author_sort | Edyta Horosz |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-10T19:42:55Z |
| format | Article |
| id | doaj.art-84e5fbbc5f12434689598903fe44b68b |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T19:42:55Z |
| publishDate | 2020-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-84e5fbbc5f12434689598903fe44b68b2023-11-20T01:02:47ZengMDPI AGJournal of Clinical Medicine2077-03832020-05-0195153810.3390/jcm9051538Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary IncontinenceEdyta Horosz0Aneta Zwierzchowska1Andrzej Pomian2Wojciech Majkusiak3Paweł Tomasik4Ewa Barcz5Multidisciplinary Hospital Warsaw-Miedzylesie, Department of Obstetrics and Gynecology, 04-749 Warsaw, PolandMultidisciplinary Hospital Warsaw-Miedzylesie, Department of Obstetrics and Gynecology, 04-749 Warsaw, PolandMultidisciplinary Hospital Warsaw-Miedzylesie, Department of Obstetrics and Gynecology, 04-749 Warsaw, PolandMultidisciplinary Hospital Warsaw-Miedzylesie, Department of Obstetrics and Gynecology, 04-749 Warsaw, PolandMultidisciplinary Hospital Warsaw-Miedzylesie, Department of Obstetrics and Gynecology, 04-749 Warsaw, PolandMultidisciplinary Hospital Warsaw-Miedzylesie, Department of Obstetrics and Gynecology, 04-749 Warsaw, PolandStress 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.https://www.mdpi.com/2077-0383/9/5/1538midurethral slingurinary incontinencefemale sexual functionquality of life |
| spellingShingle | Edyta Horosz Aneta Zwierzchowska Andrzej Pomian Wojciech Majkusiak Paweł Tomasik Ewa Barcz Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence Journal of Clinical Medicine midurethral sling urinary incontinence female sexual function quality of life |
| 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 | midurethral sling urinary incontinence female sexual function quality of life |
| url | https://www.mdpi.com/2077-0383/9/5/1538 |
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