Impact of transobturator vaginal tape on female stress urinary incontinence and sexual function
| Autor: | Tarek Soliman, Osama Abdelwahab, Hammouda Sherif, Wael Kandeel, Abdallah Fathi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Urology Urinary system 030232 urology & nephrology Urinary incontinence Qmax maximum urinary flow rate Voiding Dysfunction/Female Urology 03 medical and health sciences (S)UI (stress) urinary incontinence 0302 clinical medicine UDI-6 Urogenital Distress Inventory-Short Form Medicine FSFI Female Sexual Function Index PPIUS Patient Perception of Intensity of Urgency Scale Gynecology 030219 obstetrics & reproductive medicine Groin Stress urinary incontinence Female sexual function business.industry Genitourinary system FSD female sexual dysfunction FSFI PVR post-void residual urine volume medicine.disease Diseases of the genitourinary system. Urology Surgery Menopause Distress medicine.anatomical_structure TOT ICIQ-SF International Consultation of Incontinence Questionnaire-Short Form RC870-923 medicine.symptom business Sexual function Body mass index |
| Zdroj: | Arab Journal of Urology, Vol 15, Iss 4, Pp 380-386 (2017) Arab Journal of Urology |
| Popis: | Objective: To evaluate the effect of vaginal transobturator tape (TOT) on female stress urinary incontinence (SUI) and sexual function. Patients and methods: In all, 145 patients with SUI underwent TOT repair using the âoutsideâinâ technique. All patients had been sexually active in the previous 6Â months. Patients were evaluated by history, routine laboratory investigations, cough stress test, abdominopelvic ultrasonography, and full urodynamic studies. The preoperative data assessed included: age, parity, body mass index, menopausal status, and Stamey grade of SUI. The intraoperative data assessed included: operative time, blood loss, and hospital stay; intra- and postoperative complications were also assessed. At 2Â weeks after discharge, patients were followed-up with a routine examination and cough stress test. After 6Â monthsâ patients were assessed by urodynamic studies, maximum urinary flow rate, post-void residual urine volume. The following questionnaires were completed before and at 6Â months after TOT insertion: International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), Urogenital Distress Inventory-Short Form (UDI-6), and Female Sexual Function Index (FSFI). Results: All sociodemographic data of the 145 patients were collected. According to ICIQ-SF scores, 122 patients were cured, 19 had improved, and four failed. There were significant improvements in the UDI-6 and FSFI scores, indicating that the women had significant improvement in their sexual life. There were six cases of urinary tract infection, five cases had a fever, and eight patients complained of groin or thigh pain postoperatively. Conclusions: Correction of SUI using TOT appears to have a positive effect on female sexual function. Keywords: TOT, Stress urinary incontinence, Female sexual function, FSFI, Menopause |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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