EVALUATION OF INCONTINENCE, QUALITY OF LIFE AND SEXUAL FUNCTION IN WOMEN WHO OPERATED SUBURETHRAL SLING

Year 2008, Volume: 22 Issue: 2, 63 - 68, 01.08.2008

D. Sarı V. Bulut Ö. Çakmak O. Mertoğlu H. Sıçramaz A. Bölükbaşı Ö. Demir A. A. Esen

Abstract

Objective: Although urinary incontinence is not a life threatening disorder, it has been
shown to have detrimental effects on quality of life in terms of psychological, social and
sexual problems. The aim of this study was to evaluate the effects of suburethral sling
operation on sexual function, incontinence and quality of life.
Material and method: Twenty nine women were evaluated who underwent suburethral sling operation for stress and mixed incontinence from October 2005 to March
2007. All women and their partners were sexually active. We evaluated all the women tion, McNeamer, chi square and t tests were used for the data analysis.

Results: Mean age and FSFI scores of women were 50.4±8.8 years and 19.3 ± 10.7,
respectively. According to total FSFI score (<25) there were 65.5% subjects had sexual
dysfunction. Quality of life was improved after suburetral sling in female patients.
Reported urinary leakage during intercourse was significantly reduced (69% to 21%).
Among the patients 52% of them were reported an improvement of their sexual life
after suburetral sling surgery.
Conclusion: This study showed that suburetral sling procedures as anti-incontinence
surgery is associated with reduced complaints of incontinence and improvement of the
quality of life. However, prevalence of female sexual dysfunction is significantly high in
these patients.

Keywords

Female sexual dysfunction, suburetral sling operation, urinary incontinence, quality of life

Orta Üretral Askı Operasyonu Olan Kadınların İnkontinans, Yaşam Kalitesi Ve Cinsel Fonksiyonlarının Değerlendirilmesi

Abstract

Amaç:İdrar kaçırma yaşamı tehdit * 7. Ulusal Androloji Kongresi’nde (6-9 Haziran 2007) poster bildiri olarak sunulmuştur

Keywords

Kadın cinsel disfonksiyonu, orta üretral askı ameliyatı, idrar kaçırma, yaşam kalitesi

References

• Şen I, Onaran M, Aksakal N et al. The impact of urinary incontinence on female sexual function. Adv Ther 2006; 23;999-1008.
• Maaita M, Bhaumik J, Davies AE. Sexual function after using tension-free vaginal tap efor the surgical treatment of genuine stres incontinence. BJU International 2002; 90:540-543.
• Ghezzi F, Serati M, Cromi A, Uccella S, Triacca P, Bolis P. Impact of tension-free vaginal tape on sexual function: results of a prospective study. Int Urogynecol J 2006; 17:54-59.
• Glavind K, Tetsche MS. Sexual function in women before and after suburetral sling operation for stres urinary incontinence: a retrospective questionnaire study. Acta Obstet Gynecol Scand 2004;83:965-968.
• Aslan G, Köseoğlu H, Sadık Ö, Çimen S, Cihan A, Esen A. Sexual function in women with urinary incontinance. Int J Impot Res 2005; 17:248-251.
• Güvel S. Kadın Cinsel Disfonksiyonun Epidemiyolojisi. In: Kadıoğlu A, Başar M, Semerci B, et all editors. Erkek ve Kadın Cinsel Sağlığı. İstanbul:Türk Androloji Derneği Ya- yını 2004; 615-619.
• Aşçı R. Aşırı aktif mesane sendromlu kadınlarda cinsel işlev bozukluğu. Androloji Bülteni 2006;26;267-270.
• Öksuz E, Malhan S. Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol 2006;175:654-658.
• Elzevier HW, Venema PL, Lycklama á Nijeholt AA. Sexual function after tension-free vaginal tape (TVT) for stress incontinence: results of a mailed questionnaire. Int Urogynecol J 2004;15:313–318.
• Rosen R, Brown C, Heiman J, et al. The Female Sex
• ual Function Index (FSFI): a multidimensional self-re- port instrument for the assessment of female sexual function. J Sex Marital Ther 2000;26:191-208.
• Alıcı B. Değerlendirme ve Tanı. In: Kadıoğlu A, Başar M, Semerci B, et all editors. Erkek ve Kadın Cinsel Sağlığı., İstanbul:Türk Androloji Derneği Yayını 2004; 630-634.
• Patrick DL, Martin ML, Bushnell M, et al. Quality of life of women with urinary incontinence: further development of the Incontinence Quality of Life Instrument (I-QOL). Urology 1999; 53:71-76.
• Özerdoğan N, Kızılkaya NB. Eskişehir, Bilecik, Afyon, Kütahya illerinde 20 yaş ve üstü kadınlarda üriner inkontinansın prevelansı, risk faktörleri, yaşam kalitesine etkisi. Hemşirelik Dergisi 2003; 13:51, 37-50.
• Bjelic-Radisic V, Dorfer M, Greimel E, Frudinger A, Tamussino K, Winter R. Quality of life and continence 1 year after the tension-free vaginal tape operation. American Journal of Obstetrics and Gynecology 2006;195:1784-1788.
• Rogers GR, Villarreal A, Kammerer-Doak D, Qualls C. Sexual function women with and without Urinary Incontinence and/or Pelvic Organ Prolapse, Int Urogynecol J 2001; 12:361-365.
• Rogers R, Kammerer-Doak D, Darrow A et al. Does sexual function change after surgery for stres urinary incontinence and/or pelvic organ prolapse? A multicenter prospective study. Am J Obstet Gynecol 2006;195:1-4.
• Yeni E, Unal D, Verit A, Kafali H, Çiftçi H, Gulum M. The effect of tension-free vaginal tape (TVT) procedure on sexual function in women with stres urinary incontinence. Int Urogynecol J 2003;14:390-394.
• Cayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E. The prevalence of female sexual dysfunction and potential risk factors that may impair sexual function in Turkish women. Urol Int. 2004;72:52-57.
• Holmgren C, Hellberg D, Lanner L, Nilsson S. Quality of life after tension-free vaginal tape surgery for female stres incontinence. Scandinavian Journal of Urology and Nephrology 2006;40:131-137.
• Richter HE, Norman AM, Burgio KL et al. Tension-free vaginal tape: a prospective subjective and objective outcome analysis. Int Urogynecol J 2005;16:109-113.
• Schraffordt Koops SE, Bisseling TM, Heintz AP, Vervest HA. Quality of life before and after TVT, a prospective multicentre cohort study, results from the Netherlands TVT database. BJOG 2006;113:26-29.
• Schraffordt Koops SE, Bisseling TM, Heintz AP, Vervest HA. The effectiveness of tension-free vaginal tape (TVT) and quality of life measured in women with previous urogynecologic surgery: Analysis from The Netherlands TVT database. American Journal of Obstetrics and Gynecology 2006;195:439-444.
• Tomoe H, Kondo A, Takei M, Nakata M, Toma H. Quality of life assessments in women operated on by tension- free vaginal tape. Int Urogynecol J 2005;16:114-118.
• Bakas P, Liapis A, Giner M, Creatsas G. Quality of life in relation to TVT procedure for the treatment of stres urinary incontinence. Acta Obstetricia&Gynecologia 2006;85:748-752.
• Lim JL, Cornish A, Carey MP. Clinical and quality of life outcomes in women treated by by TVT-O procedure. BJOG 2006;113:1315-1320.
• Mazouni C, Karsenty G, Bretelle F, Bladou F, Gamerre M, Serment G. Urinary complications and sexual function after the tension-free vaginal tape procedure. Acta Obstet Gynecol Scand 2004;83:955-961.
• Marszalek M, Roehlich M, Racz U el al. Sexual function after tension-free vaginal tape procedure. Uro Int 2007; 78:126-129.