Sexual activity and function in women more than 2 years after midurethral sling placement - 30/10/12
Urinary Incontinence Treatment Network
Résumé |
Objective |
The purpose of this study was to assess prospectively the effects of midurethral sling surgery on sexual function and activity.
Study Design |
Sexual activity and function was assessed in 597 women with stress urinary incontinence who were enrolled in a randomized equivalence trial of retropubic compared with transobturator midurethral slings. Repeated measures analysis of variance was used to assess changes in Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire scores over a 2-year period.
Results |
Significant, similar improvements in sexual function were seen in both midurethral sling groups. Mean Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire scores increased from 32.8 at baseline to 37.6 at 6 months and 37.3 at 24 months (P < .0001). Dyspareunia, incontinence during sex, and fear of incontinence during sex each significantly improved after surgery. Preoperative urge incontinence was associated with abstinence after surgery (P = .02); postoperative urge incontinence negatively impacted sexual function (P = .047).
Conclusion |
Midurethral sling surgery for stress urinary incontinence significantly improves sexual function, although coexistent urge incontinence has a negative impact.
Le texte complet de cet article est disponible en PDF.Key words : mesh, midurethral sling, sexual function, surgery, urinary incontinence
Plan
| Supported by cooperative agreements from the National Institute of Diabetes and Digestive and Kidney Diseases (U01 DK58225, U01 DK58229, U01 DK58234, U01 DK58231, U01 DK60379,U01 DK60380, U01DK60393, U01 DK60395, U01 DK60397, and U01DK 60401) and by the National Institute of Child Health and Human Development and Office of Research in Women's Health, National Institutes of Health. |
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| H.M.Z. is a consultant for Johnson & Johnson Inc. L.R. holds a research grant from Pfizer. The remaining authors report no potential conflict of interest. |
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| Reprints not available from the authors. |
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| Cite this article as: Zyczynski HM, Rickey L, Dyer KY, et al. Sexual activity and function in women more than 2 years after midurethral sling placement. Am J Obstet Gynecol 2012;207:421.e1-6. |
Vol 207 - N° 5
P. 421.e1-421.e6 - novembre 2012 Retour au numéro
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