Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: It is known that 50% to 68% of women with stress urinary incontinence (SUI) have sexual function impairment and avoid sexual intercourse. Reports of sexual function after SUI surgery vary, with reports of both improved function and deteriorated function. The goal of this study was to evaluate the impact of midurethral sling procedures on the sexual function of women suffering from SUI preoperatively and 36 months postoperatively. Materials and Methods: Among 75 patients who were diagnosed with SUI and underwent the midurethral procedure, 47 patients who answered the Korean version of the Female Sexual Function Index (FSFI) Questionnaire were analyzed prospectively. The retropubic route (RPR) was used in 26 patients, whereas the transobturator route (TOR) was used in 21 patients. Fifteen patients underwent concomitant posterior colporrhaphy. The FSFI was completed before surgery and 36 months after surgery. Results: The patients’ mean age was 44.9 years (range, 30-59 years) and their mean parity was 2.8 (range, 0-6). There were no significant differences in the individual FSFI domain scores between before surgery and 36 months (36.8±4.57) after surgery. There were no significant differences in sexual satisfaction between the patients with concomitant posterior colporrhaphy and patients with the midurethral sling procedure only. There were no significant differences in domain score between the TOR and the RPR, but patients experienced less pain after the RPR than after the TOR. Conclusion: There was no significant change in overall sexual function in women undergoing the midurethral sling procedure. Attention must be paid when performing the TOR procedure because it can cause pain during intercourse.
Abstract
Purpose: It is known that 50% to 68% of women with stress urinary incontinence (SUI) have sexual function impairment and avoid sexual intercourse. Reports of sexual function after SUI surgery vary, with reports of both improved function and deteriorated function. The goal of this study was to evaluate the impact of midurethral sling procedures on the sexual function of women suffering from SUI preoperatively and 36 months postoperatively. Materials and Methods: Among 75 patients who were diagnosed with SUI and underwent the midurethral procedure, 47 patients who answered the Korean version of the Female Sexual Function Index (FSFI) Questionnaire were analyzed prospectively. The retropubic route (RPR) was used in 26 patients, whereas the transobturator route (TOR) was used in 21 patients. Fifteen patients underwent concomitant posterior colporrhaphy. The FSFI was completed before surgery and 36 months after surgery. Results: The patients’ mean age was 44.9 years (range, 30-59 years) and their mean parity was 2.8 (range, 0-6). There were no significant differences in the individual FSFI domain scores between before surgery and 36 months (36.8±4.57) after surgery. There were no significant differences in sexual satisfaction between the patients with concomitant posterior colporrhaphy and patients with the midurethral sling procedure only. There were no significant differences in domain score between the TOR and the RPR, but patients experienced less pain after the RPR than after the TOR. Conclusion: There was no significant change in overall sexual function in women undergoing the midurethral sling procedure. Attention must be paid when performing the TOR procedure because it can cause pain during intercourse.
참고문헌 (26)
- Burgio KL, "Prevalence, incidence and correlates of urinary incontinence in healthy, middle-aged women", J Urol, 146, pp.1255~1259 (1991)
- Diokno AC, "Prevalence of urinary incontinence and other urological symptoms in the noninstitutionalized elderly", J Urol, 136, pp.1022~1025 (1986)
- Sutherst JR, "Sexual dysfunctional and urinary incontinence", Br J Obstet Gynaecol, 86, pp.387~388 (1979)
- Walters MD, "Psychosexual study of women with detrusor instability", Obstet Gynecol, 75, pp.22~26 (1990)
- Temml C, "Urinary incontinence in both sexes:prevalence rates and impact on quality of life and sexual life", Neurourol Urodyn, 19, pp.259~271 (2000)
- Shah SM, "Impact of vaginal surgery for stress urinary incontinence on female sexual function: is the use of polypropylene mesh detrimental?", Urology, 65, pp.270~274 (2005)
- Salonia A, "Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study", Eur Urol, 45, pp.642~648 (2004)
- Berglund AL, "Some sexological characteristics of stress incontinent women", Scand J Urol Nephrol, 30, pp.207~212 (1996)
- Mazouni C, "Urinary complications and sexual function after tension-free vaginal tape procedure", Acta Obstet Gynecol Scand, 83, pp.955~961 (2004)
- Elzevier HW, "Sexual function after tension-free vaginal tape (TVT) for stress incontinence: results of a mailed questionnaire", Int Urogynecol J Pelvic Floor Dysfunct, 15, pp.313~318 (2004)
- Rogers RG, "Sexual function after surgery for stress urinary incontinence and or pelvic organ prolapse: a multicenter prospective study", Am J Obstet Gynecol, 191, pp.206~210 (2004)
- Haase P, "Influence of operations for stress incontinence and", or genital descensus on sexual life, 1988, pp.67, 659~661
- Black NA, "Impact of surgery for stress incontinence on the social lives of women", Br J Obstet Gynaecol, 105, pp.605~612 (1998)
- Rosen R, "The Female Sexual Functino Index (FSFI): a multidimensional self-report instrument for the assessment of femal sexual function", J Sex Marital Ther, 26, pp.191~208 (2000)
- Rosen R, "The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function", J Sex Marital Ther, 26, pp.191~208 (2000)
- Nappi RE, "Serum allopregnanolone levels relate to FSFI score during the menstrual cycle", J Sex Marital Ther, 29, pp.95~102 (2003)
- Meston CM, "Validation of the Female Sexual Function Index (FSFI) in women with female orgasmic disorder and in women with hypoactive sexual desire disorder", J Sex Marital Ther, 29, pp.39~46 (2003)
- Kim HY, "Development of the Korean-version of Female Sexual Function Index (FSFI)", Korean J Androl, 20, pp.50~56 (2002)
- Maaita M, "Sexual function after using tension-free vaginal tape for the surgical treatment of genuine stress incontinence", BJU Int, 90, pp.540~543 (2002)
- Yeni E, "The effect of tension-free vaginal tape (TVT) procedure on sexual function in women with stress urinary incontinence", Int Urogynecol J Pelvic Floor Dysfunct, 14, pp.390~394 (2003)
- Kim DY, "Change of sexual function after midurethral sling procedure for stress urinary incontinence", Int J Urol, 15, pp.716~719 (2008)
- Berglund AL, "Social adjustment and spouse relationships among women with stress incontinence before and after surgical treatment", Soc Sci Med, 42, pp.1537~1544 (1996)
- Porter WE, "The anatomic and functional outcomes of defect-specific rectocele repairs", Am J Obstet Gynecol, 181, pp.1353~1358 (1999)
- Lemack GE, "Sexual function after vaginal surgery for stress incontinence: results of a mailed questionnaire", Urology, 56, pp.223~227 (2000)
- Katz A, "Sexuality after hysterectomy: a review of the literature and discussion of nurses’ role", J Adv Nurs, 42, pp.297~303 (2003)
- Dragisic KG, "Sexual functioning and patient expectations of sexual functioning after hysterectomy", Am J Obstet Gynecol, 190, pp.1416~1418 (2004)