Evaluation of postoperative sexual function in patients  after trans-obturator-tape operation

Elif AĞAÇAYAK; Serdar BAŞARANOĞLU; Mustafa YAVUZ; Senem YAMAN TUNÇ; Sibel Sak; Abdülkadir TURGUT; Ayşegül DEREGÖZÜ; Talip Gül

doi:10.5578/gmj.32155

Authors

Elif AĞAÇAYAK Department of Obstetrics and Gynecology, Faculty of Medicine, Dicle University, Diyarbakir
Serdar BAŞARANOĞLU Department of Obstetrics and Gynecology, Faculty of Medicine, Fatih University, Istanbul
Mustafa YAVUZ Department of Obstetrics and Gynecology, Faculty of Medicine, Dicle University, Diyarbakir
Senem YAMAN TUNÇ
Sibel Sak Department of Obstetrics and Gynecology, Faculty of Medicine, Harran University, Sanliurfa
Abdülkadir TURGUT Department of Obstetrics and Gynecology, Faculty of Medicine, Dicle University, Diyarbakir
Ayşegül DEREGÖZÜ Clinic of Obstetrics and Gynecology, Bahcelievler State Hospital, Istanbul
Talip Gül Department of Obstetrics and Gynecology, Faculty of Medicine, Dicle University, Diyarbakir

DOI:

https://doi.org/10.5578/gmj.32155

Keywords:

Urinary incontinence, TOT operation, sexual dysfunction

Abstract

Introduction: In this study, we aimed to evaluate postoperative se-xual function of patients, who had undergone colporraphy anterior and transobturator tape operation due to cystocele and stres urinary incontinence.

Materials and Methods: In our study, 52 patients with cystocele and stress urinary incontinence that were admitted to Dicle University, School of Medicine, Department of Obstetrics and Gynecology between January 2009 and January 2014, were included in the study. Patients with previous hysterectomy, patients who had rectocele repair during operation, patients in menopause were excluded from the study. Patients completed the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire-12 before and after under going surgery.

Results: Mean age of the patients in our study was 42.04 ± 7.50, average body mass index of the patients was 30.1 ± 3.7 kg/m2. Average follow-up time was 31.5 ± 11.3 months. 22 (42.3%) patients did not completely recovery the postoperative complaints. 2 (3.8%) patients had increased postoperative complaints. The positive correlation between postoperative complaints with dyspareunia was observed (r= 0.355 **p: 0.010). 5 (9.6%) patients developed postoperative complications. These complications, urinary comfortable inability in 2 (%3.8) patients, mesh erosion in 1(%1.9) patient, developed de novo urinary incontinence in 2 (%1.9) patients. The total result according to Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire-12 was observed significant improvement in sexual function (p= 0.000).

Conclusion: Urinary incontinence negatively affects the sexual life of women. We observed improvement in sexual function of women that had went transobturator tape operation for urinary incontinence.

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References

Demirci N, Coşar F. Ürinerin kontinans tedavisinde davranışsal tedavi yöntemleri. S.D.Ü. Tıp Fak Derg 2009:16(3):35-40.

Öksuz E, Malhan S. Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol 2006;175:654-8.

Glavind K, Tetsche MS. Sexual function in women before and after suburetral sling operation for stres urinary incontinence: a retrospective questionnaire study. Acta Obstet Gyncol Scand 2004;83:965-8.

Sadock B, Sadock V. Anormal cinsellik ve cinsel disfonksiyon. Concise text book of clinical psychiatry. 2. Baskı. Güneş Kitabevi, 2005;277-9.

Baden WF, Walker TA, Lindsday HJ. Thevaginal profile. Tex Med J 1968;64:56-8.

Delorme E. Transobturator urethral suspension: mini-invasive procedure in thetreatment of stress urinary incontinence in women. Prog Urol 2001;11(6):1306-13.

Rogers RG, Coates KW, Kammerer-Doak D, Khalsa S, Qualls C. A short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Int Urogynecol J Pelvic Floor Dysfunct 2003;14:164-8.

Walters MD, Taylor S, Schoenfeld LS. Psycho sexual study of women with detrusor instability. Obstet Gynecol 1990;75:22-6.

Sözeri Varma G, Karadağ F, Kalkan Oğuzhanoğlu N, Özdel O, Kökten S. Menopoz: Klimakterik belirtiler ve cinsel doyum arasındaki ilişki. New/Yeni Symposium Journal 2006;44(4):182-5.

Akın Y, Gülmez H, Sonbahar AE, İpekçi T, Yılmaz MO, Ateş E. Obesityand stress urinary incontinence in women. Ankara Med J 2015;15(4):226-30.

Carrilho PJ, Vivacqua CA, Godoy EP , Bruno SS, Brígido AR, Barros FC, et al. Sexual dysfunction in obese women is more affected by psychological domains than that of non-obese. Rev Bras Ginecol Obstet 2015;37(12):552-8.

Özdedeli K, Yüksel İ. Pelvik taban bozuklukları ve kadın cinsel fonksiyon bozukluğu. Kadın ve İşlevsel Üroloji Dergisi 2014;3:73-7.

Eftal Taner C, Kaya İ, Okay G, Göklü Y, Şahin G. Intraoperative and postoperative complications after TOT operations. Türkiye Klinikleri Jinekoloji Obstetrik Dergisi 2012;22(1):21-4.

Elzevier HW, Putter H, Karl PJ, Delaere MD, Venema PL, Lycklama à Nijeholt AA, et al. Female sexual function after surgery for stress urinary incontinence: trans obturators ub urethral tape vs. tensionfree vaginal tape obturator. J Sex Med 2008;5:400-6.

Liang CC, Tseng LH, Lo TS, Lin YH, Lin YJ, Chang SD. Sexual function follow in goutside-in transobturator midurethral sling procedures: a prospective study. Int Urogynecol J 2012;23(12):1693-8.

Carey M, Higgs P, Goh J, Lim J, Leong A, Krause H, et al. Vaginal repair with mesh versus colporrhaphy for prolapse: a randomised controlled trial. BJOG 2009;116:1380-6.

Dursun M, Otunctemur A, Ozbek E, Cakir SS, Polat EC. Impact of the transobturator tape procedure on sexual function in women with stres urinary incontinence. Impact of the trans obturator tape procedure on sexual function in women with stres urinary incontinence. J Obstet Gynaecol Res 2013;39(4):831-5.

Glavind K, Larsen T, Lindquist AS. Sexual function in women before and after tension-free vaginal tape operation for stress urinary incontinence. Acta Obstet Gynecol Scand 2014;93(10):986-90.

Jha S, Radley S, Farkas A, Jones G. Theimpact of TVT on sexual function. Int Urogynecol J Pelvic Floor Dysfunct 2009;20:165-9.

Jha S, Ammenbal M, Metwally M. Impact of incontinence surgery on sexual function: a systematic review and meta-analysis. J Sex Med 2012;9:34-43.

Jha S, Moran P, Greenham H, Ford C. Sexual function following surgery for urodynamic stres incontinence. Int Urogynecol J Pelvic Floor Dysfunction 2007;18:845-50.