Sexual function assessment in female with stress urinary incontinence before and after surgical treatment
- Authors: Tevlin К.Р.1, Pushkar D.Y.1, Dyakov V.V.1
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Affiliations:
- Moscow Medico-Stomatological University
- Issue: Vol 54, No 5S (2005)
- Pages: 78-78
- Section: Reviews
- URL: https://journals.eco-vector.com/jowd/article/view/87507
- DOI: https://doi.org/10.17816/JOWD87507
- ID: 87507
Cite item
Abstract
Aims & Objectives: sexual function can significantly affect human’s quality of life. It definitely decreases in female patients suffering from stress urinary incontinence. The aims of this study were to evaluate the female sexual function before and after surgical treatment of stress urinary incontinence (SUI), comparing long follow-up results of two different procedures.
Full Text
Aims & Objectives: sexual function can significantly affect human’s quality of life. It definitely decreases in female patients suffering from stress urinary incontinence. The aims of this study were to evaluate the female sexual function before and after surgical treatment of stress urinary incontinence (SUI), comparing long follow-up results of two different procedures.
Material & Methods. The study included 130 patients (mean age 44, 9 years) who underwent TVT (n= 85, group 1) and operation with short skin flap (n= 45, group 2). Mean follow-up was 33,7 month. The sexual function was assessed using The Female Sexual Function Index (FSFI) - a multidimensional self-report instrument for the assessment of female sexual function. The Index consists of five domains (desire, arousal, lubrication, orgasm, satisfaction, pain); with score range from 0 to 5 and full scale score range 36,0. It should be noted that within the individual domains, a domain score of zero indicated that the subject reported having no sexual activity during the past month.
Results. According to the questionnaire, mean full scale score range before the operative treatment was 18,5 (p<0,01). After the follow-up period this range in group 1 was 24,9 (p < 0,01). The positive changes were detected almost in all domains except domain 6 (pain). There were no statistically significant changes in it. The mean full scale score range in group 2 after the follow-up period was 22,4 (p < 0,01). Best results in compare with preoperative condition in this group were mostly bounded up with positive changes in 2 and 3 domains (arousal and lubrication). Individual scores in these domains were 2,6 and 2,2 preoperatively (4,3 and 4,0 postoperatively (p < 0,01)). This changes in group 1 were 4,7 and 4,4 accordingly (p < 0,01). Negative changes in group 2 in compare with group 1 observed in domains 1.4 and 5 (desire, orgasm, satisfaction). There was significant decrease of individual score in domain 6 (pain) in group 2 in compare with group 1 and preoperative condition (2.2 and 3.8 accordingly (p < 0,01)).
Conclusions. Our study showed that the Female Sexual Function Index is a useful and cheap tool in the investigation of quality of life in female underwent surgical treatment of stress urinary incontinence. Surgical treatment of SUI in female can improve their sexual function. The patient’s sexual function after TVT is significantly better than after the operation with short skin flap. The benefits in sexual function after TVT procedure are bound up with the low invasiveness of this intervention.
About the authors
К. Р. Tevlin
Moscow Medico-Stomatological University
Author for correspondence.
Email: info@eco-vector.com
Department of Urology
Russian Federation, MoscowD. Y. Pushkar
Moscow Medico-Stomatological University
Email: info@eco-vector.com
Department of Urology
Russian Federation, MoscowV. V. Dyakov
Moscow Medico-Stomatological University
Email: info@eco-vector.com
Department of Urology
Russian Federation, Moscow